母亲自我报告的精神和身体健康的趋势和差异
Jamie R Daw1, Colleen L MacCallum-Bridges2, Lindsay K Admon2,3
1Department of Health Policy and Management, Columbia University Mailman School of Public Health, New York, New York.
JAMA internal medicine
|May 27, 2025
概括
在美国,母亲的心理健康状况明显下降,社会经济群体之间存在显著的差异. 进一步的研究和投资至关重要,以解决这些关于妇女健康的趋势.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 记录了美国不断上升的孕产妇发病率和死亡率.
- 有限的国家数据存在于母亲的一般身体和精神健康超出产前期.
研究的目的:
- 为了检查最近的趋势,自我报告的母亲的身体和心理健康.
- 通过社会人口统计学因素识别孕产妇健康方面的差异.
主要方法:
- 一项综合的跨部门研究利用了国家儿童健康调查 (2016-2023年).
- 评估0-17岁儿童母亲的自我报告的身体和心理健康.
- 回归模型分析了趋势和社会人口结构差异.
主要成果:
- 自我报告的良好身体健康状况下降了4.2个百分点.
- 自我报告的良好的心理健康下降了12.4个百分点.
- 公平/糟糕的心理健康增加了3.5个百分点;在社会经济群体中普遍出现下降.
- 美国出生,单身,受教育程度较低的母亲,以及有公共保险或无保险儿童的母亲报告了较低的健康状况.
结论:
- 在美国母亲中观察到自我报告的心理健康显著下降.
- 需要投资来了解和解决母亲心理健康状况下降的根本原因,特别是在社会经济地位较低的人群中.
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