Social Determinants of Health Associated with Mental Health Among U.S. Mothers with Children Aged 0–5 Years
| Autor: | Gopal K. Singh, Romuladus E. Azuine, Deborah E Linares |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Social Determinants of Health Maternal Health Mothers Logistic regression Affect (psychology) Food Supply Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Residence Characteristics Environmental health Humans Medicine Social determinants of health Child business.industry Public health Infant Newborn Infant General Medicine Odds ratio Mental illness medicine.disease Mental health Confidence interval 030227 psychiatry Cross-Sectional Studies Mental Health Socioeconomic Factors Child Preschool Social Capital Female business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Women's Health. 29:1039-1051 |
| ISSN: | 1931-843X 1540-9996 |
| DOI: | 10.1089/jwh.2019.8111 |
| Popis: | Background: Maternal mental illness is a significant public health problem during the perinatal period and beyond. Little is known about how social determinants of health (SDOH) affect maternal mental health. Materials and Methods: We used cross-sectional data from the 2016 to 2017 National Survey of Children's Health with 19,127 mothers of a nationally representative sample of U.S. children aged 0-5. We estimated the prevalence of poor reported mental health (reported as "fair"/"poor") among mothers with children aged 0-5 by SDOH. Multivariable logistic regression was used to examine factors associated with poor maternal mental health. Results: Approximately 4.5% of mothers with children aged 0-5 reported having poor mental health in 2016-2017. Postadjustment and mothers' poor mental health were significantly associated with age (adjusted odds ratio [AOR]: 18-20 years: 2.77, 95% confidence interval [CI]: 1.35-5.67; 21-24 years AOR: 2.14, 95% CI: 1.22-3.73, and 30-34 years AOR: 1.97, 95% CI: 1.13-3.43), U.S.-born status (AOR: 2.31, 95% CI: 1.48-3.63), poor physical health (AOR: 8.69, 95% CI: 5.81-13.02), having a child with a special health care need (AOR: 1.65, 95% CI: 1.03-2.64), experiencing food insecurity (afford enough food, yet, unhealthy [AOR: 2.74, 95% CI: 1.59-4.70] and sometimes/often not afford enough food [AOR: 3.20, 95% CI: 1.76-5.84]), and low social capital (AOR: 1.97, 95% CI: 1.04-3.73). Conclusion: Mothers with children aged 0-5 who had poor physical health and experienced food insecurity were at the greatest risk for poor mental health. Integrated perinatal and behavioral health models, screening, and referrals may help identify and treat mothers experiencing these issues. |
| Databáze: | OpenAIRE |
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