Racial disparities in elevated prenatal depressive symptoms among black and white women in eastern North Carolina
Racial disparities in elevated prenatal depressive symptoms among black and white women in eastern North Carolina
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DOI：
10.1016/j.annepidem.2005.08.004
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发表时间：
2006-06-01
影响因子：
5.6
通讯作者：
James, SA
中科院分区：
文献类型：
--
作者：
Orr, ST;Blazer, DG;James, SA
目的：与白人妇女相比，黑人妇女早产的风险增加，先前的研究表明，母亲产前抑郁症状与黑人妇女早产的风险增加有关。产前抑郁的种族相关差异可能对理解早产的种族差异具有病因学意义。我们的研究集中于流行病学研究中心的抑郁量表（CES-D）对怀孕的黑人和白人妇女的评分。方法：妇女在第一次到医院产前诊所就诊时给予CES-D。CES-D的两个分值为：16分或更高，表示“显著”抑郁症状；23分或更高，表示严重抑郁障碍。结果：在1163名女性样本中，黑人女性的平均CES-D评分（17.4分）显著高于白人女性（13.7分）。在黑人女性中，49%的人的CES-D分数高于15分，而白人女性的这一比例为33.5%。此外，27.5%的黑人女性得分高于22分，而白人女性的这一比例为16%。在对母亲年龄、婚姻状况和教育程度进行调整后，两种ce - d分界点的种族优势比约为1.5。结论：本研究结果表明，黑人妇女比白人妇女有更高的产前抑郁率。
PURPOSE: Black women have an increased risk for preterm birth compared with white women, and prior research indicated that maternal prenatal depressive symptoms are associated With increased risk for preterm outcomes among black women. Race-related differences in prenatal depression could be of etiologic significance in understanding racial disparities in preterm birth. Our study focused on Center for Epidemiologic Studies' Depression Scale (CES-D) scores of pregnant black and white women.METHODS: Women were administered the CES-D at the time of their first visit to hospital-based prenatal clinics. Two cutoff scores for the CES-D were used: 16 or higher, which indicates "significant" depressive symptoms, and 23 or higher, which indicates major depressive disorder.RESULTS: For the sample of 1163 women, mean CES-D scores Were significantly higher among black (17.4) than white (13.7) women. Of black women, 49% had CES-D scores higher than 15 compared with 33.5% of white women. Also, 27.5% of black women had scores higher than 22 compared with 16% of white women. After adjustment for maternal age, marital status, and education, odds ratios for race for both CES-D cutoff scores were approximately 1.5.CONCLUSIONS: Results of this study indicate that black women have greater rates of prenatal depression than white women.