Racial and ethnic differences in factors associated with early postpartum depressive symptoms
Racial and ethnic differences in factors associated with early postpartum depressive symptoms
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DOI：
10.1097/01.aog.0000164050.34126.37
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发表时间：
2005-06-01
影响因子：
7.2
通讯作者：
Leventhal, H
中科院分区：
文献类型：
--
作者：
Howell, EA;Mora, PA;Leventhal, H
目的：探讨产后早期抑郁症状的种族差异。探讨是否种族差异在产后早期的经验（如母亲的健康状况和社会背景）可能占种族差异报告产后抑郁symptoms.METHODS：这是一个电话调查655白色，非洲裔美国人，西班牙裔母亲产后2至6周。母亲报告的人口因素，身体症状，日常功能，婴儿的行为，社会支持，在管理婴儿和家庭的技能，访问和信任的医疗系统。我们探讨了种族差异报告产后早期抑郁症状使用双变量和多变量statistics.RESULTS：非裔美国人和西班牙裔妇女更常见的产后抑郁症状（43.9%和46.8%，分别）比白色妇女（31.3%，P <0.001）。类似的因素（身体症状负担，缺乏社会支持，缺乏自我效能）与早期产后抑郁症状的白色，非洲裔美国人和西班牙裔母亲。在一个综合模型中，包括其他人口统计学因素、抑郁史、身体症状、日常功能、婴儿行为、社会支持、管理婴儿和家庭的技能、访问和信任，非裔美国妇女报告的产后抑郁症状的校正比值比仍然升高，为2.16（95%置信区间1.26-3.70）和西班牙裔妇女在1.89（95%置信区间1.19-3.01）相比，与白色women.CONCLUSION：非洲裔美国人和西班牙裔的母亲是在较高的风险报告产后抑郁症状相比，白色母亲。与这些症状相关的因素在非洲裔美国人、西班牙裔和白色母亲中相似。(c)2005年由美国妇产科医师学会。
OBJECTIVE: To explore racial differences in reporting of early postpartum depressive symptoms. To explore whether racial differences in early postpartum experience (such as mother's health status and social context) might account for racial differences in reported postpartum depressive symptoms.METHODS: This was a telephone survey of 655 white, African-American, and Hispanic mothers between 2 and 6 weeks postpartum. Mothers reported on demographic factors, physical symptoms, daily function, infant behaviors, social support, skills in managing infant and household, access, and trust in the medical system. We explored racial differences in report of early postpartum depressive symptoms using bivariate and multivariate statistics.RESULTS: African-American and Hispanic women more commonly reported postpartum depressive symptoms (43.9% and 46.8%, respectively) than white women (31.3%, P < .001). Similar factors (physical symptom burden, lack of social support, and lack of self-efficacy) were associated with early postpartum depressive symptoms in white, African-American, and Hispanic mothers. In a comprehensive model including other demographic factors, history of depression, physical symptoms, daily function, infant behavior, social support, skills in managing infant and household, access, and trust, the adjusted odds ratio for reported postpartum depressive symptoms remained elevated for African-American women at 2.16 (95% confidence interval 1.26-3.70) and Hispanic women at 1.89 (95% confidence interval 1.19-3.01) as compared with white women.CONCLUSION: African-American and Hispanic mothers are at higher risk for reporting early postpartum depressive symptoms as compared with white mothers. Factors associated with these symptoms are similar among African-American, Hispanic, and white mothers. (c) 2005 by The American College of Obstetricians and Gynecologists.