出生的国家,种族,民族和产前抑郁症
Kendria Kelly-Taylor1, Sara Aghaee1, Joshua Nugent1
1Division of Research, Kaiser Permanente Northern California, Pleasanton.
JAMA network open
|September 15, 2025
概括
与大多数种族和民族群体中美国出生的个人相比,非美国出生的孕妇的产前抑郁症诊断和症状风险较低. 然而,某些西班牙裔,亚裔和白人非美国出生的个人患抑郁症状的风险更高.
科学领域:
- 围产期心理健康问题
- 孕产妇健康差异 孕产妇健康差异
- 跨文化精神病学 跨文化精神病学
背景情况:
- 非美国出生的孕妇经常比美国出生的孕妇有更好的产周结果.
- 关于孕期孕产妇和心理健康状况之间的关联存在有限的研究,特别是在不同的种族和民族群体中.
研究的目的:
- 调查产前抑郁症诊断和中度至重度抑郁症症状的差异.
- 为了比较非美国出生的和美国出生的个人之间的这些结果,跨种族和种族子组.
主要方法:
- 采用北加利福尼亚州凯泽永久医院 (2013-2019) 电子健康记录进行的横截面研究.
- 包括至少有一次产前护理访问和活产的个人.
- 确定的产前抑郁症诊断 (PDD) 和使用ICD代码和患者健康问卷-9 (PHQ-9) 评分的中度至重度抑郁症症状.
主要成果:
- 与美国出生的个人相比,非美国出生的个人在种族和种族小组内具有与美国出生的个人相等或较低的PDD风险.
- 在某些西班牙裔,亚洲裔和白人非美国出生的子组中,观察到中度至重度抑郁症状的风险更高.
- 与美国出生的黑人相比,非美国出生的黑人对PDD和抑郁症症状的风险较低.
结论:
- 孕产妇的出生与出生前抑郁症诊断和症状在种族和种族群体的变化有关.
- 在考虑种族和种族时,在非美国出生的个人中观察到的阳性周产期结果可能不会统一地扩展到产前心理健康.
- 进一步研究影响这些差异的社会文化因素是有必要的.
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