Perinatal depression among black Caribbean women
Perinatal depression among black Caribbean women
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DOI：
10.1111/j.1365-2524.2004.00513.x
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发表时间：
2004-09-01
影响因子：
2.4
通讯作者：
Rogers, A
中科院分区：
文献类型：
--
作者：
Edge, D;Baker, D;Rogers, A
本文介绍了从一个混合的方法，纵向队列研究围产期抑郁症的黑人加勒比妇女的结果。使用爱丁堡产后抑郁量表（EPDS）的症状评分，101名加勒比黑人和200名白色英国妇女在英国曼彻斯特获得产科服务，在怀孕的最后三个月和分娩后6周进行抑郁症状筛查。这项研究的目的，这是2000年2月和2001年2月之间进行的，是估计抑郁症状的流行率在怀孕期间和之后的加勒比黑人妇女相比，白色英国妇女在同一地理区域，并探讨加勒比黑人妇女的信念围产期抑郁症和他们的态度，以寻求帮助。尽管自我报告的风险水平较高，但加勒比黑人妇女在怀孕期间得分高于阈值（EPDS大于或等于12）的可能性低于白色英国妇女（chi（2）= 4.16，d. f. = 1，P = 0.041）。虽然出生后得分高于阈值的可能性相同，但他们接受治疗的可能性较低（卡方系数（2）= 4.20，d. f. = 1，P = 0.040），更有可能被转诊到二级护理（Fisher精确检验，P = 0.049）。定性研究结果表明，加勒比黑人妇女的信仰，态度和相关的寻求帮助的做法，和以前报告的重要差异。抑郁症状发生率较低的部分原因可能是对精神疾病的概念化与白色英国和南亚妇女不同，以及对精神卫生服务的不信任。这项研究表明，加勒比黑人种族是理解精神疾病社会模式的一个重要方面。研究结果对公平提供初级保健服务产生了影响，因为加勒比黑人妇女在怀孕和早期生育期间出现抑郁症状，但与英国白色妇女相比，她们接受治疗的可能性较小。
The present paper describes findings from a mixed-method, longitudinal cohort study into perinatal depression among black Caribbean women. Using symptom scores from the Edinburgh Postnatal Depression Scale (EPDS), 101 black Caribbean and 200 white British women accessing maternity services in Manchester, UK, were screened for depressive symptoms in the last trimester of pregnancy and 6 weeks following delivery. The purpose of the study, which was undertaken between February 2000 and February 2001, was to estimate the prevalence of depressive symptoms during and after pregnancy among black Caribbean women compared to white British women in the same geographical area, and to explore black Caribbean women's beliefs about perinatal depression and their attitudes to help-seeking. Despite higher levels of self-reported risk, black Caribbean women were less likely than white British women to score above threshold (EPDS greater than or equal to 12) during pregnancy (chi(2) = 4.16, d.f. = 1, P = 0.041). Although equally likely to score above threshold postnatally, they were less likely to receive treatment (chi(2) = 4.20, d.f. = 1, P = 0.040) and more likely to be referred to secondary care (Fisher's Exact Test, P = 0.049). Qualitative findings suggest important differences between black Caribbean women's beliefs, attitudes and associated help-seeking practices, and those previously reported. Lower rates of depressive symptoms might partly be accounted for by conceptualisations of mental illness which differ from those of white British and South Asian women, and mistrust of the mental health services. This study showed that black Caribbean ethnicity is an important dimension in understanding the social patterning of mental illness. The findings have implications for the equitable provision of primary care services since black Caribbean women experienced depressive symptoms in pregnancy and early motherhood, but were less likely than their white British counterparts to receive treatment.