Pregnancy-Related Weight and Postpartum Depressive Symptoms: Do the Relationships Differ by Race/Ethnicity?
Pregnancy-Related Weight and Postpartum Depressive Symptoms: Do the Relationships Differ by Race/Ethnicity?
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DOI：
10.1089/jwh.2019.8175
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发表时间：
2020-10-20
影响因子：
3.5
通讯作者：
Hagiwara, Nao
中科院分区：
文献类型：
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作者：
Green, Tiffany L.;Son, Yena K.;Hagiwara, Nao
引言：产后抑郁症的患病率存在显著的种族/民族差异。先前在一般人群中的研究表明，体重状况与抑郁症有关，这种关系因种族/民族而异。然而，很少有研究调查种族/民族是否缓和妊娠相关体重和产后抑郁症状（PPDS）之间的关系。本研究的目的是检查妊娠相关体重与母体PPDS之间的关系，并按人种/种族进行分析。材料和方法：本研究使用的数据来自早期儿童纵向研究出生队列（n约为6950）。普通最小二乘和逻辑回归被用来检查是否与妊娠相关的体重，包括孕前体重状况和妊娠期体重增加（GWG），与PPDS使用流行病学中心抑郁量表（CES-D）测量。分层分析用于评估这些关系是否因人种/种族而异。结果：孕前肥胖（体重指数[BMI] >= 30 kg/m2）与较高水平的PPDS相关（β = 0.601，95%置信区间[CI]，0.149-1.053）。GWG充分性与PPDS无关。在非西班牙裔（NH）白人中，孕前肥胖与PPDS呈正相关（β = 1.016，95%CI，0.448-1.584）。相比之下，在西班牙裔中，孕前超重（25 kg/m2）
Introduction:There are significant racial/ethnic disparities in the prevalence of postpartum depression. Prior research in the general population suggests that weight status is related to depression and that this relationship varies by race/ethnicity. However, few studies have investigated whether race/ethnicity moderates the relationship between pregnancy-related weight and postpartum depressive symptoms (PPDS). The objective of this study is to examine the relationship between pregnancy-related weight and maternal PPDS overall and by race/ethnicity. Materials and Methods:This study used data from the Early Childhood Longitudinal Study-Birth Cohort (n approximate to 6950). Ordinary least-squares and logistic regression was used to examine whether pregnancy-related weight, including preconception weight status and gestational weight gain (GWG), was associated with PPDS measured using the Center for Epidemiologic Studies-Depression Scale (CES-D). Stratified analyses were used to assess whether these relationships varied by race/ethnicity. Results:Preconception obesity (body mass index [BMI] >= 30 kg/m(2)) was associated with higher levels of PPDS (beta = 0.601, 95% confidence interval [CI], 0.149-1.053). GWG adequacy was not associated with PPDS. Among non-Hispanic (NH) whites, preconception obesity was positively associated with PPDS (beta = 1.016, 95% CI, 0.448-1.584). In contrast, among Hispanics, preconception overweight (25 kg/m(2)