Perinatal depression at the intersection of race/ethnicity and disability.

IF 3.2 3区医学 Q2 PSYCHIATRY

Archives of Women's Mental Health Pub Date : 2025-06-20 DOI:10.1007/s00737-025-01593-y

Brandie Bentley, Willi Horner-Johnson, Nichole Nidey, Tuyet-Mai Hoang, Chi-Fang Wu, Skky Martin, Ashley Brevil, Reshawna Chapple, Karen M Tabb

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引用次数: 0

Abstract

Purpose: Perinatal depression disparately impacts diverse groups, with marginalized populations often facing greater vulnerability. While previous research has highlighted disparities in perinatal depression by race/ethnicity and by disability status independently, there is a lack of research examining the intersectionality of these social identities and their combined association with perinatal depression. Therefore, this study adopts an intersectional lens to explore variations in perinatal depressive symptoms associated with the combination of race/ethnicity and disability status in a nationally representative sample of women who had recently given birth.

Methods: We conducted a cross-sectional secondary data analysis using 2019-2020 data from the Pregnancy Risk Assessment Monitoring System (PRAMS), including a sample of disabled and non-disabled individuals across 22 sites. We used logistic regression analyses to estimate associations of race/ethnicity and disability status with perinatal depressive symptoms, performing separate analyses for the antenatal and postpartum periods. In adjusted regression models, we controlled for other sociodemographic characteristics.

Results: Our analysis included 33,854 individuals, including 31,480 (93%) without a disability and 2,374 (7%) with at least one disability. Women with disabilities reported higher prevalence of antenatal (42.7%) and postpartum (33.1%) depressive symptoms compared to non-disabled women (14.1% and 12.1%, respectively). Antenatal depression was most common among disabled Non-Hispanic (NH) White women, while prevalence and odds of postpartum depression were highest among disabled NH American/Indian Alaska Native and disabled NH Black women.

Conclusion: Our findings emphasize the need for perinatal depression screening for disabled women, as well as culturally appropriate interventions to support the mental health of diverse women with disabilities throughout the perinatal period.

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围产期抑郁症在种族/民族和残疾的交叉点。

目的：围产期抑郁症对不同群体的影响不同，边缘人群往往面临更大的脆弱性。虽然先前的研究强调了种族/民族和残疾状况在围产期抑郁方面的差异，但缺乏对这些社会身份的交叉性及其与围产期抑郁的综合关联的研究。因此，本研究采用交叉视角，在具有全国代表性的近期分娩妇女样本中，探讨与种族/民族和残疾状况相结合的围产期抑郁症状的变化。方法：我们利用妊娠风险评估监测系统（PRAMS） 2019-2020年的数据进行了横断面二次数据分析，包括22个站点的残疾和非残疾个体样本。我们使用逻辑回归分析来估计种族/民族和残疾状况与围产期抑郁症状的关联，并对产前和产后进行单独分析。在调整后的回归模型中，我们控制了其他社会人口统计学特征。结果：我们的分析包括33,854人，其中31,480人（93%）没有残疾，2,374人（7%）至少有一种残疾。残疾妇女报告的产前抑郁症状患病率（42.7%）和产后抑郁症状患病率（33.1%）高于非残疾妇女（分别为14.1%和12.1%）。产前抑郁在残疾的非西班牙裔（NH）白人妇女中最常见，而产后抑郁的患病率和几率在残疾的NH美国/印第安阿拉斯加原住民和残疾的NH黑人妇女中最高。结论：我们的研究结果强调了对残疾妇女进行围产期抑郁症筛查的必要性，以及在文化上适当的干预措施，以支持各种残疾妇女在整个围产期的心理健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Women's Mental Health 医学-精神病学

CiteScore

8.00

自引率

4.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.