在埃塞俄比亚东部,产后常见的精神障碍及其相关因素:基于社区的横截面研究
Dejene Tesfaye1, Tadesse Misgana1, Berhe Gebremichael2
1Department of Psychiatry, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Frontiers in global women's health
|June 30, 2025
概括
埃塞俄比亚近四分之一的产后妇女患有常见的精神障碍 (CMD). 贫困的社会支持,低的财富,产科并发症和剖腹产与增加的CMD风险有显著联系.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 流行病学 流行病学
背景情况:
- 常见的精神障碍 (CMD) 显著影响产后妇女的福祉和日常功能.
- 对心理健康的负面态度阻碍了妇女寻求必要的产后护理.
- 关于产后妇女的CMD流行率和相关因素的数据有限,特别是在发展中国家.
研究的目的:
- 确定产后妇女中常见精神障碍 (CMD) 的患病率.
- 为了确定在产后期与CMD相关的因素.
- 在埃塞俄比亚东部为母亲心理健康提供有针对性的干预信息.
主要方法:
- 进行了一项基于社区的定量横截面研究.
- 1,016名产后妇女使用结构化问卷进行了采访.
- 数据分析涉及使用自报告问卷 (SRQ-20) 进行CMD评估的双变量和多变量后勤回归.
主要成果:
- 产后心血管疾病的患病率为23.84% (95% CI:21.21-26.47).
- 与产后CMD显著相关的因素包括缺乏社会支持,低财富指数,产科并发症和剖腹产.
- 只有27.7%的患有CMD的孕妇在分娩后继续经历CMD.
结论:
- 产后CMD在研究区域非常普遍,超过其他埃塞俄比亚研究中的比例.
- 解决社会支持,经济因素,产科并发症和分娩方法对于管理产后心理健康至关重要.
- 为早期诊断和治疗,建议将精神卫生保健纳入初级和产妇健康服务.
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