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围产期焦虑症状:墨西哥女性的发生率和危险因素。

Perinatal Anxiety Symptoms: Rates and Risk Factors in Mexican Women.

机构信息

Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL 61820, USA.

Innovation and Global Health Department, Ramon de la Fuente Muñiz National Institute of Psychiatry, Tlalpan, Mexico City 14370, Mexico.

出版信息

Int J Environ Res Public Health. 2020 Dec 24;18(1):82. doi: 10.3390/ijerph18010082.

Abstract

Anxiety during pregnancy and after childbirth can have negative consequences for a woman and her baby. Despite growing interest in the perinatal mental health of Mexican women living in the U.S., perinatal anxiety symptom (PAS) rates and risk factors have yet to be established for women in Mexico. We sought to determine PAS rates and identify risk factors, including the traditional female role (TFR) in a sample of Mexican women. This secondary data analysis is based on 234 Mexican women who participated in a longitudinal study on perinatal depression in Mexico. Anxiety symptoms were assessed in pregnancy and at six weeks postpartum. Rates were determined through frequencies, and multiple logistics regressions were conducted to identify risk factors in the sample. The PAS rate was 21% in pregnancy and 18% postpartum. Stressful life events and depressive symptoms were associated with a higher probability of PAS. Adherence to TFR increased the probability of prenatal anxiety; lower educational attainment and low social support during pregnancy increased the probability of postpartum anxiety. The PAS rates were within the range reported in the literature. The TFR was only associated with anxiety in gestation, highlighting the role of this culturally relevant risk factor. Culturally responsive early interventions are therefore required.

摘要

孕期和产后焦虑会对女性及其婴儿产生负面影响。尽管人们对居住在美国的墨西哥裔女性围产期心理健康越来越感兴趣,但墨西哥女性的围产期焦虑症状(PAS)发生率和风险因素尚未确定。我们旨在确定 PAS 发生率并确定风险因素,包括墨西哥女性的传统女性角色(TFR)。这项二次数据分析基于 234 名参加墨西哥围产期抑郁纵向研究的墨西哥女性。在怀孕期间和产后六周评估焦虑症状。通过频率确定发生率,并对样本进行多元逻辑回归以确定风险因素。孕期 PAS 发生率为 21%,产后为 18%。生活压力事件和抑郁症状与更高的 PAS 可能性相关。遵守 TFR 增加了产前焦虑的可能性;怀孕期间教育程度较低和社会支持较低增加了产后焦虑的可能性。PAS 发生率在文献报道的范围内。TFR 仅与妊娠焦虑相关,突出了这种与文化相关的风险因素的作用。因此,需要进行文化响应的早期干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/7795471/1987695e2332/ijerph-18-00082-g001.jpg

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