撒哈拉以南非洲地区孕妇和产后妇女心理健康问题负担：系统评价和荟萃分析方案。
Burden of mental health problems among pregnant and postpartum women in sub-Saharan Africa: systematic review and meta-analysis protocol.
机构信息
Research and Development Division, Dodowa Health Research Centre, Ghana Health Service, Dodowa, Ghana.
Faculty of Public Health, Ghana College of Physicians and Surgeons, Accra, Ghana.
出版信息
BMJ Open. 2023 Jun 7;13(6):e069545. doi: 10.1136/bmjopen-2022-069545.
INTRODUCTION
Pregnancy and postpartum-related mental health problems pose serious public health threat to the society, but worryingly, neglected in sub-Saharan Africa (SSA). This review will assess the burden and distribution of maternal mental health (MMH) problems in SSA, with the aim to inform the implementation of context sensitive interventions and policies.
METHODS AND ANALYSIS
All relevant databases, grey literature and non-database sources will be searched. PubMed, LILAC, CINAHL, SCOPUS and PsycINFO, Google Scholar, African Index Medicus, HINARI, and IMSEAR will be searched from inception to 31 May 2023, without language restriction. The reference lists of articles will be reviewed, and experts contacted for additional studies missed by our searches. Study selection, data extraction and risk of bias assessment will be done independently by at least two reviewers and any discrepancies will be resolved through discussion between the reviewers. Binary outcomes (prevalence and incidence) of MMH problems will be assessed using pooled proportions, OR or risk ratio and mean difference for continuous outcomes; all will be presented with their 95% CIs. Heterogeneity will be investigated graphically for overlapping CIs and statistically using the I statistic and where necessary subgroup analyses will be performed. Random-effects model meta-analysis will be conducted when heterogeneity is appreciable, otherwise fixed-effect model will be used. The overall level of evidence will be assessed using Grading of Recommendations Assessment, Development and Evaluation.
ETHICS AND DISSEMINATION
Although no ethical clearance or exemption is needed for a systematic review, this review is part of a larger study on maternal mental health which has received ethical clearance from the Ethics Review Committee of the Ghana Health Service (GHS-ERC 012/03/20). Findings of this study will be disseminated through stakeholder forums, conferences and peer review publications.
PROSPERO REGISTRATION NUMBER
CRD42021269528.
简介
妊娠和产后相关心理健康问题对社会构成严重的公共卫生威胁，但令人担忧的是，撒哈拉以南非洲（SSA）地区对此关注不足。本综述旨在评估 SSA 地区产妇心理健康（MMH）问题的负担和分布情况，为实施基于背景的干预措施和政策提供信息。
方法和分析
将检索所有相关数据库、灰色文献和非数据库来源。将从建库开始到 2023 年 5 月 31 日，对 PubMed、LILAC、CINAHL、SCOPUS 和 PsycINFO、Google Scholar、非洲医学索引、HINARI 和 IMSEAR 进行检索，不限制语言。将对文章的参考文献进行审查，并联系专家以获取我们检索遗漏的其他研究。研究选择、数据提取和偏倚风险评估将由至少两名评审员独立进行，如果评审员之间存在分歧，将通过讨论解决。使用合并比例、OR 或风险比和连续结果的均值差来评估 MMH 问题的二项结局（患病率和发病率）；所有结果均将以 95%CI 呈现。对于重叠的 CI，将通过图形调查异质性，并使用 I 统计量进行统计学调查，如果有必要，将进行亚组分析。当异质性明显时，将进行随机效应模型荟萃分析，否则将使用固定效应模型。使用推荐评估、制定和评估的分级方法评估总体证据水平。
伦理和传播
尽管系统评价不需要伦理审查或豁免，但本综述是关于产妇心理健康的更大研究的一部分，该研究已获得加纳卫生服务伦理审查委员会（GHS-ERC 012/03/20）的伦理批准。本研究的结果将通过利益相关者论坛、会议和同行评审出版物进行传播。
PROSPERO 注册号：CRD42021269528。
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