Abstract：
BACKGROUND: Perinatal anxiety (PNA) occurs throughout the antenatal period or up to 1 year after childbirth, with a prevalence of 21%.
OBJECTIVE: To investigate if primary care records could be used to identify women at \'higher risk\' of PNA.
METHODS: Mixed-methods approach using quantitative and qualitative methods. Quantitative data analysis used Clinical Practice Research Datalink and IQVIA Medical Research Data to identify risk factors for PNA. Interviews explored the lived experiences of women with PNA about predisposing factors for PNA and acceptability of being informed of risk; and perspectives of primary healthcare professionals and Voluntary, Community, and Social Enterprise practitioners about risk communication. Interviews were conducted online, digitally recorded with consent, transcribed, and anonymised prior to analysis. Data were thematically analysed. Patient and clinical advisory groups informed each stage of the research.
RESULTS: Women reflected on both positive and negative impacts of being identified at higher risk of PNA, a lack of understanding of how primary care records are used, and who has access to them. All interview participants suggested predisposing factors that would not be coded in primary care records. Quantitative analysis demonstrated that some predisposing factors for PNA can be identified in a woman\'s primary care records. Initial analysis suggests associations between PNA and infant health and healthcare use.
CONCLUSIONS: While identification of higher risk of PNA may be acceptable, some factors that may contribute to PNA are not coded in primary care records. Identifying and managing PNA is needed to improve infant health.
OBJECTIVE: To investigate if primary care records could be used to identify women at \'higher risk\' of PNA.
METHODS: Mixed-methods approach using quantitative and qualitative methods. Quantitative data analysis used Clinical Practice Research Datalink and IQVIA Medical Research Data to identify risk factors for PNA. Interviews explored the lived experiences of women with PNA about predisposing factors for PNA and acceptability of being informed of risk; and perspectives of primary healthcare professionals and Voluntary, Community, and Social Enterprise practitioners about risk communication. Interviews were conducted online, digitally recorded with consent, transcribed, and anonymised prior to analysis. Data were thematically analysed. Patient and clinical advisory groups informed each stage of the research.
RESULTS: Women reflected on both positive and negative impacts of being identified at higher risk of PNA, a lack of understanding of how primary care records are used, and who has access to them. All interview participants suggested predisposing factors that would not be coded in primary care records. Quantitative analysis demonstrated that some predisposing factors for PNA can be identified in a woman\'s primary care records. Initial analysis suggests associations between PNA and infant health and healthcare use.
CONCLUSIONS: While identification of higher risk of PNA may be acceptable, some factors that may contribute to PNA are not coded in primary care records. Identifying and managing PNA is needed to improve infant health.
摘要：
背景：围产期焦虑（PNA）发生在整个产前或分娩后1年，患病率为21%。
目的：调查初级保健记录是否可用于识别患PNA风险较高的女性。
方法：使用定量和定性方法的混合方法方法。定量数据分析使用临床实践研究数据链和IQVIA医学研究数据来识别PNA的风险因素。访谈探讨了PNA妇女的生活经验，了解PNA的诱发因素和被告知风险的可接受性；以及初级保健专业人员和志愿，社区,和社会企业从业人员关于风险沟通。面试是在网上进行的,经同意以数字方式记录，转录，并在分析之前匿名化。对数据进行了主题分析。患者和临床咨询小组告知研究的每个阶段。
结果：女性反映了被确定为PNA风险较高的积极和消极影响，缺乏了解如何使用初级保健记录，以及谁能接触到它们。所有访谈参与者都提出了不会在初级保健记录中编码的诱发因素。定量分析表明，在女性的初级保健记录中可以识别出PNA的一些诱发因素。初步分析表明，PNA与婴儿健康和医疗保健使用之间存在关联。
结论：虽然确定PNA的高风险可能是可以接受的，一些可能导致PNA的因素未在初级护理记录中进行编码.需要识别和管理PNA以改善婴儿健康。
目的：调查初级保健记录是否可用于识别患PNA风险较高的女性。
方法：使用定量和定性方法的混合方法方法。定量数据分析使用临床实践研究数据链和IQVIA医学研究数据来识别PNA的风险因素。访谈探讨了PNA妇女的生活经验，了解PNA的诱发因素和被告知风险的可接受性；以及初级保健专业人员和志愿，社区,和社会企业从业人员关于风险沟通。面试是在网上进行的,经同意以数字方式记录，转录，并在分析之前匿名化。对数据进行了主题分析。患者和临床咨询小组告知研究的每个阶段。
结果：女性反映了被确定为PNA风险较高的积极和消极影响，缺乏了解如何使用初级保健记录，以及谁能接触到它们。所有访谈参与者都提出了不会在初级保健记录中编码的诱发因素。定量分析表明，在女性的初级保健记录中可以识别出PNA的一些诱发因素。初步分析表明，PNA与婴儿健康和医疗保健使用之间存在关联。
结论：虽然确定PNA的高风险可能是可以接受的，一些可能导致PNA的因素未在初级护理记录中进行编码.需要识别和管理PNA以改善婴儿健康。
