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首页> 外文期刊>Annals of epidemiology >The epidemiology of hospitalized postpartum depression in New York state, 1995-2004.
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The epidemiology of hospitalized postpartum depression in New York state, 1995-2004.

机译:1995-2004年,纽约州住院的产后抑郁症的流行病学。

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PURPOSE: The purpose of this study is to describe the patterns of hospitalization for depression in the year after delivery in relation to social, demographic, and behavioral characteristics. METHODS: Data on births were linked to hospitalizations for depression over the subsequent year to describe the frequency and patterns of hospitalized postpartum depression among 2,355,886 deliveries in New York State from 1995 to 2004. We identified "definite postpartum depression" based on International Classification of Diseases (ICD) codes indicative of "mental disorders specific to pregnancy," and "possible postpartum depression" by ICD codes for hospitalization with any depressive disorders. RESULTS: In New York State, we identified 1363 women (5.8 per 10,000) who were hospitalized with definite postpartum depression, and 6041 women (25.6 per 10,000) with possible postpartum depression, with lower risks in the New York City area. Postpartum depression was more common in later years and among mothers who were older, Black, smokers, lacking private insurance, and with multiple gestations, and was rarer among Asians. For possible postpartum depression, socioeconomic gradients were enhanced. CONCLUSIONS: Risk of hospitalized postpartum depression is strongly associated with socioeconomic deprivation and varies markedly by ethnicity, with direct implications for screening and health services, also providing suggestions for etiologic studies.
机译:目的:本研究的目的是描述分娩后一年中抑郁症的住院模式,涉及社会,人口统计和行为特征。方法:将出生数据与随后一年的抑郁症住院治疗相关联,以描述1995年至2004年纽约州分娩的2,355,886例分娩中住院的产后抑郁症的发生频率和模式。我们根据国际疾病分类确定了“明确的产后抑郁症” (ICD)编码表示患有任何抑郁症的住院患者,ICD编码表示“妊娠特定的精神疾病”和“产后抑郁症”。结果:在纽约州,我们确定了1363名因明确的产后抑郁而住院的妇女(每10,000人中有5.8名),以及6041名有可能的产后抑郁的妇女(25.6人每10,000中),在纽约市地区的风险较低。产后抑郁症在后来的几年中以及在年龄较大,黑人,吸烟者,缺乏私人保险,并且有多个妊娠的母亲中更为普遍,在亚洲人中更为罕见。对于可能的产后抑郁症,社会经济梯度有所提高。结论:住院后产后抑郁的风险与社会经济剥夺密切相关,并且因种族而异,对筛查和卫生服务具有直接影响,也为病因学研究提供了建议。

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