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Prenatal Life Events, Maternal Employment, and Postpartum Depression across a Diverse Population in New York City

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Abstract

This study examined racial/ethnic disparities in three core postpartum depression (PPD) symptoms, and identified specific predictors of PPD including sociodemographic variables, life stressors and maternal employment. White, African American, Hispanic, and Asian/Pacific Islander women from the New York City area (n = 3010) completed the 2009–2011 Pregnancy Risk Assessment Monitoring System. African American women were less likely to have PPD than White women. Maternal employment during the postpartum was associated with an increased likelihood of PPD for White women relative to women who were not employed. Life stressors and maternal employment should be considered as culturally contextualized factors related to postpartum depression.

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References

  • Beauboeuf-Lafontant, T. (2007). You have to show strength: An exploration of gender, race, and depression. Gender and Society, 21(1), 28–51. doi:10.1177/0891243206294108.

    Article  Google Scholar 

  • Beeghly, M., Olson, K., Weinberg, M., Pierre, S., Downey, N., & Tronick, E. (2003). Prevalence, stability, and socio-demographic correlates of depressive symptoms in black mothers during the first 18 months postpartum. Maternal and Child Health Journal, 7(3), 157–168. doi:10.1023/A:1025132320321.

    Article  PubMed  Google Scholar 

  • Boyce, P., & Hickey, A. (2005). Psychosocial risk factors to major depression after childbirth. Social Psychiatry and Psychiatric Epidemiology, 40(8), 605–612. doi:10.1007/s00127-005-0931-0.

    Article  PubMed  Google Scholar 

  • Bridges, J. S., & Etaugh, C. (1994). Black and white college women’s perceptions of early maternal employment. Psychology of Women Quarterly, 18(3), 427–431. doi:10.1111/j.1471-6402.1994.tb00465.x.

    Article  Google Scholar 

  • Chentsova-Dutton, Y. E., & Tsai, J. L. (2007). Cultural factors influence the expression of psychopathology. In S. O. Lilienfeld & W. T. O’Donohue (Eds.), The great ideas of clinical science: 17 principles that every mental health professional should understand (pp. 375–396). New York: Routledge/Taylor & Francis Group.

    Google Scholar 

  • Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry : The Journal of Mental Science, 150, 782.

    Article  CAS  Google Scholar 

  • Da Costa, D., Larouche, J., Dritsa, M., & Brender, W. (2000). Psychosocial correlates of prepartum and postpartum depressed mood. Journal of Affective Disorders, 59(1), 31–40. doi:10.1016/S0165-0327(99)00128-7.

    Article  PubMed  Google Scholar 

  • Davis, K., Pearlstein, T., Stuart, S., O’Hara, M., & Zlotnick, C. (2013). Analysis of brief screening tools for the detection of postpartum depression: comparisons of the PRAMS 6-item instrument, PHQ-9, and structured interviews. Archives of Women’s Mental Health, 16(4), 271.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gavin, N., Gaynes, B., Lohr, K., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression—A systematic review of prevalence and incidence. Obstetrics And Gynecology, 106(5), 1071–1083.

    Article  PubMed  Google Scholar 

  • Georg Hsu, L. K., Wan, Y. M., Chang, H., Summergrad, P., Tsang, B. Y. P., & Chen, H. (2008). Stigma of depression is more severe in Chinese Americans than Caucasian Americans. Psychiatry, 71(3), 210–218. 10.1521/psyc.2008.71.3.210.

    Article  CAS  PubMed  Google Scholar 

  • Gjerdingen, D., Mcgovern, P., Attanasio, L., Johnson, P. J., & Kozhimannil, K. B. (2014). Maternal depressive symptoms, employment, and social support. Journal of the American Board of Family Medicine: JABFM, 27(1), 87–96. doi:10.3122/jabfm.2014.01.130126.

    Article  PubMed  Google Scholar 

  • Hobfoll, S. E. (1998). Stress, culture, and community: The psychology and philosophy of stress. New York: Plenum Press.

    Book  Google Scholar 

  • Hobfoll, S. E., Ritter, C., Lavin, J., Hulsizer, M. R., & Cameron, R. P. (1995). Depression prevalence and incidence among inner-city pregnant and postpartum women. Journal of Consulting and Clinical Psychology, 63(3), 445–453.

    Article  CAS  PubMed  Google Scholar 

  • Howell, E. A., Mora, P. A., Horowitz, C. R., & Leventhal, H. (2005). Racial and ethnic differences in factors associated with early postpartum depressive symptoms. Obstetrics and Gynecology, 105(6), 1442–1450.

