Systematic prenatal screening for psychosocial risks
Systematic prenatal screening for psychosocial risks
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DOI：
10.1353/hpu.2008.0003
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发表时间：
2008-02-01
影响因子：
1.4
通讯作者：
Sidebottom, Abbey C.
中科院分区：
文献类型：
--
作者：
Harrison, Patricia A.;Sidebottom, Abbey C.
产前风险概述（PRO）旨在筛选与不良出生结局相关的13个心理社会风险因素。本研究描述了PRO在4个社区卫生服务中心的开发和实施。这项研究还探讨了患病率，共同发生，以及在他们的产前人口的心理社会风险的相互关系。研究样本包括2005年11月至2007年4月期间筛查的1，386名产前患者; 95%为有色人种女性; 77%未婚。PRO将48%的人归类为住房不稳定的中度或高度风险; 32%的人粮食不安全; 75%的人缺乏社会支持; 7%的人遭受亲密伴侣暴力; 9%的人遭受其他身体/性虐待; 18%的人患有抑郁症; 23%的人吸烟，23%的人酗酒，25%的人吸毒。系统地评估和量化心理社会风险是评估对已确定风险采取适当和及时的应对措施在多大程度上降低婴儿死亡率、早产和低出生体重的基本活动。
The Prenatal Risk Overview (PRO) was designed to screen for 13 psychosocial risk factors associated with poor birth outcomes. This study describes the development and implementation of the PRO in 4 community health centers. The study also examines the prevalence, co-occurrence, and inter-correlations of psychosocial risks in their prenatal populations. The study sample included 1,386 prenatal patients screened between November 2005 and April 2007; 95% were women of color; 77% were not married. The PRO classified 48% at moderate or high risk for housing instability; 32% for food insecurity; 75% for lack of social support; 7% for intimate partner violence; 9% for other physical/sexual abuse; 18% for depression; 23% for cigarette use, 23% for alcohol use, and 25% for drug use. Systematically assessing and quantifying psychosocial risks are essential activities for evaluating the extent to which appropriate and timely responses to identified risks reduce infant mortality, preterm births, and low birth weights.