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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

SO498

How does perinatal mental health service use in Sweden vary by the mother's country of birth?

HOW DOES MENTAL HEALTH CARE UTILIZATION DURING THE PERINATAL PERIOD IN SWEDEN DIFFER BY MATERNAL BIRTH COUNTRY?

Although rates of perinatal psychiatric diagnoses are substantially lower among migrant women than among Swedish-born women, psychotic disorders are diagnosed more than twice as often.

The aim was to examine whether perinatal psychiatric diagnoses and prescriptions in Sweden differed by the mother's region of birth, using Swedish-born women as the reference group. This national register-based cohort study included 1,685,924 pregnancies between 2006 and 2021 (1,287,061 among Swedish-born women and 398,863 among foreign-born women), with risk ratios (RRs) estimated using multivariable Poisson regression. Model 1 adjusted for demographic variables, while Model 2 additionally adjusted for pregnancy characteristics and pre-existing physical and psychiatric conditions. Perinatal psychiatric diagnoses were less common among migrant women than among Swedish-born women (8.5% versus 12.9%; adjusted RR 0.58, 95% CI 0.57 to 0.59), with this difference primarily driven by lower rates among African-born women (RR 0.63, 95% CI 0.60 to 0.66). No such reduction was observed among women born in the Americas (RR 1.06, 95% CI 1.02 to 1.10). Although most diagnostic subtypes were less common among migrants (Model 2: depressive disorder 0.85; anxiety disorder 0.77; stress-related disorder 0.91; sleep disorder 1.06; bipolar disorder 0.61; substance abuse 0.56; personality disorder 0.51), psychotic disorders were more common (Model 2 RR 2.17, 95% CI 1.97 to 2.40). In conclusion, access to perinatal mental health services is inequitable across countries of birth; the findings suggest that some groups are not being reached by preventive and early interventions, which may increase their risk of severe mental illness.

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