Journal of Immigrant Health

, Volume 6, Issue 4, pp 145–153 | Cite as

Depressive Symptoms in the Immediate Postpartum Period Among Hispanic Women in Three U.S. Cities

  • Wen-Hung Kuo
  • Tracey E. Wilson
  • Susan Holman
  • Elena Fuentes-Afflick
  • Mary Jo O'Sullivan
  • Howard Minkoff


The aim of this was to examine rates and determinants of depressive symptomatology in the immediate postpartum period among Hispanic women in the United States. A total of 3952 Hispanic women who had delivered infants (parturients) were interviewed in postpartum wards in Miami, New York City and San Francisco. Symptoms of depression were regressed onto a series of social, psychological, and socioeconomic variables. Results showed that 42.6% of participants were probable cases of depression (CES-D ≥ 16). Depression was negatively associated with perceived level of social support (adjusted OR = 0.59, 95% CI: 0.53–0.67) and health insurance coverage (adjusted OR = 0.68, 95% CI: 0.49–0.95), but not with the degree of acculturation or immigration status. It was found that depressive symptoms are common among Hispanic parturients. Pregnant Hispanic women should be carefully monitored for signs of depression and appropriate preventive measures are needed.

depressive symptoms postpartum Hispanics immigrant acculturation 


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  1. 1.
    American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV). Washington, DC: American Psychiatric Association; 1994Google Scholar
  2. 2.
    Hayes BA, Muller R, Bradley BS: Perinatal depression: A randomized controlled trial of an antenatal education intervention for primiparas. Birth 2001; 28(1):28–35Google Scholar
  3. 3.
    O'Hara M, Schlechte JA, Lewis DA, Varner MW: Controlled prospective study of postpartum mood disorders: Psychological, environmental, and hormonal variables. J Abnorm Psychol 1991; 100:63–73Google Scholar
  4. 4.
    O'Hara MW, Neunarber DJ, Zekoski EM: Prospective study of postpartum depression: Prevalence, course, and predictive factors. J Abnorm Psychol 1984; 93:158–171Google Scholar
  5. 5.
    Hobfoll SE, Ritter C, Lavin J, Hulsizer MR, Cameron RP: Depression prevalence and incidence among inner-city pregnant and postpartum women. J Consult Clin Psychol 1995; 93:158–171Google Scholar
  6. 6.
    Ritter C, Hobfoll SE, Lavin J, Cameron RP, Hulsizer MR: Stress, psychological resources, and depressive symptomatology during pregnancy in low-income, inner-city women. Health Psychol 2000; 19(6):576–585Google Scholar
  7. 7.
    Yonker KA, Ramin SM, Rush AJ, Navarette CA, Carmody T, March D, Heartwell SF, Leveno KJ: Onset and persistence of postpartum depression in an inner-city maternal health clinic system. Am J Psychiatry 2001; 158(11):1856–1863Google Scholar
  8. 8.
    Zayas LH, Cunningham M, McKee MD, Jankowski KRB: Depression and negative life events among pregnant African-American and Hispanic women. Women's Health Issues 2002; 12(1):16–22Google Scholar
  9. 9.
    US Bureau of the Census: Census 2000 Redistricting Data. Washington, DC: US Bureau of the Census; 2000Google Scholar
  10. 10.
    US Bureau of the Census: Projections of the Resident Population by Race, Hispanic Origin and Nativity. Washington, DC: US Bureau of the Census; 2000Google Scholar
  11. 11.
    Day JC: Population Projections of the United States by Age, Sex, Race, and Hispanic Origin: 1995–2050. Washington, DC: US Bureau of the Census. [1996 Current Population Reports No. 25-1130.]Google Scholar
  12. 12.
    Radloff LS: The CES-D Scale: A self-reported depression scale for research in the general population. Appl Psychol Measurement 1977; 1(3):385–401Google Scholar
