Hernandez Natalie D, Francis Sherilyn, Allen Morgan, Bellamy Erica, Sims Omar T, Oh Hyejung, Guillaume Dominique, Parker Andrea, Chandler Rasheeta
Department of Community Health and Preventive Medicine, Center for Maternal Health Equity, Morehouse School of Medicine, 720 Westview Drive SW, 30310, Atlanta, GA, USA.
Cardiovascular Research Institute, Morehouse School of Medicine, 720 Westview Drive SW, 30310, Atlanta, GA, USA.
Matern Child Health J. 2022 Apr;26(4):770-777. doi: 10.1007/s10995-022-03425-2. Epub 2022 Mar 27.
Data are scarce regarding the prevalence and predictors of perinatal mood and anxiety disorders (PMADs) among Black women. The purpose of this study was to examine the prevalence and predictors of symptoms of PMADS among Black women.
Black women completed a paper survey between August 2019 and October 2019. Binomial logistic regression was employed to examine predictors of PMAD symptoms.
The prevalence of symptoms of PMADs was 56%. A higher proportion of women with PMADs had experienced depression (16% vs. 32%, p = 0.006); physical (18% vs. 31%, p = 0.030), emotional (35% vs. 61%, p = 0.000), or sexual abuse (12% vs. 29%, p = 0.002); and symptoms of depression or anxiety before pregnancy (18% vs. 46%, p = 0.000). After adjusting for socio-demographics in multivariate analysis, experiencing symptoms of depression or anxiety before pregnancy (adjusted odds ratio [aOR] = 3.445, p = 0.001) was positively associated with experiencing symptoms of PMADs, whereas higher levels of self-esteem (aOR = 0.837, p = 0.000) were negatively associated with experiencing symptoms of perinatal mood and anxiety disorders.
The prevalence of PMAD symptoms among this sample of Black women was alarmingly high. Women who experienced PMADs were more likely to report adverse childhood experiences (e.g., physical, emotional, and/or sexual abuse). By understanding the prevalence of PMADs and the factors associated with these disorders, healthcare professionals can improve diagnosis and treatment rates among this understudied and underserved population.
关于黑人女性围产期情绪和焦虑障碍（PMADs）的患病率及预测因素的数据较少。本研究的目的是调查黑人女性中PMADs症状的患病率及预测因素。
黑人女性在2019年8月至2019年10月期间完成了纸质调查问卷。采用二项逻辑回归分析来研究PMADs症状的预测因素。
PMADs症状的患病率为56%。患有PMADs的女性中，经历过抑郁症的比例更高（16%对32%，p = 0.006）；身体虐待（18%对31%，p = 0.030）、情感虐待（35%对61%，p = 0.000）或性虐待（12%对29%，p = 0.002）；以及怀孕前有抑郁或焦虑症状（18%对46%，p = 0.000）。在多变量分析中对社会人口统计学因素进行调整后，怀孕前有抑郁或焦虑症状（调整后的优势比[aOR]=3.445，p = 0.001）与经历PMADs症状呈正相关，而较高的自尊水平（aOR = 0.837，p = 0.000）与经历围产期情绪和焦虑障碍症状呈负相关。
在这个黑人女性样本中，PMADs症状的患病率高得惊人。经历过PMADs的女性更有可能报告不良童年经历（如身体、情感和/或性虐待）。通过了解PMADs的患病率以及与这些疾病相关的因素，医疗保健专业人员可以提高在这个研究不足和服务不足人群中的诊断和治疗率。
