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首页> 外文期刊>Archives of women's mental health >Prenatal care: associations with prenatal depressive symptoms and social support in low-income urban women
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Prenatal care: associations with prenatal depressive symptoms and social support in low-income urban women

机译：产前护理：低收入城市妇女的产前抑郁症状和社会支持的关联

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We examined associations of depressive symptoms and social support with late and inadequate prenatal care in a low-income urban population. The sample was prenatal care patients at five community health centers. Measures of depressive symptoms, social support, and covariates were collected at prenatal care entry. Prenatal care entry and adequacy came from birth certificates. We examined outcomes of late prenatal care and less than adequate care in multivariable models. Among 2341 study participants, 16% had elevated depressive symptoms, 70% had moderate/poor social support, 21% had no/low partner support, 37% had late prenatal care, and 29% had less than adequate prenatal care. Women with both no/low partner support and elevated depressive symptoms were at highest risk of late care (AOR 1.85, CI 1.31, 2.60, p < 0.001) compared to women with both good partner support and low depressive symptoms. Those with good partner support and elevated depressive symptoms were less likely to have late care (AOR 0.74, CI 0.54, 1.10, p = 0.051). Women with moderate/high depressive symptoms were less likely to experience less than adequate care compared to women with low symptoms (AOR 0.73, CI 0.56, 0.96, p = 0.022). Social support and partner support were negatively associated with indices of prenatal care use. Partner support was identified as protective for women with depressive symptoms with regard to late care. Study findings support public health initiatives focused on promoting models of care that address preconception and reproductive life planning. Practice-based implications include possible screening for social support and depression in preconception contexts.
机译：我们在低收入城市人口中审查了抑郁症状和社会支持的协会，并在低收入城市人口中进行了不足。该样本是五个社区保健中心的产前护理患者。产前护理进入收集了抑郁症状，社会支持和协变量的措施。产前护理进入和充足性来自出生证书。我们在多变量型号中检查了晚期产前护理的结果，少于足够的护理。在2341名的研究参与者中，16％的抑郁症状升高，70％的社会支持患者中度/差，21％没有/低合作伙伴支持，37％的产前护理，29％的产前护理较少。与伴有良好合作伙伴支持和低抑郁症状的女性相比，患有NO /低合作伙伴支持和升高的抑郁症状的患者患有最高风险（AOR 1.85，CI 1.31,2.60，P <0.001）。那些具有良好合作伙伴支持和抑郁症状的抑郁症状的可能性不太可能具有晚期护理（AOR 0.74，CI 0.54,10，P = 0.051）。与低症状的女性相比，中/高抑郁症状的妇女不太可能经历少于充分的护理（AOR 0.73，CI 0.56,0.96，P = 0.022）。社会支持和合作伙伴支持与产前护理指标负相关。合作伙伴支持被确定为对晚期护理有抑郁症状的妇女的保护性。研究调查结果支持公共卫生举措，专注于促进寻求先入为主和生殖生活规划的护理模式。基于实践的含义包括对先入为主语境中的社会支持和抑郁症进行筛选。

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