从需要到忽视:探索心理障碍到怀孕期间的预防性干预措施
Dennis Bardoe1, Robert Bagngmen Bio1, Daniel Hayford2
1Department of Public Health Education, Akenten Appiah-Menka University of Skills Training and Entrepreneurial Development, Mampong, Ghana.
PLOS global public health
|June 24, 2025
概括
心理障碍,如对副作用的恐惧,遗忘和疼痛,显著增加了孕妇患乙型肝炎和疟疾的风险. 在产前护理中解决这些心理健康因素对于改善干预坚持和降低感染率至关重要.
科学领域:
- 公共卫生 公共卫生
- 医学昆虫学 医学昆虫学
- 传染性疾病 传染性疾病
背景情况:
- 乙型肝炎和疟疾对孕妇构成重大风险.
- 持续坚持预防干预措施,如疫苗接种,长效杀虫网 (LLIN) 和硫黄素-甲胺 (SP),对于降低这些风险至关重要.
- 了解违规行为的心理决定因素对于改善干预覆盖率至关重要.
研究的目的:
- 调查波诺东部地区孕妇不遵守关键预防干预措施的心理因素.
- 确定与乙型肝炎感染和疟疾的几率增加相关的特定心理障碍.
主要方法:
- 一项前性横截面混合方法研究,涉及1430名孕妇.
- 通过血清学查,问卷,深度访谈和重点小组讨论收集数据.
- 使用描述性统计,奇平方测试和后勤回归进行定量分析;使用主题框架进行定性分析.
主要成果:
- 对副作用的恐惧,遗忘和疼痛显著与乙型肝炎感染的几率增加有关.
- 对副作用的恐惧,没有症状,遗忘,草药的感知有效性,疼痛,不确定性和长时间的坚持与疟疾的几率增加有关.
- 鉴定出的心理障碍与较高的感染风险有很强的相关性.
结论:
- 心理因素在怀孕期间对乙型肝炎和疟疾的基本预防干预措施的坚持存在重大障碍.
- 建议以政策为导向的公共卫生响应,将心理社会支持和心理健康服务纳入产前护理,以克服这些障碍.
- 解决心理决定因素对于提高干预效率和改善母亲和儿童健康结果至关重要.
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