    Article  PubMed  PubMed Central  Google Scholar 

  • Huang, Z. J., Wong, F. Y., Ronzio, C. R., & Stella, M. Y. (2007). Depressive symptomatology and mental health help-seeking patterns of US-and foreign-born mothers. Maternal and Child Health Journal, 11(3), 257–267. doi:10.1007/s10995-006-0168-x.

  • Kleinman, A. (2004). Culture and Depression. The New England Journal of Medicine, 351(10), 951–953. doi:10.1056/NEJMp048078.

    Article  CAS  PubMed  Google Scholar 

  • Koniak-Griffin, D., Lominska, S., & Brecht, M.-L. (1993). Social support during adolescent pregnancy: A comparison of three ethnic groups. Journal of Adolescence, 16(1), 43–56. doi:10.1006/jado.1993.1004.

    Article  CAS  PubMed  Google Scholar 

  • Lancaster, C., Gold, K., Flynn, H., Yoo, H., Marcus, S. M., & Davis, M. M. (2010). Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal Of Obstetrics And Gynecology, 205(3), 236–236.

    Google Scholar 

  • Liu, C., & Tronick, E. (2012). Do patient characteristics, prenatal care setting, and method of payment matter when it comes to provider-patient conversations on perinatal mood? Maternal and Child Health Journal, 16(5), 1102–1112. doi:10.1007/s10995-011-0835-4.

    Article  PubMed  Google Scholar 

  • Liu, C., & Tronick, E. (2013). Rates and predictors of postpartum depression by race and ethnicity: Results from the 2004 to 2007 New York City PRAMS Survey (Pregnancy Risk Assessment Monitoring System). Maternal and Child Health Journal, 17(9), 1599–1610. doi:10.1007/s10995-012-1171-z.

    Article  PubMed  Google Scholar 

  • Liu, C. H., Giallo, R., Doan, S. N., Seidman, L. J., & Tronick, E. (2016). Racial and Ethnic Differences in Prenatal Life Stress and Postpartum Depression Symptoms. Archives of Psychiatric Nursing, 30(1), 7. doi:10.1016/j.apnu.2015.11.002.

    Article  CAS  PubMed  Google Scholar 

  • Lobel, M., Cannella, D. L., Graham, J. E., Devincent, C., Schneider, J., & Meyer, B. A. (2008). Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychology, 27(5), 604–615. doi:10.1037/a0013242.

    Article  PubMed  Google Scholar 

  • Macke, A. S., & Morgan, W. R. (1979). Maternal Employment, Race, and Work Orientation of High School Girls. Social Forces, 57, 187–204

    Article  Google Scholar 

  • Mayberry, L. J., Horowitz, J. A., & Declercq, E. (2007). Depression symptom prevalence and demographic risk factors Among U.S. Women During the First 2 Years Postpartum. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 36(6), 542–549. doi:10.1111/j.1552-6909.2007.00191.x.

    Article  Google Scholar 

  • McGovern, P., Dowd, B., Gjerdingen, D., Dagher, R., Ukestad, L., McCaffrey, D., & Lundberg, U. (2007). Mothers’ health and work-related factors at 11 weeks postpartum. Annals of Family Medicine, 5(6), 519–527. doi:10.1370/afm.751.

    Article  PubMed  PubMed Central  Google Scholar 

  • Miyake, Y., Tanaka, K., Sasaki, S., & Hirota, Y. (2011). Employment, income, and education and risk of postpartum depression: The Osaka Maternal and Child Health Study. Journal of Affective Disorders, 130(1–2), 133–137. doi:10.1016/j.jad.2010.10.024.

    Article  PubMed  Google Scholar 

  • Negron, R., Martin, A., Almog, M., Balbierz, A., & Howell, E. (2013). Social support during the postpartum period: Mothers’ views on needs, expectations, and mobilization of support. Maternal and Child Health Journal, 17(4), 616–623. doi:10.1007/s10995-012-1037-4.

    Article  PubMed  PubMed Central  Google Scholar 

  • O’ Hara, M. W. (2009). Postpartum depression: What we know. Journal of Clinical Psychology, 65(12), 1258–1269. doi:10.1002/jclp.20644.

    Article  Google Scholar 

  • O’hara, M. W., & Swain, A. M. (1996). Rates and risk of postpartum depression—a meta-analysis. International Review of Psychiatry, 8(1), 37–54.

