Abstract
Objectives To date, little is known regarding the impact of maternal depression on participation in public benefit programs. This study examines whether maternal depression is predictive of lower WIC participation in early childhood. Methods This was a secondary data analysis using weighted data from the Early Childhood Longitudinal Study, Birth Cohort. Maternal data collected when children were 9 and 24 months of age were used. 9 months was considered baseline, and 24 months was considered follow-up. The study cohort consisted of 3841 low income mothers, defined as <185 % federal poverty level, who reported WIC participation at baseline. Baseline maternal depressive symptoms were measured by a 12-item abbreviated version of the Center for Epidemiologic Studies Depression Scale. WIC participation was assessed by maternal self-report. Results At baseline, 24.5 % of mothers were depressed (raw score >9). The majority of mothers were white, unemployed, and born in the US. Most received Medicaid (74 %) and almost half received SNAP (47 %). At follow-up, 80.1 % of mothers reported WIC participation. In multivariable analysis, maternal depression at baseline was significantly associated with decreased WIC participation at follow-up (aOR 0.74; 95 % CI 0.55–0.99). Conclusions Our results suggest that maternal depression is an independent risk factor for decreased WIC participation in low-income families with young children. Primary and secondary prevention strategies aimed at maternal depression may positively impact low-income families’ participation in public benefit programs. Further longitudinal and interventional studies are needed in order to inform clinical practice and public health policy.
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Kaplan, G. A., Roberts, R. E., Camacho, T. C., & Coyne, J. C. (1987). Psychosocial predictors of depression: Prospective evidence from the human population laboratory studies. American Journal of Epidemiology, 125(2), 206–220.
Pearlin, L. I., & Johnson, J. S. (1977). Marital status, life-strains and depression. American Sociological Review, 42(5), 704–715.
Petterson, S. M., & Albers, A. B. (2001). Effects of poverty and maternal depression on early child development. Child Development, 72(6), 1794–1813.
Belle, D. (1982). Lives in stress: Women and depression. Beverly Hills, CA: Sage Publications.
Brown, G. W., & Moran, P. M. (1997). Single mothers, poverty, and depression. Psychological Medicine, 27(1), 21–33.
Webb, D. A., Bloch, J. R., Coyne, J. C., Chung, E. K., Bennett, I. M., & Culhane, J. F. (2008). Postpartum physical symptoms in new mothers: Their relationship to functional limitations and emotional well-being. Birth: Issues in Perinatal Care, 35(3), 179–187.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.
Melchior, M., Caspi, A., Howard, L. M., et al. (2009). Mental health context of food insecurity: A representative cohort of families with young children. Pediatrics, 124(4), e564–e572.
Posmontier, B. (2008). Functional status outcomes in mothers with and without postpartum depression. Journal of Midwifery & Women’s Health, 53(4), 310–318.
Garg, A., Toy, S., Tripodis, Y., Cook, J., & Cordella, N. (2015). Influence of maternal depression on household food insecurity for low-income families. Academic Pediatrics, 15(3), 305–310.
U.S. Department of Agriculture, Economic Research Service. (2015). The WIC program: Background, tremds, and economic issues, 2015 edition. Available: http://www.ers.usda.gov/publications/eib-economic-information-bulletin/eib134. Accessed October 10, 2015.
Pooler, J., Perry, D. F., & Ghandour, R. M. (2013). Prevalence and risk factors for postpartum depressive symptoms among women enrolled in WIC. Maternal and Child Health Journal, 17(10), 1969–1980.
Black, M. M., Cutts, D. B., Frank, D. A., et al. (2004). Special supplemental nutrition program for women, infants, and children participation and infants’ growth and health: A multisite surveillance study. Pediatrics, 114(1), 169–176.
Black, M. M., Quigg, A. M., Cook, J., Casey, P. H., Cutts, D. B., et al. (2012). WIC participation and attenuation of stress-related child health risks of household food insecurity and caregiver depressive symptoms. Archives of Pediatrics and Adolescent Medicine, 166(5), 444–451.
Melgar-Quiñonez, H. R., & Kaiser, L. L. (2004). Relationship of child-feeding practices to overweight in low-income mexican-american preschool-aged children. Journal of the American Dietetic Association, 104(7), 1110–1119.
Bitler, M. P., & Currie, J. (2004). Medicaid at birth, WIC take up, and children’s outcomes. Santa Monica, CA: RAND Corporation. Available: http://www.rand.org/pubs/working_papers/WR172. Accessed October 15, 2015.
National Center for Education Statistics. (2009). Early childhood longitudinal program (ECLS): Birth cohort (ECLS-B). Available: http://www.nces.ed.gov/ecls/birth.asp. Accessed August 15, 2013.
U.S. Department of Agriculture, Food and Nutrition Service. (2014). WIC eligibility requirements. Available: http://www.fns.usda.gov/wic/wic-eligibility-requirements. Accessed July 28, 2014.
Radloff, L. S. (1977). The CES-D scale: A self-reported depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.
Silverstein, M., Augustyn, M., Cabral, H., & Zuckerman, B. (2006). Maternal depression and violence exposure: double jeopardy for child school functioning. Pediatrics, 118(3), e792–e800.
National Center for Education Statistics. (2012). NCES handbook of survey methods early childhood longitudinal study (ECLS). Available: http://nces.ed.gov/statprog/handbook/pdf/ecls.pdf. Accessed November 1, 2015.
US Department of Agriculture, Economic Research Service. (2012). US household food security survey module: three-stage design with screeners. Available: http://www.ers.usda.gov/datafiles/Food_Security_in_the_United_States/Food_Security_Survey_Modules/hh2012.pdf. Accessed October 21, 2015.
