Patterns and predictors of depressive symptoms among Jamaican fathers of newborns.

Autor: Gray PB; Department of Anthropology, University of Nevada, Las Vegas, 4505 S. Maryland Parkway Box 455003, Las Vegas, NV, 89154-5003, USA. peter.gray@unlv.edu., Reece JA; Department of Child and Adolescent Health, University of the West Indies, Mona Campus, Mona, Jamaica., Coore-Desai C; Department of Child and Adolescent Health, University of the West Indies, Mona Campus, Mona, Jamaica., Dinnall-Johnson T; Department of Child and Adolescent Health, University of the West Indies, Mona Campus, Mona, Jamaica., Pellington S; Department of Child and Adolescent Health, University of the West Indies, Mona Campus, Mona, Jamaica., Bateman A; University of the West Indies, Mona Campus, Mona, Jamaica., Samms-Vaughan M; Department of Child and Adolescent Health, University of the West Indies, Mona Campus, Mona, Jamaica.
Jazyk: angličtina
Zdroj: Social psychiatry and psychiatric epidemiology [Soc Psychiatry Psychiatr Epidemiol] 2018 Oct; Vol. 53 (10), pp. 1063-1070. Date of Electronic Publication: 2018 Jul 30.
DOI: 10.1007/s00127-018-1566-2
Abstrakt: Background: Approximately 10% of fathers in the Cultural West (i.e., US, Europe, and Australia) experience depression. We broaden the cultural scope of paternal depression research by investigating the prevalence and predictors of depressive symptoms among Jamaican fathers.
Methods: The present research draws upon structured interviews with 3425 fathers of newborn children participating in a Jamaican birth cohort study-JA Kids-and represents one of the largest sample sizes of any study on postnatal depression among fathers worldwide. This sample of fathers participated from July to September 2011, and represents approximately 30% of all men who became fathers during that time in Jamaica. Fathers answered questions about sociodemographic background, relationship status and quality, social support, health, expectations and views of a partner's pregnancy, and the ten-item Edinburgh Postnatal Depression Scale (EPDS).
Results: Analyses reveal that 9.1% (95% CI 8.1-10.1) of these Jamaican fathers of newborns had EPDS scores of 10 or higher, indicative of possible depression. Results suggest that educational attainment was not related to EPDS scores, though higher indices of material wealth (e.g., refrigerator and vehicle) were weakly, negatively related to EDS scores. Paternal age was also weakly negatively predictive of EDS scores. Whereas relationship status was unrelated to depressive symptoms, relationship quality negatively predicted depressive symptoms. Several other measures of social support (lacking a close circle of friends, fewer family, or friends to help in times of trouble) were also associated with higher EPDS scores.
Conclusions: We interpret these findings in light of existing work on paternal depression, including the importance of social context and support.
Databáze: MEDLINE
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