孟加拉农村气候敏感社区的洪水和高产前抑郁症:一种混合方法研究
Suhi Hanif1, Jannat-E-Tajreen Momo2, Farjana Jahan2
1Department of Epidemiology and Population Health, Stanford University, CA, USA.
medRxiv : the preprint server for health sciences
|December 9, 2024
概括
洪水在孟加拉农村显著增加了产前抑郁症和自我伤害的想法. 恶劣的卫生和卫生基础设施加剧了这些风险,突出了改善防洪准备和孕产妇心理健康支持的必要性.
科学领域:
- 环境健康 环境健康
- 孕产妇心理健康 孕产妇心理健康
- 灾难流行病学 灾难流行病学
背景情况:
- 产前抑郁症对儿童发育构成长期风险.
- 像洪水这样的自然灾害对低收入和中等收入国家的产前抑郁症的影响还没有得到充分研究.
研究的目的:
- 调查孟加拉农村地区洪水和产前抑郁症之间的联系.
- 确定与洪水相关的产前抑郁症相关的关键驱动因素和危险因素.
主要方法:
- 在孟加拉国农村地区对881名孕妇进行了横截面调查.
- 数据收集包括参与者报告的洪水,爱丁堡产后抑郁量表 (EPDS) 评分,水位和遥感数据.
- 根据社会经济和人口因素调整的统计模型;重点小组探索了定性见解.
主要成果:
- 复合性洪水与抑郁症的患病率增加了2.08倍,自我伤害想法增加了8.40倍.
- 洗手间的洪水显示,抑郁症的患病率高3.58倍.
- 较高的水位和接近水体与提高的EPDS分数相关,其中卫生问题是主要的驱动因素.
结论:
- 洪水,水位升高和靠近水域与低收入环境中产前抑郁症的增加有关.
- 卫生设施和卫生基础设施不足显著放大了洪水期间的抑郁风险.
- 调查结果强调需要综合防洪准备和母亲心理健康干预措施.
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