Abstract
Young adults experiencing homelessness (YAEH) with pregnancy history are at higher depression risk. Receiving social support is protective for depression in pregnancy. This study differentiates social support sources associated with depression by pregnancy history among YAEH.
Using a subsample of data collected from YAEH in seven US cities that were collected through REALYST, we conducted stratified logistic regression models (by pregnancy history) to identify support sources associated with depression. Logistic regression analysis including the interaction term (i.e., pregnancy history x support sources) using the full sample was then conducted.
A higher proportion with pregnancy history reported depression compared to those without. Support from home-based peers was significantly associated with reduced depression risks among YAEH with pregnancy history, but not among youth without. Home-based supports were less frequently indicated by homeless female youth with pregnancy experience.
Home-based social support is protective against major depression for YAEH with pregnancy experience. Findings of this study suggest that interventions addressing depression among YAEH should take their pregnancy history and social support sources into consideration. Specifically, for YAEH with pregnancy history, facilitating supportive social ties with home-based peers may be promising in reducing their depression risks.
Abbreviations
- YAEH:
-
Young Adults Experiencing Homelessness
References
Barman-Adhikari, A., Bowen, E., Bender, K., Brown, S., & Rice, E. (2016). A social capital approach to identifying correlates of perceived social support among homeless youth. Paper presented at the Child & Youth Care Forum
Begun, S., Combs, K. M., Torrie, M., & Bender, K. (2019). It seems kinda like a different language to us”: Homeless youths’ attitudes and experiences pertaining to condoms and contraceptives. Social Work in Health Care, 58(3), 237–257. doi:https://doi.org/10.1080/00981389.2018.1544961
Biaggi, A., Conroy, S., Pawlby, S., & Pariante, C. M. (2016). Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord, 191, 62–77. doi:https://doi.org/10.1016/j.jad.2015.11.014
Crawford, D. M., Trotter, E. C., Hartshorn, K. J., & Whitbeck, L. B. (2011). Pregnancy and mental health of young homeless women. Am J Orthopsychiatry, 81(2), 173–183. doi:https://doi.org/10.1111/j.1939-0025.2011.01086.x
Cronley, C., & Evans, R. (2017). Studies of resilience among youth experiencing homelessness: A systematic review. Journal of Human Behavior in the Social Environment, 27(4), 291–310. doi:https://doi.org/10.1080/10911359.2017.1282912
De la Haye, K., Green, H. D. Jr., Kennedy, D. P., Zhou, A., Golinelli, D., Wenzel, S. L., & Tucker, J. S. (2012). Who is supporting homeless youth? Predictors of support in personal networks. Journal of Research on Adolescence, 22(4), 604–616
Devereux, P. G., Weigel, D. J., Ballard-Reisch, D., Leigh, G., & Cahoon, K. L. (2009). Immediate and longer-term connections between support and stress in pregnant/parenting and non-pregnant/non-parenting adolescents. Child and Adolescent Social Work Journal, 26(5), 431–446
Finfgeld-Connett, D. (2010). Becoming Homeless, Being Homeless, and Resolving Homelessness Among Women. Issues in Mental Health Nursing, 31(7), 461–469. doi:https://doi.org/10.3109/01612840903586404
Hodgson, K. J., Shelton, K. H., van den Bree, M. B., & Los, F. J. (2013). Psychopathology in young people experiencing homelessness: a systematic review. Am J Public Health, 103(6), e24–37. doi:https://doi.org/10.2105/AJPH.2013.301318
Johnson, K. D., Whitbeck, L. B., & Hoyt, D. R. (2005). Predictors of social network composition among homeless and runaway adolescents. Journal of Adolescence, 28(2), 231–248. doi:https://doi.org/10.1016/j.adolescence.2005.02.005
Kieling, C., Baker-Henningham, H., Belfer, M., Conti, G., Ertem, I., Omigbodun, O., & Rahman, A. (2011). Child and adolescent mental health worldwide: evidence for action. Lancet, 378(9801), 1515–1525. doi:https://doi.org/10.1016/S0140-6736(11)60827-1
Lee, C. Y. S., & Goldstein, S. E. (2016). Loneliness, stress, and social support in young adulthood: Does the source of support matter? Journal of Youth and Adolescence, 45(3), 568–580
Morton, M. H., Dworsky, A., & Samuels, G. M. (2017). Missed Opportunities: Youth Homelessness in America. National Estimates. Chapin Hall at the University of Chicago
Rice, E., Kurzban, S., & Ray, D. (2012). Homeless But Connected: The Role of Heterogeneous Social Network Ties and Social Networking Technology in the Mental Health Outcomes of Street-Living Adolescents. Community Mental Health Journal, 48(6), 692–698. doi:https://doi.org/10.1007/s10597-011-9462-1
Rice, E., Milburn, N. G., & Rotheram-Borus, M. J. (2007). Pro-social and problematic social network influences on HIV/AIDS risk behaviours among newly homeless youth in Los Angeles. AIDS Care, 19(5), 697–704
Santa Maria, D., Flash, C. A., Narendorf, S., Barman-Adhikari, A., Petering, R., Hsu, H. T., & Ferguson, K. (2019). Knowledge and attitudes about pre-exposure prophylaxis among young adults experiencing homelessness in seven US Cities. Journal of Adolescent Health, 64(5), 574–580
Wenzel, S. L., Hsu, H. T., Zhou, A., & Tucker, J. S. (2012 Nov). Are social network correlates of heavy drinking similar among black homeless youth and white homeless youth? Journal of Studies on Alcohol and Drugs, 73(6), 885–889
Acknowledgements
We greatly appreciate the young adults for their time and efforts participating in this study. We also thank all the homeless service providers who collaborated with us on this project. This research received support from the Greater Houston Community Foundation Funders Together to End Homelessness (Diane Santa Maria and Sarah Narendorf), F31MH108446 (Robin Petering), and Arizona State University Institute for Social Science Research (Kristin Ferguson).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
None of the authors have any real or perceived conflict of interest with respect to the current study.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Canfield, S.M., Hsu, HT., Begun, S. et al. Examining sources of Social Support and Depression Prevention Among Pregnant Youth Experiencing Homelessness: Outcomes of a Seven-City Study. J Primary Prevent 43, 317–325 (2022). https://doi.org/10.1007/s10935-022-00673-4
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10935-022-00673-4