创伤后应激障碍和不良妊娠结果:前性队列研究中的性取向差异
Michelle W Tam1,2, Isa Berzansky3, Payal Chakraborty4
1Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02215, USA. mtam@hsph.harvard.edu.
BMC pregnancy and childbirth
|March 1, 2026
概括
性少数群体的人面临着创伤后应激障碍 (PTSD) 和不良妊娠结果的更高风险. 创伤后应激障碍可能会加剧这些风险,突出了对边缘化群体的创伤知情围产期护理的需求.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 社会学 社会学 社会学
背景情况:
- 创伤后应激障碍 (PTSD) 是一个已知的妊娠不良结果的危险因素.
- 性少数群体 (SM) 个体经历了更高的PTSD率和更差的怀孕结果.
- 性取向,创伤后应激障碍和怀孕后果之间的相互作用仍未得到充分研究.
研究的目的:
- 调查性取向与不良怀孕结果之间的关联是否因PTSD症状或诊断而改变.
- 检查性少数群体中患有PTSD和没有PTSD的人在怀孕结果中的差异.
主要方法:
- 利用来自护士健康研究3的纵向数据 (N=10,090名参与者,27,381次怀孕).
- 分析了怀孕前的性取向 (完全异性恋,异性恋与同性经历,主要是异性恋,双性恋,女同性恋/同性恋) 和PTSD状态.
- 使用修改后的Poisson模型来评估六种不良妊娠结果的风险比率.
主要成果:
- 与完全异性恋个体相比,所有性少数群体的PTSD症状和诊断风险都较高.
- 患有PTSD的性少数群体中的怀孕显示出出生时低体重的风险明显更高.
- 观察到的趋势表明,PTSD可能会扩大出生体重低和产前的性取向差异,并减少妊娠高血压的性取向差异,尽管相互作用在统计学上并不显著.
结论:
- 创伤后应激障碍可以在性取向群体中不同影响不良怀孕结果.
- 对于边缘化的人群来说,例行性PTSD查和创伤信息化的产周护理至关重要.
- 需要进一步的研究来阐明性取向,PTSD和母婴健康之间的复杂相互作用.
关键词:
美国的美国.负面的怀孕结果.孕期糖尿病 孕期糖尿病孕期高血压是什么意思出生时体重较低的婴儿.麦克罗索米亚 (Macrosomia) 是一个宏观的现象.孕前症是什么意思过早分娩 过早分娩是什么性取向性取向性取向性取向性取向性更多相关视频
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