SAS Institute Inc. SAS for windows version 9.1. Cary, NC 2004.
Casey, P., Goolsby, S., Berkowitz, C., et al. (2004). Maternal depression, changing public assistance, food security, and child health status. Pediatrics, 113(2), 298–304.
Castner, L., Mabli, J., & Sykes, J. (2009). Dynamics of WIC program participation by infants and children, 2001–2003: Final report, Mathematica Policy Research, Inc. Available: http://www.fns.usda.gov/sites/default/files/WICDynamics2001-2003.pdf. Accessed October 15, 2015.
U.S. Department of Agriculture, Economic Research Service. (2010). Rising infant formula costs to the WIC program: Recent trends in rebates and wholesale prices. Available: http://www.ers.usda.gov/publications/err-economic-research-report/err93.aspx#.U-EcheNdUQE. Accessed July 21, 2014.
U.S. Department of Agriculture, Economic Research Service. (2009). The WIC program: Background, trends, and economic issues, 2009 edition. Available: http://www.ers.usda.gov/publications/err-economic-research-report/err73.aspx#.U-EbLuNdUQE. Accessed July 21, 2014.
U.S. Department of Agriculture, Food and Nutrition Service. (2014). WIC at a glance. Available: http://www.fns.usda.gov/wic/about-wic-wic-glance.htm. Accessed July 29, 2014.
Maurer, D. M., & Carl, R. (2012). Screening for depression. American Family Physician. 85(2), 139–144. Available: http://www.aafp.org/afp/2012/0115/p139.html. Accessed October 20, 2015.
Zahnd, E. (2012). Contra costa county women infants & children (WIC) perinatal depression screening, education, and referral project. project evaluation final report 2010. Available: http://cchealth.org/wic/perinatal-depression/pdf/evaluation_report_pilot.pdf. Accessed November 5, 2015.
U.S. Department of Health and Human Services. (2015). The maternal, infant, and early childhood home visiting program partnering with parents to help children succeed. Available: http://mchb.hrsa.gov/programs/homevisiting/programbrief.pdf. Accessed November 5, 2015.
Hagan, J. F., Shaw, J. S., & Duncan, P. M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.
Pignone, M. P., Gaynes, B. N., Rushton, J. L., et al. (2002). Screening for depression in adults: A summary of the evidence for the US Preventive Services Task Force. Annals of Internal Medicine, 136(10), 765–776.
American Academy of Pediatrics. (2003). Family pediatrics: Report of the task force on the family. Pediatrics, 111(6 Pt 2), 1541–1571.
Earls, M. F., & The Committee on Psychosocial Aspects of Child and Family Health. (2010). Incorporating recognition and management of perinatal and postpartum depression into pediatric practice. Pediatrics, 126(5), 1032–1039.
Olson, A. L., Kemper, K. J., Kelleher, K. J., & Hammond, C. S. (2002). Primary care pediatricians’ roles and perceived responsibilities in the identification and management of maternal depression. Pediatrics, 110(6), 1169–1176.
Surkan, P. J., Ettinger, A. K., Ahmed, S., Minkovitz, C. S., & Strobino, D. (2012). Impact of maternal depressive symptoms on growth of preschool- and school-aged children. Pediatrics, 130(4), e847–e855.
Paulson, J. F., Keefe, H. A., & Leiferman, J. A. (2009). Early parental depression and child language development. Journal Child Psychology and Psychiatry, 50(3), 254–262.
Beardslee, W. R., Versage, E. M., & Gladstone, T. R. (1990). Children of affectively ill parents: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 37(11), 1134–1141.
Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108(1), 50–76.
Minkovitz, C. S., Strobino, D., Scharfstein, D., et al. (2005). Maternal depressive symptoms and children’s receipt of health care in the first 3 years of life. Pediatrics, 115(2), 306–314.
Pearlin, L. I. (1989). The sociological study of stress. Journal of Health and Social Behavior, 30(3), 241–256.
NICHD Early Child Care Research Network. (1999). Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 months. Developmental Psychology, 35(5), 1297–1310.
Pascoe, J. M., Stolfi, A., & Ormond, M. B. (2006). Correlates of mothers’ persistent depressive symptoms: A national study. Journal of Pediatric Health Care, 20(4), 261–269.
Ramos-Marcuse, F., Oberlander, S. E., Papas, M. A., et al. (2010). Stability of maternal depressive symptoms among urban, low-income, African American adolescent mothers. Journal of Affective Disorders, 122(1–2), 68–75.
Horwitz, S. M., Briggs-Gowan, M. J., Storfer-Isser, A., & Carter, A. S. (2007). Prevalence, correlates, and persistence of maternal depression. Journal of Women’s Health, 16(5), 678–691.
Horwitz, S. M., Briggs-Gowan, M. J., Storfer-Isser, A., & Carter, A. S. (2009). Persistence of maternal depressive symptoms throughout the early years of childhood. Journal of Women’s Health, 18(5), 637–645.
Kessler, R. C. (2014). The CIDI-SF scales. Available at: http://www.hcp.med.harvard.edu/ncs/ftpdir/cidisf_readme.pdf. Accessed July 12, 2014.
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Toy, S., Tripodis, Y., Yang, K. et al. Influence of Maternal Depression on WIC Participation in Low-Income Families. Matern Child Health J 20, 710–719 (2016). https://doi.org/10.1007/s10995-015-1871-2
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DOI: https://doi.org/10.1007/s10995-015-1871-2