怀孕期间抑郁症和性传播感染之间的关联在缺乏服务的孕妇患者中
Nikita Ghosh1, Han-Yang Chen, Irene Stafford
1From the Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX.
Sexually transmitted diseases
|May 26, 2025
概括
患有抑郁症的孕妇患有性传播感染 (STIs) 的几率更高,尤其是梅毒. 这凸显了需要综合护理,解决精神健康和性传播感染在服务不足的人群.
科学领域:
- 生殖健康 生殖健康
- 传染性疾病 传染性疾病
- 心理健康 心理健康
背景情况:
- 怀孕期间的抑郁症是复杂的,受社会经济,行为和健康因素的影响.
- 健康和炎症的社会决定因素的相互作用使抑郁症与性传播感染 (STD) 的联系复杂化.
- 缺乏服务的孕妇群体在管理抑郁症和性传播疾病方面面临着独特的挑战.
研究的目的:
- 在服务不足的孕妇患者中调查抑郁症和性传播感染之间的联系.
- 量化患有抑郁症的孕妇性传播感染风险的增加.
主要方法:
- 在2019年2月至2023年5月期间,对20111名孕妇进行了横截面研究.
- 通过自我报告和爱丁堡产后抑郁量表 (EPDS) 发现的抑郁症得分≥10.
- 多变量逻辑回归分析,调整以考虑混因素.
主要成果:
- 5.24%的孕妇报告患有抑郁症;3.2%被诊断患有性传播疾病.
- 患有抑郁症的患者患有任何性传播疾病的几率是1.54倍 (aOR,1.54;95% CI,1.20-1.99).
- 抑郁症与患梅毒的几率高出1.81倍 (aOR,1.81;95% CI,1.16-2.84).
结论:
- 在服务不足的孕妇中,抑郁症和性传播疾病,特别是梅毒之间存在较高的关联.
- 这些发现强调了在患有抑郁症的孕妇中进行性传播感染查和管理的重要性.
- 综合护理方法对于解决这种脆弱群体中抑郁症和性传播感染的同时出现至关重要.
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