Prevalence of maternal depressive symptoms in low-income Hispanic women

Prevalence of maternal depressive symptoms in low-income Hispanic women
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DOI:
10.4088/jcp.v66n0402
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发表时间:
2005-04-01
影响因子:
5.3
通讯作者:
Newman, MC
Newman, MC
中科院分区:
医学2区
文献类型:
--
作者:
Chaudron, LH;Kitzman, HJ;Newman, MC

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产妇抑郁症会对母亲和儿童的健康和福祉产生重大影响。在主要是白人中等收入人群中,大约15%的母亲患有抑郁症。在种族和社会经济多样化的人群中,产妇抑郁症的患病率尚未得到很好的确定。然而,发病率最高的是低收入妇女。由于关于少数族裔和服务不足妇女的信息特别少,我们利用来自加利福尼亚州圣马特奥县产前到三岁项目的数据来描述婴儿和幼儿的低收入西班牙裔母亲抑郁症状的患病率和自我认知。方法:在圣马特奥县接受医疗补助并分娩的妇女中随机抽取218名未怀孕的西班牙裔母亲进行电话访谈。在爱丁堡产后抑郁量表(EPDS)中,高水平的抑郁症状被定义为>= 10分。我们进行了描述性分析和方差分析。结果:23%的母亲报告有严重的抑郁症状。其中一半的人认为自己需要抑郁症的帮助。结论:高水平的产妇抑郁症状在接受医疗补助的西班牙裔妇女中普遍存在,但只有一半经历这些症状的妇女认为自己需要抑郁症治疗。
Maternal depression can have significant repercussions for the health and wellbeing of mothers and children. In primarily white middle-income populations, approximately 15% of mothers experience depression. Among ethnically and socioeconomically diverse populations, the prevalence of maternal depression has not been as well established. However, the highest rates have been observed among low-income women. Because information about minority, underserved women is particularly sparse, we utilize data from the San Mateo County, California, Prenatal to Three project to describe the prevalence and self-recognition of depressive symptoms among low-income Hispanic mothers of infants and toddlers.Method: Telephone interviews of a random sample of women who received Medicaid and gave birth in San Mateo County provided our sample of 218 nonpregnant Hispanic mothers. High levels of depressive symptoms were defined as a score of >= 10 on the Edinburgh Postnatal Depression Scale (EPDS). We performed descriptive analyses and analyses of variance.Results: Twenty-three percent of mothers reported high levels of depressive symptoms. Half of them recognized a need for help with depression.Conclusions: High levels of maternal depressive symptoms were prevalent among the Hispanic women on Medicaid, but only half of the women experiencing these symptoms identified themselves as needing help with depression.