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The impact of lockdown policy on depressive symptoms among pregnant women in China:mediating effects of internet use and family support

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Global Health Research and Policy 2021年第1期6卷 392-403页

作者： Yongjie Zhou Ruoxi Wang Lei Liu Ting Ding Lijuan Huo Ling Qi Jie Xiong Jie Yan Lingyun Zeng Jiezhi Yang Suyi Song gaolanxin dai Shenzhen Kanning Hospital Shenzhen 518020China School of Medicine and Health Management Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030HubeiChina Research Center for Rural Health Services Hubei Province Key Research Institute of Humanities and Social SciencesWuhan 430030HubeiChina Qingdao Mental Health Center Qingdao UniversityQingdao 266034China Department of Psychiatry Affiliated Brain Hospital of Guangzhou Medical University(Guangzhou Huiai Hospital)Guangzhou 510000China The First School of Clinical Medicine Southern Medical UniversityGuangzhou 510000China School of Health Science and Nursing Wuhan Polytechnic UniversityWuhan 430023China ESSCA School of Management 1 Rue Joseph Lakanal-BP 4034849003 Cedex 01 AngersFrance Grenoble Ecole de Management 12 Rue Pierre Semard38000 GrenobleFrance Shenzhen Health Development Research Center Shenzhen 518028China

Background:Although more and more attention has been paid to the psychological consequences of the lockdown policy amongst pregnant women,the underlying mechanism linking the lockdown policy to maternal depression has not been studied in the context of *** study aimed to explore the association between the lockdown policy and maternal depressive symptoms,and whether such association was mediated by internet use and/or family ***:This cross-sectional study used multi-stage sampling techniques in central and western *** were collected from 1266 pregnant women using a structtured questionnaire that measured internet use,family support,and depressive *** Patient Health Questionnaire-9(PHQ-9)was used to measure depressive *** use was measured by length of usage and varierity of purpose for internet *** support was measureed by spousal support and parental *** structural equation modelling was employed to conduct mediation analysis to test the specificity of the hypothetical ***:Overall,527 respondents(41.63%)presented depressive *** lockdown policy was negatively associated with depressive symptoms in pregnant women(β=−0.925,95%CI=−1.510,−0.360).The impact of the lockdown policy on depressive symptoms was partially mediated by internet use(β=1.589,95%CI=0.730,2.807)and family support(β=−0.162,95%CI=−0.341,−0.017),accounting for 42.67%of the total ***:The lockdown policy was generally associated with fewer depressive symptoms in pregnant *** lockdown policy increased maternal depressive symptoms through increased internet use,but decreased maternal depressive symptoms through enhanced family *** findings suggest that the psychological consequence of the lockdown policy may vary across different populations,and warrant the need to take into consideration the features of subgroups.

关键词： Pregnant women Maternal depressive symptoms Lockdown COVID-19 Internet use Family support

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我国医防融合典型路径及实现机制研究——基于主题框架分析

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卫生经济研究 2024年第12期41卷 16-20页

作者：崔珑严代高岚歆陶红兵华中科技大学同济医学院医药卫生管理学院

目的：分析我国典型地区医防融合实践的具体举措，为其他地区后续改革提供参考。方法：通过文献检索，形成以融合主体、融合路径、融合成效为总主题，覆盖11个分主题的主题框架，采用主题框架分析法进行定性分析。结果：医防融合主体以... 详细信息

目的：分析我国典型地区医防融合实践的具体举措，为其他地区后续改革提供参考。方法：通过文献检索，形成以融合主体、融合路径、融合成效为总主题，覆盖11个分主题的主题框架，采用主题框架分析法进行定性分析。结果：医防融合主体以“医院+疾控+基层医疗卫生机构”为主，融合路径有信息融合、管理融合、人员融合、服务融合、绩效融合、体系融合、资金融合；融合成效表现为服务能力提升、慢病管理能力增强。结论：医防融合后续改革应重点关注资金融合和体系融合，兼顾既往融合路径，因地制宜采取创新举措，提升医防融合可持续性。

关键词：主题框架分析医防融合实现路径

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