A brief survey to identify pregnant women experiencing increased psychosocial and socioeconomic risk
A brief survey to identify pregnant women experiencing increased psychosocial and socioeconomic risk
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DOI：
10.1016/j.wombi.2018.08.162
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发表时间：
2019-06-01
期刊：
影响因子：
3.8
通讯作者：
Goldfeld, Sharon
中科院分区：
文献类型：
--
作者：
Price, Anna;Bryson, Hannah;Goldfeld, Sharon
问题：以一种快速、可接受和可行的方式识别孩子有发育不良风险的孕妇。背景：一系列产前社会心理和社会经济风险因素对儿童的健康、行为和认知产生不利影响。目的：调查一项简短的候诊室风险因素调查是否能识别出在私人家庭访谈中被问及产前社会心理和社会经济风险增加的妇女。方法：从澳大利亚10家公立分娩医院的孕妇中收集10项简短调查（包括年龄、社会支持、健康、吸烟、压力/焦虑情绪、教育、家庭收入、就业），用于确定“right@home”试验的资格（至少2项不良项目）。735名符合条件的妇女完成了私人的家庭访谈（包括心理健康、福利、药物使用、家庭暴力、住房问题）。回归模型检验了调查风险因素计数和访谈测量之间的剂量-反应趋势。调查结果：38%、31%、15%和16%的女性分别报告了2、3、4和5个或更多的不良风险因素。调查次数与访谈措施之间存在明显的剂量-反应关系，例如，调查次数为2,8%的妇女报告曾经有过毒品问题，4%的妇女在去年经历过家庭暴力，10%的妇女经历过住房问题，而报告调查次数为5次或以上的妇女分别为31%，31%和26%。讨论/结论：一项简短的候诊室心理社会和社会经济风险因素调查与私人产前风险因素访谈相一致，可以帮助卫生专业人员迅速确定哪些妇女将受益于更多的支持。(C) 2018年澳大利亚助产士学院。Elsevier Ltd.出版。版权所有。
Problem: Identifying pregnant women whose children are at risk of poorer development in a rapid, acceptable and feasible way.Background: A range of antenatal psychosocial and socioeconomic risk factors adversely impact children's health, behaviour and cognition.Aim: Investigate whether a brief, waiting room survey of risk factors identifies women experiencing increased antenatal psychosocial and socioeconomic risk when asked in a private, in-home interview.Methods: Brief 10-item survey (including age, social support, health, smoking, stress/ anxious mood, education, household income, employment) collected from pregnant women attending 10 Australian public birthing hospitals, used to determine eligibility (at least 2 adverse items) for the "right@home" trial. 735 eligible women completed a private, in-home interview (including mental health, wellbeing, substance use, domestic violence, housing problems). Regression models tested for dose-response trends between the survey risk factor count and interview measures.Findings: 38%, 31%, 15% and 16% of women reported a survey count of 2, 3, 4 and 5 or more adverse risk factors, respectively. Dose-response relationships were evident between the survey count and interview measures, e.g. of women with a survey count of 2, 8% reported ever having a drug problem, 4% experienced domestic violence in the last year and 10% experienced housing problems, contrasting with 31%, 31% and 26%, respectively, for women reporting a survey count of 5 or more.Discussion/Conclusions: A brief, waiting room survey of psychosocial and socioeconomic risk factors concurs with a private antenatal risk factor interview, and could help health professionals quickly identify which women would benefit from more support. (C) 2018 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.