Prevalence of postpartum depressive symptoms in a multiethnic population and the role of ethnicity and integration

JOURNAL OF AFFECTIVE DISORDERS

卷:241

Article

Shakeel, Nilam¹  Sletner, Line²  Falk, Ragnhild Sorum³  Slinning, Kari⁴  Martinsen, Egil W.⁵  Jenum, Anne Karen¹  Eberhard-Gran, Malin^6,7,8 

[1] Univ Oslo, Inst Hlth & Soc, Dept Gen Practice, Gen Practice Res Unit AFE, Oslo, Norway

[2] Akershus Univ Hosp, Dept Pediat & Adolescents Med, Lorenskog, Norway

[3] Oslo Univ Hosp, Oslo Ctr Biostat & Epidemiol, Oslo, Norway

[4] Ctr Child & Adolescent Mental Hlth Eastern & Sout, Oslo, Norway

[5] Univ Oslo, Oslo Univ Hosp, Inst Clin Med, Div Mental Hlth & Addict, Oslo, Norway

[6] Norwegian Inst Publ Hlth, Domain Mental & Phys Hlth, Oslo, Norway

[7] Akershus Univ Hosp, Hlth Serv Res Ctr, Lorenskog, Norway

[8] Univ Oslo, Inst Clin Med, Campus Ahus, Oslo, Norway

关键词: Postpartum depression;    Postpartum depressive symptoms;    Prevalence;    Risk factors;    Ethnic groups;    Immigrants;    Integration;    Perinatal mental health;   

DOI  :  10.1016/j.jad.2018.07.056

来源: Elsevier

【 摘 要 】

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.

【 授权许可】

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