Mental health and access to services among US women of reproductive age
Mental health and access to services among US women of reproductive age
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DOI：
10.1016/j.ajog.2010.07.007
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发表时间：
2010-12-01
影响因子：
9.8
通讯作者：
Dietz, Patricia M.
中科院分区：
文献类型：
--
作者：
Farr, Sherry L.;Bitsko, Rebecca H.;Dietz, Patricia M.
目的：本研究的目的是估计抑郁症和严重的心理困扰（SPD）和精神卫生服务的接收之间的育龄women.Study设计：我们使用了2006-2007年的全国代表性数据，估计抑郁症和SPD的患病率年龄在18至44岁的非怀孕妇女。使用Logistic回归，我们分别检查抑郁症和SPD的预测因子和临床诊断和当前treatment.RESULTS相关的特征：超过14%的妇女有目前的抑郁症和2.7%的目前SPD。重度抑郁症和SPD的风险因素包括年龄较大，教育程度较低，未婚，无法工作/失业和低收入。在抑郁症女性中，18-24岁的女性、非白人女性、有孩子的女性、有工作的女性和城市女性的临床诊断几率较低。在妇女与SPD，西班牙裔，就业，和那些没有健康保险的接受treatment.CONCLUSION：心理健康状况普遍存在于育龄妇女和相当大的比例不治疗的几率较低。
OBJECTIVE: The objective of the study was to estimate prevalence of depression and serious psychological distress (SPD) and mental health service receipt among reproductive-age women.STUDY DESIGN: We used 2006-2007 nationally representative data to estimate the prevalence of depression and SPD among nonpregnant women aged 18 to 44 years. Using logistic regression, we individually examined predictors of depression and SPD and characteristics associated with clinical diagnosis and current treatment.RESULTS: More than 14% of women had current depression and 2.7% had current SPD. Risk factors for major depression and SPD included older age, less education, being unmarried, inability to work/unemployed, and low income. Among depressed women, 18-24 year-olds, nonwhite women, those with children, the employed, and urban women had lower odds of clinical diagnosis. Among women with SPD, Hispanic, employed, and those without health insurance had lower odds of receiving treatment.CONCLUSION: Mental health conditions are prevalent among women of reproductive age and a substantial proportion goes untreated.