美国家庭医生在儿童健康检查期间提供的孕产期保健:横断面研究

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL
Kaku Kuroda MD, CAS, Christopher P. Morley PhD, MA, CAS, R. Eugene Bailey MD
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引用次数: 0

摘要

家庭医生在儿童健康访视(WCVs)期间提供的孕产期保健(ICC)原则上得到了广泛提倡,但尚未得到广泛实施。我们的目标是调查本机构家庭医生在儿童健康访视期间开展的孕产期保健,重点关注四个孕产妇风险因素,包括孕产妇吸烟、孕产妇抑郁、避孕和叶酸补充。对筛查结果呈阳性的母亲进行了简短干预。我们对 2020 年 12 月 1 日至 2022 年 11 月 30 日期间到 WCV 就诊的母亲进行了调查。我们进行了描述性分析和二元逻辑回归分析,以确定与筛查阳性结果相关的孕产妇人口学因素。筛查呈阳性的比例如下:吸烟 5.9%、抑郁 11.5%、避孕 73.6%、补充叶酸 40.5%。单身婚姻状况与吸烟(几率比 [OR] 8.689,p = 0.016)和产妇抑郁(OR 3.470,p = 0.035)筛查呈阳性相关。家庭医生在孕产妇访视期间进行的 ICC 为识别孕产妇风险因素和解决可能影响未来分娩结局的可改变因素提供了宝贵的机会。在 ICC 中,单身婚姻状况和低于高中文凭的教育水平是影响产妇行为的更强风险因素。需要进行更多的研究来评估干预措施的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Interconception care during well-child visits by family physicians in the United States: A cross-sectional study

Interconception care during well-child visits by family physicians in the United States: A cross-sectional study

Background

Interconception care (ICC) by family physicians during well-child visits (WCVs) has been broadly advocated in principle but has not been widely implemented. We aimed to investigate ICC at WCVs by family physicians at our facility, focusing on four maternal risk factors, including maternal tobacco use, maternal depression, contraception, and folic acid supplementation.

Methods

Mothers who visited WCVs with children up to the age of 24 months at our university-affiliated clinic were screened for the four maternal risks. Brief interventions were provided to mothers with positive screening results. We investigated mothers at WCVs from December 1, 2020, to November 30, 2022. We performed descriptive and binary logistic regression analyses to determine the maternal demographic factors associated with positive screenings.

Results

Of 1143 WCVs, 205 mothers were evaluated. Screening was positive in the following rates: tobacco use 5.9%, depression 11.5%, contraception 73.6%, and folic acid supplementation 40.5%. Single marital status was associated with positive screening for smoking (odds ratio [OR] 8.689, p = 0.016) and maternal depression (OR 3.470, p = 0.035). Maternal education level lower than a high school diploma was associated with positive screening for folic acid intake (OR 4.975, p = 0.004).

Conclusions

ICC conducted during WCVs by family physicians offers valuable opportunities to identify maternal risk factors and address modifiable factors that can influence future birth outcomes. Single marital status and educational level less than a high school diploma were more potent risk factors for maternal behavior in ICC. More research is needed to assess the outcomes of the interventions.

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来源期刊
Journal of General and Family Medicine
Journal of General and Family Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.10
自引率
6.20%
发文量
79
审稿时长
48 weeks
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