Document Detail


Unintended pregnancy and perinatal depression trajectories in low-income, high-risk Hispanic immigrants.
MedLine Citation:
PMID:  21537899     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Perinatal depression is a prevalent and detrimental condition. Determining modifiable factors associated with it would identify opportunities for prevention. This paper: 1) identifies depressive symptom trajectories and heterogeneity in those trajectories during pregnancy through the first-year postpartum, and 2) examines the association between unintended pregnancy and depressive symptoms. Depressive symptoms (BDI-II) were collected from low-income Hispanic immigrants (n=215) five times from early pregnancy to 12-months postpartum. The sample was at high-risk for perinatal depression and recruited from two prenatal care settings. Growth mixture modeling (GMM) was used to identify distinct trajectories of depressive symptoms over the perinatal period. Multinomial logistic regression was then conducted to examine the association between unintended pregnancy (reported at baseline) and the depression trajectory patterns. Three distinct trajectory patterns of depressive symptoms were identified: high during pregnancy, but low postpartum ("Pregnancy High": 9.8%); borderline during pregnancy, with a postpartum increase ("Postpartum High": 10.2%); and low throughout pregnancy and postpartum ("Perinatal Low": 80.0%). Unintended pregnancy was not associated with the "Pregnancy High" pattern, but was associated with a marginally significant nearly four fold increase in risk of the "Postpartum High" pattern in depressive symptoms (RRR=3.95, p<0.10). Family planning is a potential strategy for the prevention of postpartum depression. Women who report unintended pregnancies during prenatal care must be educated of their increased risk, even if they do not exhibit antenatal depressive symptoms. Routine depression screening should occur postpartum, and referral to culturally appropriate treatment should follow positive screening results.
Authors:
Anna L Christensen; Elizabeth A Stuart; Deborah F Perry; Huynh-Nhu Le
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Prevention science : the official journal of the Society for Prevention Research     Volume:  12     ISSN:  1573-6695     ISO Abbreviation:  Prev Sci     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-08-09     Completed Date:  2011-11-28     Revised Date:  2013-08-19    
Medline Journal Info:
Nlm Unique ID:  100894724     Medline TA:  Prev Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  289-99     Citation Subset:  IM    
Copyright Information:
© Society for Prevention Research 2011
Affiliation:
Mathematica Policy Research, 600 Maryland Ave, SW, Suite 550, Washington, DC 20024, USA. achristensen@mathematica-mpr.com
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MeSH Terms
Descriptor/Qualifier:
Depression / psychology*
Emigrants and Immigrants / psychology*
Female
Hispanic Americans / psychology*
Humans
Poverty*
Pregnancy
Pregnancy, Unwanted*
Risk Factors
Grant Support
ID/Acronym/Agency:
1R36DP001880-01/DP/NCCDPHP CDC HHS; K25 MH083846/MH/NIMH NIH HHS; K25MH083846/MH/NIMH NIH HHS; R40 MC 02497//PHS HHS
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