    Article  Google Scholar 

  • Parker, G., Cheah, Y.-C., & Roy, K. (2001). Do the Chinese somatize depression? A cross-cultural study. Social Psychiatry and Psychiatric Epidemiology, 36(6), 287–293. doi:10.1007/s001270170046.

    Article  CAS  PubMed  Google Scholar 

  • Pfost, K. S., Stevens, M. J., & Lum, C. U. (1990). The relationship of demographic variables, antepartum depression, and stress to postpartum depression. Journal of Clinical Psychology, 46(5), 588–592. doi:10.1002/1097-4679(199009)46:5<588::AID-JCLP2270460507>3.0.CO.

    Article  Google Scholar 

  • Rich-Edwards, J. W., Kleinman, K., Abrams, A., Harlow, B. L., Mclaughlin, T. J., Joffe, H., & Gillman, M. W. (2006). Sociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice. Journal of Epidemiology and Community Health, 60(3), 221. doi:10.1136/jech.2005.039370.

    Article  PubMed  PubMed Central  Google Scholar 

  • Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: a synthesis of recent literature. General Hospital Psychiatry, 26(4), 289–295. doi:10.1016/j.genhosppsych.2004.02.006.

    Article  PubMed  Google Scholar 

  • Rubertsson, C., Wickberg, B., Gustavsson, P., & Rådestad, I. (2005). Depressive symptoms in early pregnancy, two months and one year postpartum-prevalence and psychosocial risk factors in a national Swedish sample. Archives of Women’s Mental Health, 8(2), 97–104. doi:10.1007/s00737-005-0078-8.

    Article  CAS  PubMed  Google Scholar 

  • Sagrestano, L., Feldman, P., Rini, C., Woo, G., & Dunkel-Schetter, C. (1999). Ethnicity and social support during pregnancy. American Journal of Community Psychology, 27(6), 869–898. doi:10.1023/A:1022266726892.

    Article  CAS  PubMed  Google Scholar 

  • Schetter, C. D., & Tanner, L. (2012). Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Current Opinion In Psychiatry, 25(2), 141–148. doi:10.1097/YCO.0b013e3283503680.

    Article  Google Scholar 

  • Spitze, G., & Waite, L. (1980). Labor force and work attitudes: “Young women’s early experiences.” Sociology of Work and Occupations, 7(1), 3.

    Article  Google Scholar 

  • Wadhwa, P. D., Sandman, C. A., Porto, M., Dunkel-Schetter, C., & Garite, T. J. (1993). The association between prenatal stress and infant birth weight and gestational age at birth: A prospective investigation. American Journal of Obstetrics and Gynecology, 169(4), 858–865. doi:10.1016/0002-9378(93)90016-C.

    Article  CAS  PubMed  Google Scholar 

  • Weaver, C. N. (1975). Black-white differences in attitudes toward job characteristics. Journal of Applied Psychology, 60(4), 438–441. doi:10.1037/h0076907.

    Article  Google Scholar 

  • Wei, G., Greaver, L., Marson, S., Herndon, C., & Rogers, J. (2008). Postpartum depression: Racial differences and ethnic disparities in a Tri-racial and bi-ethnic population. Maternal and Child Health Journal, 12(6), 699–707. doi:10.1007/s10995-007-0287-z.

    Article  PubMed  Google Scholar 

  • Yonkers, K., Ramin, S., Rush, A., & Navarrete, C. (2001). Onset and persistence of postpartum depression in an inner-city maternal health clinic system. The American Journal of Psychiatry, 158(11), 1856–1863.

    Article  CAS  PubMed  Google Scholar 

  • Zayas, L. H., Cunningham, M., Mckee, M. D., & Jankowski, K. R. B. (2002). Depression and negative life events among pregnant African-American and Hispanic women. Women’s Health Issues, 12(1), 16–22. doi:10.1016/S1049-3867(01)00138-4.

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors would like to acknowledge the NYC Department of Health and Mental Hygiene Bureau of Maternal, Infant and Reproductive Health PRAMS Team, Bureau of Vital Statistics, and the CDC PRAMS Team, Program Services and Development Branch, Division of Reproductive Health. Support for preparing this manuscript was provided through the Commonwealth Research Center (SCDMH82101008006). The content is solely the responsibility of the authors and does not necessarily represent the official views of Harvard Medical School and its affiliated academic health care centers.

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Correspondence to Cindy H. Liu.

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Liu, C.H., Phan, J., Yasui, M. et al. Prenatal Life Events, Maternal Employment, and Postpartum Depression across a Diverse Population in New York City. Community Ment Health J 54, 410–419 (2018). https://doi.org/10.1007/s10597-017-0171-2

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