Prevalence and risk of mental disorders in the perinatal period among migrant women: a systematic review and meta-analysis
Prevalence and risk of mental disorders in the perinatal period among migrant women: a systematic review and meta-analysis
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流动妇女围产期精神障碍患病率和风险：系统评价和荟萃分析
DOI：
10.1007/s00737-017-0723-z
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发表时间：
2017-06-01
影响因子：
4.5
通讯作者：
Howard, Louise M.
中科院分区：
文献类型：
--
作者：
Anderson, Fraser M.;Hatch, Stephani L.;Howard, Louise M.
本研究旨在评估流动妇女围产期精神障碍的患病率和风险。除引文跟踪外，从建校至2015年10月19日检索了包括MEDLINE在内的6个数据库。如果在研究国家以外出生的妇女在怀孕期间和产后1年内使用有效的工具评估精神障碍，则研究符合条件。在筛选的3241篇摘要中，53篇符合纳入标准。只有三项研究调查了抑郁症以外的精神障碍。使用随机效应荟萃分析对妊娠期间（n = 12）和产后（n = 24）抑郁症状升高的未调整的优势比进行汇总，并根据研究国家进行分层，因为存在异质性。来自加拿大的研究发现，与移民身份相关的产前（OR = 1.86, 95% ci 1.32-2.62）和产后抑郁症状升高（OR = 1.98, 95% ci 1.57-2.49）风险增加。来自美国的研究发现，产前抑郁症状升高的风险降低（OR = 0.71, 95% ci为0.51-0.99），来自美国和澳大利亚的研究发现，移民身份与产后抑郁症状升高之间没有关联。低社会支持、少数民族、低社会经济地位、对东道国语言缺乏熟练程度以及难民或寻求庇护身份，所有这些都使移民人口面临围产期精神障碍的风险增加。
This study was conducted in order to evaluate the prevalence and risk of mental disorders in the perinatal period among migrant women. Six databases (including MEDLINE) were searched from inception to October 19th, 2015, in addition to citation tracking. Studies were eligible if mental disorders were assessed with validated tools during pregnancy and up to 1 year postpartum among women born outside of the study country. Of 3241 abstracts screened, 53 met the inclusion criteria for the review. Only three studies investigated a mental disorder other than depression. Unadjusted odds ratios were pooled using random effects meta-analysis for elevated depression symptoms during pregnancy (n = 12) and the postpartum (n = 24), stratified by study country due to heterogeneity. Studies from Canada found an increased risk for antenatal (OR = 1.86, 95% CIs 1.32-2.62) and postnatal elevated depression symptoms (OR = 1.98, 95% CIs 1.57-2.49) associated with migrant status. Studies from the USA found a decreased risk of antenatal elevated depression symptoms (OR = 0.71, 95% CIs 0.51-0.99), and studies from the USA and Australia found no association between migrant status and postnatal elevated depression symptoms. Low social support, minority ethnicity, low socioeconomic status, lack of proficiency in host country language and refugee or asylum-seeking status all put migrant populations at increased risk of perinatal mental disorders.