Intendedness of pregnancy and other predictive factors for symptoms of prenatal depression in a population-based study
| Autor: | Donald A. Cibula, Jena L. Fellenzer |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Epidemiology Cross-sectional study Health Behavior Psychological intervention New York Prenatal care Pregnancy Risk Factors medicine Prevalence Humans Risk factor Maternal Behavior Depression (differential diagnoses) Obstetrics business.industry Depression Public health Public Health Environmental and Occupational Health Pregnancy Outcome Obstetrics and Gynecology Pregnancy Unplanned Prenatal Care medicine.disease Pregnancy Unwanted Cross-Sectional Studies Socioeconomic Factors Population Surveillance Pediatrics Perinatology and Child Health Spouse Abuse Female business Medicaid |
| Zdroj: | Maternal and child health journal. 18(10) |
| ISSN: | 1573-6628 |
| Popis: | Prenatal depression (PD) as a risk factor for adverse birth outcomes is well documented. Less is known about maternal risks for PD, which could inform preventive strategies for perinatal and interconceptional care. This exploratory study investigates associations between prenatal depression symptoms and unintended and mistimed pregnancies and other maternal risk factors for PD. A subset of birth records from the New York Statewide Perinatal Data System (n = 19,219) was used in this secondary analysis of cross-sectional data. Univariate and multivariate multinomial regression was used to identify factors that are independently associated with four self-reported levels of prenatal depression symptoms. Women with unintended pregnancies were more likely (AOR, 95 % CI) to report severe (3.6, 2.6–5.1) or moderate (2.0, 1.6–2.5) prenatal depression symptoms and less likely to report no symptoms, compared to women with intended pregnancies. Likewise, women with mistimed pregnancies were more likely to report severe (2.7, 2.2–3.5) or moderate (1.7, 1.5–2.1) prenatal depression symptoms than no symptoms, compared to women with intended pregnancies. Low education, drug use, smoking, minority race, being unmarried and having Medicaid insurance were also significant, independent predictors of PD symptoms. Results suggest that routine screening for depression, intendedness of pregnancy and other associated risk factors such as smoking and drug use during prenatal and interconceptional care visits may enable coordinated interventions that can reduce prenatal depression and unintended and mistimed pregnancies and improve pregnancy outcomes. |
| Databáze: | OpenAIRE |
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