Experiences of postpartum mental health sequelae among black and biracial women during the COVID-19 pandemic.
Experiences of postpartum mental health sequelae among black and biracial women during the COVID-19 pandemic.
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DOI：
10.1186/s12884-023-05929-3
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发表时间：
2023-09-04
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
本研究的目的是定性研究COVID-19大流行期间怀孕和分娩的黑人和双胞胎青少年和年轻成年女性的应对机制和期望的支持。16-23岁的黑人和双性恋参与者被招募进行虚拟个人半结构化面试。参与者（n = 25）被问及产前和产后的医疗保健系统的经验，大流行的影响，以及参与者的经验或期望在医疗保健系统内的理想护理。使用nVivo逐字转录访谈并进行编码以进行定性分析。当被问及参与者如何应对产后时，围绕产后心理健康的讨论有机地发展起来。近一半的受访者在关于产后经历的问题中有机地报告了与产后抑郁症（PPD）一致的心理健康症状。在11名报告精神健康症状与PPD一致的受访者中，2人害怕向医疗保健提供者透露他们的症状，因为他们害怕儿童保护服务的参与，并且他们相信他们会因为种族而受到不公平的待遇。照顾黑人和双性恋青少年和年轻成年母亲的临床医生必须特别注意结构性障碍，以便适当筛查和治疗产后抑郁症。需要扩大对年轻母亲围产期健康和PPD交叉影响的调查。在线版本包含补充材料，可通过10.1186/s12884-023-05929-3获得。
The objective of this study was to qualitatively examine coping mechanisms and desired supports in pregnant and birthing Black and Biracial adolescent and young adult women during the COVID-19 pandemic. Black and Biracial participants ages 16–23 were recruited for virtual individual semi-structured interviews. Participants (n = 25) were asked about pre- and post-natal experiences with the healthcare system, effects of the pandemic, and participants’ experiences of or desires for ideal care within the healthcare system. Interviews were transcribed verbatim and coded for qualitative analysis using nVivo. Discussions around postpartum mental health evolved organically when asked about how participants were coping postpartum. Nearly half the interviewees organically reported mental health symptoms consistent with postpartum depression (PPD) during questions regarding their postpartum experience. Of the 11 interviewees who reported mental health symptoms consistent with PPD, 2 were afraid to disclose their symptoms to a healthcare provider due to fear of child protective services involvement and their belief they would be treated unfairly because of their race. Clinicians who care for Black and Biracial adolescent and young adult mothers must be particularly attuned to structural barriers for appropriate screening and treatment of postpartum depression. Expanding investigations of intersectional influences on young mothers’ perinatal health and PPD are needed. The online version contains supplementary material available at 10.1186/s12884-023-05929-3.
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