产后抑郁症的趋势按种族,种族和怀孕前的体重指数
Nehaa Khadka1, Michael J Fassett2, Yinka Oyelese3
1Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena.
JAMA network open
|November 20, 2024
概括
产后抑郁症 (PPD) 的患病率从2010年到2021年翻了一番,在所有种族,种族和BMI群体中观察到显著增加. 这凸显了针对PPD预防和干预策略的迫切需要.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 公共卫生 公共卫生
背景情况:
- 产后抑郁症 (PPD) 对母亲和婴儿的福祉构成重大风险.
- 了解PPD的时间模式对于有效的流行率评估和风险人群识别至关重要.
研究的目的:
- 分析产后抑郁症 (PPD) 患病率的最新趋势.
- 调查这些趋势与种族,种族和妊娠前身体质量指数 (BMI) 的关联.
主要方法:
- 来自南加利福尼亚州凯泽永久医院 (2010-2021) 的电子健康记录的连续,横截面分析.
- 包括20周或更长的怀孕期的活胎和死胎.
- 通过诊断代码,处方和验证的查成绩识别的PPD病例.
主要成果:
- 在2010年 (9.4%) 和2021年 (19.0%) 之间,PPD患病率在442,308例怀孕的队列中翻了一番.
- 亚洲/太平洋岛民 (280%) 和非西班牙裔黑人 (140%) 的人口的增长最为显著.
- 在所有BMI类别中,PPD的发病率都在上升,特别是在肥胖患者中.
结论:
- 在过去的十年中,产后抑郁症 (PPD) 诊断在不同种族,种族和BMI群体显著增加.
- 虽然改善查可能有所帮助,但持续高的患病率需要制定PPD预防和干预策略.
- 解决PPD对于减轻其对母亲和儿童健康的影响至关重要.
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