  13. 13.
    Eaton WW, Kessler L: Rates of symptoms of depression in a national sample. J Abnorm Psychol 1981; 114:528–538Google Scholar
  14. 14.
    Breslau N: Depressive symptoms, major depression, and generalized anxiety: A comparison of self-reports on CES-D and results from diagnostic interviews. Psychiatry Res 1985; 15:219–229Google Scholar
  15. 15.
    Klerman G: Depressive disorders. Arch Gen Psychiatry 1989; 46:856–858Google Scholar
  16. 16.
    Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ: Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences 1987; 9(2):183–205Google Scholar
  17. 17.
    Zimet GD, Dahlem NW, Zimet SG, Farley GK: The Multi-dimensional Scale of Perceived Social Support. J Pers Assess 1988; 52(1):30–41Google Scholar
  18. 18.
    Hosmer DW, Lemeshow S: Applied Logistic Regression. New York: Wiley; 1989Google Scholar
  19. 19.
    Campbell SB, Cohn JF: Prevalence and correlates of postpartum depression in first-time mothers. J Abnorm Psychol 1991; 100:594–599Google Scholar
  20. 20.
    Watson JP, Elliot SA, Rugg AJ, Brough DI: Psychiatric disorder in pregnancy and the first postnatal year. Br J Psychiatry 1984; 144:453–462Google Scholar
  21. 21.
    Cox JL, Connor Y, Kendall RE: Prospective study of the psychiatric disorders of childbirth. Br J Psychiatry 1982; 140:111–117Google Scholar
  22. 22.
    Kugel S: The Latino Culture World. New York Times; February 24, 2002Google Scholar
  23. 23.
    Vega WA, Alegria M: Latino mental health and treatment in the United States: In: Aguirre-Molina M, Molina CW, Zambrana RE, eds. Health Issues in the Latino Community. San Francisco, CA: Jossey-bass; 2001:179–208Google Scholar
  24. 24.
    Moscicki EK, Locke BZ, Rae DS, Boyd JH: Depressive symptoms among Mexican Americans: The Hispanic Health and Nutrition Examination Survey. J Abnorm Psychol 1989; 130(2):348–360Google Scholar
  25. 25.
    Kaplan MS, Marks G: Adverse effects of acculturation: Psychological distress among Mexican America young adults. Soc Sci Med 1990; 31(12):1313–1319Google Scholar
  26. 26.
    Robin LN, Helzer JE, Croughan J, Radcliff KS: National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics, and validity. Arch Gen Psychiatry 1981; 38:381–389Google Scholar
  27. 27.
    Robin LN, Wing J, Wittchen HU, Helzer JE, Babor TF, Burke J, et al: The Composite International Diagnostic Interview. An epidemiologic Instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Arch Gen Psychiatry 1988; 45:1067–1077Google Scholar
  28. 28.
    Amaro H, de la Torre A: Public health needs and scientific opportunities in research on Latinas. Am J Public Health 2002; 92:525–529Google Scholar

Copyright information

© Springer Science+Business Media, Inc. 2004

Authors and Affiliations

  • Wen-Hung Kuo
    • 1
    • 2
    • 3
    • 4
    • 5
  • Tracey E. Wilson
    • 1
  • Susan Holman
    • 1
  • Elena Fuentes-Afflick
    • 6
  • Mary Jo O'Sullivan
    • 7
  • Howard Minkoff
    • 4
  1. 1.Department of Preventive Medicine and Community HealthState University of New York Downstate Medical CenterBrooklyn
  2. 2.National Development and Research Institute, Inc.New York
  3. 3.Medical and Health Research Association of New York CityNew York
  4. 4.Department of Obstetrics and GynecologyMaimonides Medical CenterBrooklyn
  5. 5.Department of Public HealthTemple UniversityPhiladelphia
  6. 6.Department of PediatricsUniversity of California at San FranciscoSan Francisco
  7. 7.Department of Obstetrics and GynecologyUniversity of MiamiMiami

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