在怀孕期间的种族居住隔离和心理健康
Kendria Kelly-Taylor1, Sylvia E Badon1, Wendy T Dyer1
1Division of Research, Kaiser Permanente Northern California, Pleasanton.
JAMA health forum
|October 25, 2024
概括
种族隔离与黑人人更高的产前抑郁和焦虑有关. 相反,它与亚洲,西班牙裔和白人孕妇的更好的心理健康结果有关.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 流行病学 流行病学
背景情况:
- 隔离地区的社区社会经济和身体因素可能会对心理健康产生负面影响.
- 种族隔离是影响健康差异的一个重要因素.
研究的目的:
- 检查种族住宅隔离与产前心理健康之间的关联.
- 为了比较亚洲,黑人,西班牙裔和白人孕妇之间的这些关联.
主要方法:
- 一项以人口为基础的横截面研究使用来自北加州凯泽永久医院 (KPNC) 的电子健康记录进行.
- 使用Getis-Ord Gi*统计数据计算了种族住宅隔离,并将其分类为低,中或高.
- 产前抑郁和焦虑是通过在最后一次月经期和出生之间记录的诊断代码来识别的.
主要成果:
- 产前抑郁和焦虑在黑人中最为普遍,其次是白人,西班牙裔和亚洲人.
- 黑人和亚洲人更有可能居住在高度隔离的社区.
- 在黑人中,高隔离与产前抑郁和焦虑的几率增加有关,但在亚裔,西班牙裔和白人中,几率下降.
结论:
- 种族隔离的住宅显示出与产前心理健康的复杂关联,恶化了黑人个体的结果,同时改善了亚洲,西班牙裔和白人个体的结果.
- 旨在减少隔离的政策可能对改善怀孕的黑人心理健康结果至关重要.
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