美国育龄妇女的心理健康和服务获取情况。

Mental health and access to services among US women of reproductive age.

机构信息

Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

Am J Obstet Gynecol. 2010 Dec;203(6):542.e1-9. doi: 10.1016/j.ajog.2010.07.007.

DOI:10.1016/j.ajog.2010.07.007

PMID:20817143

Abstract

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.

摘要

目的

本研究旨在评估育龄妇女中抑郁和严重心理困扰（SPD）的患病率，以及精神卫生服务的利用情况。

研究设计

我们使用了 2006-2007 年全国代表性数据，来估计 18-44 岁非孕妇中抑郁和 SPD 的患病率。我们采用逻辑回归，分别考察了抑郁和 SPD 的预测因素，以及与临床诊断和当前治疗相关的特征。

结果

超过 14%的女性有当前的抑郁，2.7%有当前的 SPD。主要抑郁和 SPD 的风险因素包括年龄较大、受教育程度较低、未婚、无法工作/失业，以及低收入。在抑郁的女性中，18-24 岁、非白人、有子女、就业和城市女性的临床诊断几率较低。在 SPD 女性中，西班牙裔、就业和没有医疗保险的人接受治疗的几率较低。