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Risk profiles associated with postnatal depressive symptoms among women in a public sector hospital in Mexico: the role of sociodemographic and psychosocial factors

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Abstract

This study examined the association between postnatal depressive symptoms and a set of demographic and psychosocial factors among 604 women attending a public hospital for postnatal care in Mexico City. Specific profiles of women that would indicate an increased probability for developing postnatal depression (PND) based on discrete combinations of risk and protective factors were generated. In a logistic model, followed by the estimation of predicted probabilities, we examined the association between depressive symptomatology and psychosocial factors: low social support, unplanned pregnancies, history of depression, and exposure to moderate or severe intimate partner violence (IPV) during pregnancy. Postnatal depressive symptomatology was reported by 10.6 % of the women, as measured by scores at 12 or above on the Edinburgh Postnatal Depression Scale. The cumulative probability of presenting PND in the simultaneous presence of the psychosocial factors was 67.0 %; however, this could be reduced to 5.5 % through preventive measures that work to eliminate low social support, unplanned pregnancy, and exposure to severe IPV during pregnancy. Early identification of psychosocial risk factors, specifically low social support, unplanned pregnancies, history of depression, and exposure to violence during pregnancy, is recommended.

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Acknowledgments

This research was funded in part by the Bill and Melinda Gates Foundation through the International Association of Public Health Institutes (IANPHI). We are grateful for the support from Dr. Francisco Mejia Covarrubias at the Hospital General de México Pediatrics Department, and Dr. Alfonso Martin del Campo Laurents and Isabel Cristina Gonzalez Salas at the Hospital General de México’s Mental Health Department.

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Authors and Affiliations

  1. Reproductive Health Division, Center for Population Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico

    Filipa de Castro & Leonor Rivera

  2. Department of Physiology and Health Science, Ball State University, Cooper CL 325, Muncie, IN, 47306, USA

    Jean Marie S. Place

  3. Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA

    Deborah L. Billings & Edward A. Frongillo

  4. Advocates for Youth, Columbia, SC, USA

    Deborah L. Billings

Authors
  1. Filipa de Castro
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  2. Jean Marie S. Place
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  3. Deborah L. Billings
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  4. Leonor Rivera
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  5. Edward A. Frongillo
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Correspondence to Jean Marie S. Place.

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de Castro, F., Place, J.M.S., Billings, D.L. et al. Risk profiles associated with postnatal depressive symptoms among women in a public sector hospital in Mexico: the role of sociodemographic and psychosocial factors. Arch Womens Ment Health 18, 463–471 (2015). https://doi.org/10.1007/s00737-014-0472-1

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  • DOI: https://doi.org/10.1007/s00737-014-0472-1

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