Postpartum Depression and Health Services Expenditures Among Employed Women
Postpartum Depression and Health Services Expenditures Among Employed Women
复制标题
DOI：
10.1097/jom.0b013e31823fdf85
复制
发表时间：
2012-02-01
影响因子：
3.2
通讯作者：
Gjerdingen, Dwenda K.
中科院分区：
文献类型：
--
作者：
Dagher, Rada K.;McGovern, Patricia M.;Gjerdingen, Dwenda K.
目的：探讨在职妇女产后抑郁与卫生服务费用的关系。方法：妇女，年龄18岁及以上，从明尼苏达州的三个社区医院，而住院分娩在2001年招募。使用Andersen的行为模型，我们回归的自然对数的价格加权总和的自我报告的健康服务，从出院到产后11周的抑郁状态在产后5周（爱丁堡产后抑郁量表）。结果：5%的女性达到了抑郁阈值。两阶段最小二乘法分析表明，抑郁症妇女比非抑郁症妇女的医疗服务支出高90%。年龄较大、贫困、非公共援助保险状况以及产妇症状增加也与支出增加有关。结论：产后抑郁症妇女的健康支出较高，突出了在工作场所解决心理健康问题的重要性。
Objective: To investigate the association of postpartum depression with health services expenditures among employed women. Methods: Women, aged 18 years and older, were recruited from three community hospitals in Minnesota while hospitalized for childbirth in 2001. Using Andersen's Behavioral Model, we regressed the natural log of the price-weighted sum of self-reported health services used from hospital discharge until I I weeks postpartum on depression status at 5 weeks postpartum (Edinburgh Postnatal Depression Scale). Results: Five percent of the women met the depression threshold. Two-stage least squares analyses showed that depressed women incurred 90% higher health services expenditures than nondepressed women. Older age, poverty, non-public assistance insurance status, and increased maternal symptoms also were associated with higher expenditures. Conclusions: Higher health expenditures among postpartum depressed women highlight the importance of addressing mental health issues in the workplace.