使用人口水平出院数据评估产后抑郁症的种族和社会经济差异:卡塔尔世界杯8强波胆分析纵向回顾性研究%A Liu,Star %A Ding,Xiyu %A Belouali,Anas %A Bai,Haibin %A Raja,Kanimozhi %A Kharrazi,Hadi %+约翰霍普金斯大学医学院，2024 E Monument St. S 1-200，马里兰州巴尔的摩市，21205，美国，1470 538 5974sliu197@jhmi.edu %K健康差距%K出院总结%K表型%K数据质量%K弱势群体%K产后抑郁%K孕产妇健康%D 2022 %7 17.10.2022 %9原文%J JMIR儿科家长%G英语%X背景:在美国，每年有超过360万例分娩。根据疾病控制和预防中心的数据，其中高达20%(约70万)的女性患有产后抑郁症(PPD)。缺乏准确的报告和诊断使得PPD患者的表型难以确定。现有文献表明，种族、社会经济地位和药物滥用史等因素与PPD的不同风险相关。然而，有限的研究考虑了不同时间与结果的关联。目的:本研究旨在评估不同种族和社会经济背景患者PPD风险和诊断时间的差异。方法:这是一项纵向回顾性研究，使用来自马里兰州的全州医院出院数据。我们确定了从2017年到2019年在医院分娩的160,066人。 We applied logistic regression and Cox regression to study the risk of PPD across racial and socioeconomic strata. Multinomial regression was used to estimate the risk of PPD at different postpartum stages. Results: The cumulative incidence of PPD diagnosis was highest for White patients (8779/65,028, 13.5%) and lowest for Asian and Pacific Islander patients (248/10,760, 2.3%). Compared with White patients, PPD diagnosis was less likely to occur for Black patients (odds ratio [OR] 0.31, 95% CI 0.30-0.33), Asian or Pacific Islander patients (OR 0.17, 95% CI 0.15-0.19), and Hispanic patients (OR 0.21, 95% CI 0.19-0.22). Similar findings were observed from the Cox regression analysis. Multinomial regression showed that compared with White patients, Black patients (relative risk 2.12, 95% CI 1.73-2.60) and Asian and Pacific Islander patients (relative risk 2.48, 95% CI 1.46-4.21) were more likely to be diagnosed with PPD after 8 weeks of delivery. Conclusions: Compared with White patients, PPD diagnosis is less likely to occur in individuals of other races. We found disparate timing in PPD diagnosis across different racial groups and socioeconomic backgrounds. Our findings serve to enhance intervention strategies and policies for phenotyping patients at the highest risk of PPD and to highlight needs in data quality to support future work on racial disparities in PPD. %M 36103575 %R 10.2196/38879 %U https://pediatrics.www.mybigtv.com/2022/4/e38879 %U https://doi.org/10.2196/38879 %U http://www.ncbi.nlm.nih.gov/pubmed/36103575