Your browser doesn't support javascript.
loading
Prevalence of postpartum depressive symptoms in a multiethnic population and the role of ethnicity and integration.
Shakeel, Nilam; Sletner, Line; Falk, Ragnhild Sørum; Slinning, Kari; Martinsen, Egil W; Jenum, Anne Karen; Eberhard-Gran, Malin.
Afiliación
  • Shakeel N; General Practice Research Unit (AFE), Department of General Practice, Institute of Health and Society, University of Oslo, Norway. Electronic address: nilam.shakeel@medisin.uio.no.
  • Sletner L; Department of Pediatrics and Adolescents Medicine, Akershus University Hospital, Lørenskog, Norway. Electronic address: line.sletner@medisin.uio.no.
  • Falk RS; Oslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Norway. Electronic address: rs@ous-hf.no.
  • Slinning K; Center for Child and Adolescent Mental Health Eastern and Southern Norway (R.BUP Oslo), Norway. Electronic address: kari.slinning@icloud.com.
  • Martinsen EW; Division of Mental Health and Addiction, Oslo University Hospital, Institute of Clinical Medicine, University of Oslo, Norway. Electronic address: e.w.martinsen@medisin.uio.no.
  • Jenum AK; General Practice Research Unit (AFE), Department of General Practice, Institute of Health and Society, University of Oslo, Norway. Electronic address: a.k.jenum@medisin.uio.no.
  • Eberhard-Gran M; Domain for Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway; Health Services Research Centre, Akershus University Hospital, Lørenskog; Institute of Clinical Medicine, Campus Ahus, University of Oslo, Norway. Electronic address: malin.eberhard-gran@fhi.no.
J Affect Disord ; 241: 49-58, 2018 12 01.
Article en En | MEDLINE | ID: mdl-30096592
BACKGROUND: Postpartum depression (PPD) may have adverse effects on both mother and child. The aims were to determine the prevalence of postpartum depressive symptoms, PPDS, identify associations with ethnicity and with the level of social integration. METHOD: Population-based, prospective cohort study of 643 pregnant women (58% ethnic minorities) attending primary antenatal care in Oslo. Questionnaires regarding demographics and health issues were collected through interviews. PPDS was defined as a sum score ≥ 10 by the Edinburgh Postnatal Depression Scale, used as the main outcome in logistic regression analyses, first with ethnicity, second with level of integration as main explanatory factors. RESULTS: The prevalence of PPDS was higher in ethnic minorities 12.7% (95% CI: 9.31-16.09) than in Western Europeans 4.8% (2.26-7.34). Adverse life events, lack of social support and depressive symptoms during the index pregnancy were other significant risk factors. Western European with PPDS were more likely to have had depressive symptoms also during pregnancy than women from ethnic minorities (72.2% versus 33.3%, p = 0.041). When replacing ethnicity with integration, a low level of integration was independently associated with PPDS (2.1 (1.11-3.95)). LIMITATIONS: Cases with PPDS were limited. Heterogeneity in the ethnic groups is a concern. CONCLUSION: Both point prevalence and new onset of PPDS was higher among ethnic minorities than among Western Europeans. Low level of integration was associated with PPDS. Our findings suggest that clinicians should be aware of the increased risk of new cases of PPDS among ethnic minorities compared to Western European women and offer evidence-based care accordingly.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Etnicidad / Depresión Posparto / Emigrantes e Inmigrantes / Relaciones Interpersonales Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: J Affect Disord Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Etnicidad / Depresión Posparto / Emigrantes e Inmigrantes / Relaciones Interpersonales Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: J Affect Disord Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos