Delanerolle Gayathri, Zeng Yu-Tian, Phiri Peter, Phan Thuan, Tempest Nicola, Busuulwa Paula, Shetty Ashish, Raymont Vanessa, Rathod Shanaya, Shi Jian-Qing, Hapangama Dharani K
Nuffield Department of Primary Care Health Science, University of Oxford, Oxford OX3 7JX, United Kingdom.
Research and Innovation, Southern Health NHS Foundation Trust, Southampton SO30 3JB, United Kingdom.
World J Psychiatry. 2022 Sep 19;12(9):1233-1254. doi: 10.5498/wjp.v12.i9.1233.
Preterm birth (PTB) is one of the main causes of neonatal deaths globally, with approximately 15 million infants are born preterm. Women from the Black, Asian, and Minority Ethnic (BAME) populations maybe at higher risk of PTB, therefore, the mental health impact on mothers experiencing a PTB is particularly important, within the BAME populations.
To determine the prevalence of mental health conditions among BAME women with PTB as well as the methods of mental health assessments used to characterise the mental health outcomes.
A systematic methodology was developed and published as a protocol in PROSPERO (CRD42020210863). Multiple databases were used to extract relevant data. and Egger's tests were used to detect the heterogeneity and publication bias. A trim and fill method was used to demonstrate the influence of publication bias and the credibility of conclusions.
Thirty-nine studies met the eligibility criteria from a possible 3526. The prevalence rates of depression among PTB-BAME mothers were significantly higher than full-term mothers with a standardized mean difference of 1.5 and a 95% confidence interval (CI) 29%-74%. The subgroup analysis indicated depressive symptoms to be time sensitive. Women within the very PTB category demonstrated a significantly higher prevalence of depression than those categorised as non-very PTB. The prevalence rates of anxiety and stress among PTB-BAME mothers were significantly higher than in full-term mothers (odds ratio of 88% and 60% with a CI of 42%-149% and 24%-106%, respectively).
BAME women with PTB suffer with mental health conditions. Many studies did not report on specific mental health outcomes for BAME populations. Therefore, the impact of PTB is not accurately represented in this population, and thus could negatively influence the quality of maternity services they receive.
早产是全球新生儿死亡的主要原因之一，全球约有1500万婴儿早产。黑人、亚洲人和少数族裔（BAME）女性早产风险可能更高，因此，在BAME人群中，早产对母亲心理健康的影响尤为重要。
确定BAME早产女性心理健康状况的患病率以及用于描述心理健康结果的评估方法。
开发了一种系统方法并作为方案发表在PROSPERO（CRD42020210863）中。使用多个数据库提取相关数据。采用异质性检验和Egger检验来检测异质性和发表偏倚。采用修剪和填充法来证明发表偏倚的影响和结论的可信度。
在可能的3526项研究中，39项符合纳入标准。早产BAME母亲的抑郁症患病率显著高于足月母亲，标准化均差为1.5，95%置信区间（CI）为29%-74%。亚组分析表明抑郁症状具有时间敏感性。极早产组女性的抑郁症患病率显著高于非极早产组。早产BAME母亲的焦虑和压力患病率显著高于足月母亲（优势比分别为88%和60%，CI分别为42%-149%和24%-106%）。
BAME早产女性存在心理健康问题。许多研究未报告BAME人群的具体心理健康结果。因此，该人群中早产的影响未得到准确体现，进而可能对她们获得的产科服务质量产生负面影响。
