Postpartum depression among visible and invisible sexual minority women: a pilot study
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Significant numbers of sexual minority women are choosing to parent. Despite this, there is limited research on postpartum depression (PPD) with sexual minority mothers and less research considering differences within sexual minority women in the experience of PPD. This research examines two questions to address this gap in research: (1) Do experiences of PPD symptoms vary between different subgroups of sexual minority women, and (2) Which recruitment strategies effectively address the challenge of recruiting sexual minority women who are pregnant?
Two Canadian studies recruited participants via consecutive or convenience sampling from midwifery clinics and hospital sites. Participants completed prenatal and postnatal measures of PPD symptoms, social support, and perceived discrimination.
Considering our first question, we found an interaction effect between past sexual behavior and current partner gender. Women currently partnered with men reported higher scores on the Edinburgh Postpartum Depression Scale when their sexual history included partners of more than one gender, whereas this effect was not found among women who were currently partnered with women or not partnered. Regarding our second question, most sexual minority participants recruited through convenience sampling were partnered with women and identified as lesbian or queer, while most participants recruited through consecutive sampling were partnered with men and identified as bisexual.
Women whose sexual histories include more than one gender and are currently partnered with men may be at a higher risk for PPD symptoms. Recruitment method may influence the type of sample recruited for perinatal mental health research among sexual minority women.
KeywordsPostpartum depression Bisexual Lesbian Sexual minority Consecutive sampling
This research was supported by the Lesbian Health Fund and by an operating grant from the Canadian Institutes of Health Research, award number FRN-83384.
Conflicts of interest
The authors declare that they have no competing interests.
- Hartman JE (2011) Finding a needle in a haystack: methods for sampling in the bisexual community. J Bisex 11:63–73Google Scholar
- Khajahei M, Doherty M, Tilley M (2012) Assessment of postnatal depression among Australian lesbian mothers during the first year after childbirth: a pilot study. Int J Childbirth Ed 27(4):49–54Google Scholar
- Ross LE, Steele LS, Epstein R (2006b) Service use and gaps in services for lesbian and bisexual women during donor insemination, pregnancy, and the postpartum period. J Obstet Gynecol Can 28(6):505–511Google Scholar
- Ross LE, Villegas L, Dennis C-L, Bourgeault IL, Cairney J, Grigoriadis S, Steele LS, Yudin MH (2011) Rural residence and risk for perinatal depression: a Canadian pilot study. Arch Womens Ment Health 14(3):175–185Google Scholar
- United States Department of Health and Human Services. National Center for Health Statistics (2002) National Survey of Family Growth, Cycle VI. Analyses conducted by Naomi Goldberg, The Williams Institute, Hyattsville, MDGoogle Scholar