社区社会经济劣势和产前抑郁症状
Sydney Lammers1, Courtney D Lynch1, Jiqiang Wu1
1Department of Obstetrics and Gynecology, The Ohio State University, Columbus, OH, United States of America.
Journal of affective disorders
|December 9, 2025
概括
邻居的社会经济劣势与孕妇产前抑郁症的比率更高有关. 这项研究强调了区域剥夺在怀孕期间对母亲心理健康的影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 社会经济因素显著影响健康结果.
- 了解社区层面的社会经济劣势对母亲心理健康的影响至关重要.
研究的目的:
- 评估社区社会经济劣势和怀孕中期产前抑郁症状之间的关联.
- 根据区域剥夺指数 (ADI) 调查抑郁症状的风险.
主要方法:
- 预期无卵性怀孕结果研究的二次分析:监测即将成为母亲的队列.
- 地区贫困指数 (ADI) 按第三级分类,以最贫困为参考.
- 爱丁堡产后抑郁量表 (EPDS) 用于评估抑郁症状 (≥10和≥13值).
- 多变量修改的Poisson回归调整为共变量.
主要成果:
- 16.1%的查结果呈抑郁症状的阳性 (EPDS ≥10) 在妊娠269周的中位数.
- 最高ADI三位数的人患抑郁症状的几率增加 (aRR为1.29对于EPDS≥10;aRR为1.60对于EPDS≥13).
- 在所有灵敏度分析中,结果保持一致.
结论:
- 社区层面的社会经济劣势与怀孕中期产前抑郁症状的风险增加有关.
- 区域剥夺是怀孕期间母亲心理健康的一个重要因素.
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