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    Sociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice

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    Authors
    Rich-Edwards, Janet W.
    Kleinman, Ken P.
    Abrams, Allyson
    Harlow, Bernard L.
    McLaughlin, Thomas J.
    Joffe, Hadine
    Gillman, Matthew W.
    UMass Chan Affiliations
    Department of Psychiatry
    Department of Pediatrics
    Document Type
    Journal Article
    Publication Date
    2006-03-01
    Keywords
    Adult
    Age Factors
    Depression, Postpartum
    Epidemiologic Methods
    Ethnic Groups
    Female
    Humans
    Marital Status
    Mothers
    Pregnancy
    Psychiatric Status Rating Scales
    Questionnaires
    Socioeconomic Factors
    United States
    Pediatrics
    Psychiatry
    Psychiatry and Psychology
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    Link to Full Text
    http://www-ncbi-nlm-nih-gov/pmc/articles/PMC2465548/pdf/221.pdf
    Abstract
    OBJECTIVE: Data are scarce regarding the sociodemographic predictors of antenatal and postpartum depression. This study investigated whether race/ethnicity, age, finances, and partnership status were associated with antenatal and postpartum depressive symptoms. SETTING: 1662 participants in Project Viva, a US cohort study. DESIGN: Mothers indicated mid-pregnancy and six month postpartum depressive symptoms on the Edinburgh postpartum depression scale (EPDS). Associations of sociodemographic factors with odds of scoring >12 on the EPDS were estimated. MAIN RESULTS: The prevalence of depressive symptoms was 9% at mid-pregnancy and 8% postpartum. Black and Hispanic mothers had a higher prevalence of depressive symptoms compared with non-Hispanic white mothers. These associations were explained by lower income, financial hardship, and higher incidence of poor pregnancy outcome among minority women. Young maternal age was associated with greater risk of antenatal and postpartum depressive symptoms, largely attributable to the prevalence of financial hardship, unwanted pregnancy, and lack of a partner. The strongest risk factor for antenatal depressive symptoms was a history of depression (OR = 4.07; 95% CI 3.76, 4.40), and the strongest risk for postpartum depressive symptoms was depressive symptoms during pregnancy (6.78; 4.07, 11.31) or a history of depression before pregnancy (3.82; 2.31, 6.31). CONCLUSIONS: Financial hardship and unwanted pregnancy are associated with antenatal and postpartum depressive symptoms. Women with a history of depression and those with poor pregnancy outcomes are especially vulnerable to depressive symptoms during the childbearing year. Once these factors are taken in account, minority mothers have the same risk of antenatal and postpartum depressive symptoms as white mothers.
    Source
    J Epidemiol Community Health. 2006 Mar;60(3):221-7. Link to article on publisher's site
    DOI
    10.1136/jech.2005.039370
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/43867
    PubMed ID
    16476752
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1136/jech.2005.039370
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