Antenatal depression symptoms in Pacific women: evidence from Growing Up in New Zealand.
Autor: | McDaid, Frances, Underwood, Lisa, Fa'alili-Fidow, Jacinta, Waldie, Karen E., Peterson, Elizabeth R., Bird, Amy, D'Souza, Stephanie, Morton, Susan |
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Předmět: |
MENTAL depression risk factors
AGE distribution ASIANS CHI-squared test CULTURE ETHNIC groups FAMILY medicine HEALTH services accessibility HEALTH status indicators MOTHERS NAUSEA PREGNANT women PRENATAL care PRIMARY health care PSYCHOLOGICAL tests RISK assessment SMOKING STATISTICS PSYCHOLOGICAL stress T-test (Statistics) WOMEN'S health LOGISTIC regression analysis FAMILY conflict PSYCHOSOCIAL factors SOCIAL support DATA analysis software DESCRIPTIVE statistics PREGNANCY |
Zdroj: | Journal of Primary Health Care; Jun2019, Vol. 11 Issue 2, p96-108, 13p |
Abstrakt: | INTRODUCTION: Pacific women in New Zealand (NZ) have higher rates of antenatal depression than women from other ethnic groups. AIM: To identify factors that are significantly associated with depression symptoms in pregnant Pacific women living in NZ. METHODS: Data were collected from 5657 pregnant women, 727 of whom identified their ethnicity as Pacific Island. Antenatal depression symptoms were measured using the Edinburgh Depression Scale with scores above 12 indicating elevated antenatal depression symptoms (ADS). RESULTS: Pacific women had significantly higher rates of ADS than non-Pacific women, with 23% of pregnant Pacific women experiencing ADS. Factors associated with ADS for Pacific women included age <25 years, moderate to severe nausea during pregnancy, perceived stress, family stress and relationship conflict. Not seeing the importance of maintaining one's Pacific culture and traditions and negative feelings towards NZ culture were also significantly associated with ADS in Pacific women. One in three Pacific women aged <25 years experienced ADS. Pregnant Pacific women without a family general practitioner (GP) before their pregnancy were 4.5-fold more likely to experience ADS than non-Pacific women with a regular GP. DISCUSSION: Further attention is required to providing appropriate primary health care for Pacific women of child-bearing age in NZ. Better screening processes and a greater understanding of effective antenatal support for Pacific women is recommended to respond to the multiple risk factors for antenatal depression among Pacific women. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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