痛苦的分娩是否与成年人的身体和心理健康问题有关? : 面板数据的证据
Michael T French1, Karoline Mortensen1
1Department of Health Management and Policy, Miami Herbert Business School, University of Miami, Coral Gables, FL.
Medical care
|April 30, 2025
概括
痛苦的分娩,包括低出生体重,早产和NICU入院,与较差的成年人身体和心理健康有关. 这些发现凸显了预防措施的必要性,以改善长期健康结果.
科学领域:
- 公共卫生 公共卫生
- 发展心理学 发展心理学
- 纵向研究 纵向研究
背景情况:
- 有广泛的研究存在于急性分娩的短期结果,重点是婴儿存活率和即时并发症.
- 有限的研究已经探索了经历了痛苦分娩的个人长期身体和心理健康后果.
- 这项研究解决了了解早期逆境对终身影响的差距.
研究的目的:
- 调查三种常见的患难分娩类型之间的关联:低出生体重 (LBW),早产和新生儿重症监护室 (NICU) 的入院.
- 确定这些出生条件是否与成人身体健康 (整体健康状况,慢性疾病) 和心理健康 (精神健康障碍) 有显著的关系.
- 分析这些关系在年轻人和中年成年人.
主要方法:
- 利用了来自全国青少年到成人健康 (添加健康) 纵向调查的第IV波和第V波的数据.
- 样本包括第4波 (2008-2009) 的15,701名受访者和第5波 (2016-2018) 的12,300名受访者.
- 采用多变量回归和混合效应模型来分析患难分娩指标和成人健康结果之间的关联.
主要成果:
- 这三种困难分娩措施 (LBW,早产,新生儿重症监护室) 都显示出与成人身体健康有显著的负面关联.
- 同样,这些痛苦的出生指标与较差的成人心理健康有显著的联系.
- 在所有检查的关系中观察到统计学意义 (P<0.05).
结论:
- 研究结果强调了痛苦分娩对长期身体和精神健康的持久影响,直到成年.
- 结果提供了证据,证明了增加了对预防痛苦分娩的资源配置.
- 推的预防策略包括加强计划生育,全面的产前护理,并在怀孕期间促进健康行为.
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