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dc.contributor.authorRich-Edwards, Janet W.
dc.contributor.authorKleinman, Ken P.
dc.contributor.authorAbrams, Allyson
dc.contributor.authorHarlow, Bernard L.
dc.contributor.authorMcLaughlin, Thomas J.
dc.contributor.authorJoffe, Hadine
dc.contributor.authorGillman, Matthew W.
dc.date2022-08-11T08:10:14.000
dc.date.accessioned2022-08-23T17:00:47Z
dc.date.available2022-08-23T17:00:47Z
dc.date.issued2006-03-01
dc.date.submitted2012-06-06
dc.identifier.citationJ Epidemiol Community Health. 2006 Mar;60(3):221-7. <a href="http://dx.doi.org/10.1136/jech.2005.039370">Link to article on publisher's site</a>
dc.identifier.issn0143-005X (Linking)
dc.identifier.doi10.1136/jech.2005.039370
dc.identifier.pmid16476752
dc.identifier.urihttp://hdl.handle.net/20.500.14038/43867
dc.description.abstractOBJECTIVE: 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=16476752&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www-ncbi-nlm-nih-gov/pmc/articles/PMC2465548/pdf/221.pdf
dc.subjectAdult
dc.subjectAge Factors
dc.subjectDepression, Postpartum
dc.subjectEpidemiologic Methods
dc.subjectEthnic Groups
dc.subjectFemale
dc.subjectHumans
dc.subjectMarital Status
dc.subjectMothers
dc.subjectPregnancy
dc.subjectPsychiatric Status Rating Scales
dc.subjectQuestionnaires
dc.subjectSocioeconomic Factors
dc.subjectUnited States
dc.subjectPediatrics
dc.subjectPsychiatry
dc.subjectPsychiatry and Psychology
dc.titleSociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice
dc.typeJournal Article
dc.source.journaltitleJournal of epidemiology and community health
dc.source.volume60
dc.source.issue3
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1004&amp;context=peds_research&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/peds_research/5
dc.identifier.contextkey2955090
refterms.dateFOA2022-08-23T17:00:47Z
html.description.abstract<p>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.</p> <p>SETTING: 1662 participants in Project Viva, a US cohort study.</p> <p>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.</p> <p>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).</p> <p>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.</p>
dc.identifier.submissionpathpeds_research/5
dc.contributor.departmentDepartment of Psychiatry
dc.contributor.departmentDepartment of Pediatrics
dc.source.pages221-7


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