1998-2016年的孕产妇周产期焦虑和婴儿初级保健使用情况:英国队列研究
Holly Christina Smith1, Charlotte Archer2, James Bailey3
1Department of Primary Care and Population Health, University College London, London, UK holly.dorning.18@ucl.ac.uk.
BMJ mental health
|January 9, 2025
概括
母亲周产焦虑 (PNA) 与更多的婴儿初级保健访问和更高的疫苗接种率有关,但 6-8 周婴儿检查较少. 医疗保健提供者应该考虑这种联系,以获得更好的婴儿和母亲健康结果.
科学领域:
- 围产期心理健康问题
- 婴儿医疗保健的使用率.
- 公共卫生研究 公共卫生研究
背景情况:
- 围产期焦虑 (PNA) 可能会影响婴儿疫苗接种率和获得医疗保健,尽管证据不一致.
- 了解母亲PNA对婴儿初级保健的影响对于早期干预至关重要.
研究的目的:
- 调查母亲周产期焦虑和婴儿初级保健利用之间的关系.
- 分析PNA如何影响婴儿咨询率,检查出席率和疫苗接种率.
主要方法:
- 一项队列研究分析了1998-2016年使用IQVIA医学研究数据库 (IMRD) 的母婴对.
- 围产期焦虑是通过从怀孕到产后一年的医疗记录来确定的.
- 结果包括初级保健咨询,6-8周婴儿检查和5在1接种疫苗.
主要成果:
- 患有PNA的母亲 (4.7%的队列) 的婴儿有更多的初级保健咨询 (9.7对8.7人/年).
- 患有PNA的母亲的婴儿更有可能接种疫苗 (aOR 1.33).
- 患有PNA的母亲的婴儿不太可能有记录的6-8周检查 (aOR 0.88).
结论:
- 母亲PNA与增加的初级保健使用率和更高的疫苗接种率有关,但在6-8周婴儿检查的出席率下降.
- 医疗保健提供者,包括助产士和全科医生,应考虑PNA对母亲和婴儿健康的双向影响.
- 进一步的研究可以为支持母亲精神健康和优化婴儿医疗保健参与的战略提供信息.
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