Risk factors for postpartum depressive symptoms among mothers of Colorado-born preterm infants.
Risk factors for postpartum depressive symptoms among mothers of Colorado-born preterm infants.
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科罗拉多州出生的早产儿母亲产后抑郁症状的危险因素。
DOI：
10.1038/s41372-021-01088-5
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Hwang,SunahS
中科院分区：
文献类型：
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作者：
Truong,Connie;Juhl,Ashley;Hwang,SunahS
目的探讨早产儿母亲产后抑郁症状（PDS）的危险因素。研究设计：2012年至2018年科罗拉多州妊娠风险评估监测系统的回顾性横断面分析包括33,633名早产儿母亲。多元回归模型计算调整后PDS的危险因素。结果spds的危险因素包括母亲抑郁史（调整风险比[aRR] 1.98, 95%可信区间[CI] 1.28-3.05）、早期早产<34wga （aRR 1.48, 95% CI 1.05-2.08）、无产前护理（aRR 3.19, 95% CI 1.52-6.71）、非西班牙裔其他（亚洲/太平洋岛民、美洲印第安人/阿拉斯加人或混血儿）种族/民族（aRR 1.76, 95% CI 1.10-2.82）和孕前公共保险（aRR 2.34, 95% CI 1.46-3.76）。结论科罗拉多州早产儿母亲患pds的危险因素与足月儿母亲患pds的危险因素略有差异。这些发现可以提高PDS的筛查和诊断，从而在NICU住院期间和之后提供有效的治疗和支持。
ObjectiveIdentify risk factors of postpartum depressive symptoms (PDS) among preterm infants’ mothers.Study designRetrospective cross-sectional analysis of Colorado’s Pregnancy Risk Assessment Monitoring System from 2012 to 2018 included weightedn= 33,633 mothers of preterm infants. Multivariate regression models calculated adjusted risk factors of PDS.ResultsPDS risk factors include history of maternal depression (adjusted risk ratio [aRR] 1.98, 95% confidence interval [CI] 1.28–3.05), early preterm birth <34wga (aRR 1.48, 95% CI 1.05–2.08), no prenatal care (aRR 3.19, 95% CI 1.52–6.71), non-Hispanic other (Asian/Pacific Islander, American Indian/Alaskan, or mixed) race/ethnicity (aRR 1.76, 95% CI 1.10–2.82), and pre-pregnancy public insurance (aRR 2.34, 95% CI 1.46–3.76).ConclusionPDS risk factors among Colorado mothers of preterm infants slightly differ from identified risk factors among mothers of term infants. These findings can improve PDS screening and diagnosis so effective therapies and support can be offered during and after NICU hospitalization.