围产期抑郁症查和诊断:识别改善最佳护理机会
Kelli Ryckman1,2, Maiti Peters3, Erik Parker4
1Indiana University Bloomington, Bloomington, United States. kryckman@iu.edu.
Archives of women's mental health
|February 6, 2026
概括
种族和民族少数群体更有可能接受围产期抑郁症 (PND) 查,但不太可能被诊断出来. 需要有针对性的干预措施来解决PND的查和诊断差异.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 健康差异 在健康上的差异
背景情况:
- 围产期抑郁症 (PND) 是怀孕和产后时期的严重并发症,如果不治疗,会产生严重后果.
- 预后性结核影响相当多的女性,需要有效的查和诊断策略.
- 现有的研究表明PND护理中的潜在差异,但需要进行全面的检查.
研究的目的:
- 调查围产期抑郁症 (PND) 查和诊断中的种族,种族和社会人口差异.
- 分析中西部一个大型卫生系统内的查和诊断模式.
主要方法:
- 使用了个体异质性和歧视性准确性 (MAIHDA) 的多层次分析.
- 分析了79992次分娩的电子健康记录.
- 通过PHQ-9或EPDS得分识别了PND查;在分娩后的一年内使用ICD-9/10代码确认了诊断.
主要成果:
- 老年妇女 (≥36岁) 和农村地区的妇女不太可能接受PND查.
- 与非西班牙裔白人女性相比,非西班牙裔黑人,西班牙裔和亚洲女性更有可能接受查,但诊断的可能性较低.
- 公共保险入学率与较高的PND诊断率相关,但没有查率.
结论:
- 在PND查和诊断方面仍然存在显著的差异.
- 种族和少数民族群体面临不平等,被更多的查,但诊断较少.
- 针对性干预对于解决结构性不平等和改善服务不足人群的PND诊断至关重要.
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