社会人口统计学因素和分娩年份与产后精神病住院有关吗？一项对50万名初产妇的研究。
Are sociodemographic factors and year of delivery associated with hospital admission for postpartum psychosis? A study of 500,000 first-time mothers.
作者信息
Nager A, Johansson L-M, Sundquist K
机构信息
Karolinska Institute, Center for Family Medicine, Stockholm, Sweden.
出版信息
Acta Psychiatr Scand. 2005 Jul;112(1):47-53. doi: 10.1111/j.1600-0447.2005.00525.x.
OBJECTIVE
To examine the association between first hospital admissions due to postpartum psychosis and the explanatory variables age, educational level, marital status and year of delivery.
METHOD
All Swedish first-time mothers (n = 502,767) were included during a 12-year period and followed for first hospital admissions due to postpartum psychosis. Cox regression was used to estimate hazard ratios, adjusted for the explanatory variables.
RESULTS
Older age and being a single mother implied an increased risk of first hospital admissions due to postpartum psychosis among first-time mothers. Educational level was not associated with first hospital admissions due to postpartum psychosis. During the 1990s, when a reduction in psychiatric beds occurred, first hospital admissions due to postpartum psychosis decreased significantly.
CONCLUSION
Certain sociodemographic factors are associated with first hospital admissions due to postpartum psychosis. Untreated postpartum psychosis due to fewer psychiatric beds could have hazardous effects on mothers and their children.
目的
探讨产后精神病首次住院与年龄、教育程度、婚姻状况及分娩年份等解释变量之间的关联。
方法
纳入12年间所有瑞典初产妇（n = 502,767），并对产后精神病首次住院情况进行随访。采用Cox回归估计风险比，并对解释变量进行校正。
结果
年龄较大及单身母亲意味着初产妇因产后精神病首次住院的风险增加。教育程度与产后精神病首次住院无关。在20世纪90年代，精神病床位减少时，产后精神病首次住院显著减少。
结论
某些社会人口学因素与产后精神病首次住院有关。因精神病床位减少导致的产后精神病未治疗可能对母亲及其子女产生有害影响。
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