产后抑郁症与及时儿童接种疫苗之间的关系:系统性审查
Julien Robitaille1, Kayla Esser1, Catherine King2
1Centre for Vaccine Preventable Disease, Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada.
Vaccines
|April 23, 2025
概括
产后抑郁症 (PPD) 可能会影响及时的儿童疫苗接种,但研究结果是不同的. 需要进行更多的研究,以了解患有PPD的父母是否需要为儿童免疫接种计划提供特定的支持.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 心理健康 心理健康
背景情况:
- 儿童接种疫苗的成功取决于照顾者的意识,意愿和能力.
- 产后抑郁症 (PPD) 可能会阻碍父母对包括接种疫苗在内的基本预防护理的能力.
研究的目的:
- 系统地审查有关产后抑郁症和及时儿童疫苗接种之间的联系的现有文献.
主要方法:
- 在2023年9月之前,对八个主要数据库进行了全面的系统搜索.
- 包括初级研究,检查0-24个月龄儿童的PPD-接种疫苗的联系.
- 数据提取和质量评估是由两个研究人员独立进行的.
主要成果:
- 十二项研究符合资格标准,其中大多数来自高收入国家.
- 一半的研究 (6/12) 表明母亲PPD和延迟儿童接种疫苗之间存在联系;另一半没有发现任何关联.
- 高质量的研究表明,这种关系报告的绝对风险很小.
结论:
- 目前关于PPD和儿童接种疫苗的及时性研究存在显著的异质性.
- 需要进一步进行高质量的研究,使用标准化定义.
- 对患有PPD的父母来说,可能需要量身定制的策略和支持来克服疫苗接种障碍.
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