母亲抑郁和焦虑对健康婴儿就诊率的影响:2016-2021年6699名PRAMS参与者的回顾性队列研究

IF 3.2 3区 医学 Q2 PSYCHIATRY
Mikaela Miller, Emily A Troyer, Hilary M Gould, Stephanie Martinez, Suzi Hong, Steve Koh, Jordan N Kohn
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引用次数: 0

摘要

目的:本研究旨在通过对妊娠风险评估监测系统(PRAMS)数据的回顾性分析,确定孕前、产前和产后期间孕产妇心理健康困难(MHD)对婴儿健康访视(WBV)就诊率的独立影响:这项二次分析利用了 2016 - 2021 年新泽西州妊娠风险评估监测系统(PRAMS)的数据,共有 6,699 名参与者(平均年龄 = 30.8 岁)。调查加权平均值、置信区间和百分比用于描述所有参与者的社会人口学、心理健康和 WBV 变量。采用复杂调查加权和缺失数据多重估算的逻辑回归来检验社会人口学因素、孕产妇MHDs和WBV出席率之间的关联:在产后前六个月中,错过一周产检或从未参加 WBV 的加权患病率分别为 4.3% (95% CI: 3.8% - 5.0%; n = 260) 和 1.4% (1.1% - 2.0%; n = 98)。孕前抑郁(n = 553;7.7%,7.0% - 8.0%)、产前抑郁(n = 481;6.5%,5.9% - 7.0%;)、孕前焦虑(n = 1,007;15.2%,14.2% - 16.0%)和产前焦虑(n = 570;8.44%,7.7% - 9.0%)与一周体检出席率无关。然而,患有孕前抑郁症的妇女从未参加过 WBV 的可能性是未参加过 WBV 的两倍多(OR = 2.43,1.01 - 5.82)。多种社会决定因素和人口统计学变量与错过 WBV 的更大几率相关,包括中等家庭收入、接受政府发放的医疗保险或无保险、西班牙裔以及西班牙语为主要语言:结论:孕前抑郁症、中等家庭收入、接受政府发放的医疗保险、无保险、西班牙裔以及西班牙语作为主要语言可能会降低WBV的出席率,孕前抑郁症在婴儿健康结果中的中介作用值得进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of maternal depression and anxiety on well-baby visit attendance: a retrospective cohort study of 6,699 PRAMS participants from 2016-2021.

Purpose: The objective of this study was to determine the independent effects of maternal mental health difficulties (MHD) during the preconception, prenatal, and postnatal periods on well-baby visit (WBV) attendance in a population-wide sample through retrospective analysis of Pregnancy Risk Assessment Monitoring System (PRAMS) data.

Methods: This secondary analysis utilized data from the 2016 - 2021 New Jersey PRAMS, yielding 6,699 participants (mean age = 30.8 years). Survey-weighted means, confidence intervals, and percentages were used to describe sociodemographic, mental health, and WBV variables across all participants. Logistic regression with complex survey weights and multiple imputation of missing data was implemented to test associations between sociodemographic factors, maternal MHDs, and WBV attendance.

Results: The weighted prevalence of missing the 1-week checkup or having never attended a WBV during the first six months postpartum was 4.3% (95% CI: 3.8% - 5.0%; n = 260) and 1.4% (1.1% - 2.0%; n = 98), respectively. Preconception depression (n = 553; 7.7%, 7.0% - 8.0%), prenatal depression (n = 481; 6.5%, 5.9% - 7.0%;), preconception anxiety (n = 1,007; 15.2%, 14.2% - 16.0%), and prenatal anxiety (n = 570; 8.44%, 7.7% - 9.0%) were not associated with 1-week checkup attendance. However, women with preconception depression were more than twice as likely to have never attended a WBV (OR = 2.43, 1.01 - 5.82). Multiple social determinants and demographic variables were associated with greater odds of missing WBVs, including middle household income, receiving government-issued health insurance or being uninsured, Hispanic ethnicity, and Spanish as a primary language.

Conclusions: Preconception depression, middle household income, receiving government-issued health insurance, being uninsured, Hispanic ethnicity, and Spanish as a primary language may decrease attendance of WBVs, and the mediating role of preconception depression in infant health outcomes warrants further investigation.

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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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