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Factors Associated with Risk of Perinatal Depressive Symptoms Among Puerto Rican Women with Hyperglycemia.
- Source :
-
Maternal & Child Health Journal . Aug2022, Vol. 26 Issue 8, p1741-1751. 11p. 4 Charts. - Publication Year :
- 2022
-
Abstract
- Objectives: Rates of perinatal depression and pregnancy hyperglycemia are higher in Hispanic women as compared to non-Hispanic white women. In turn, depressive symptoms may reduce a woman's ability to engage in lifestyle changes that could reduce their subsequent diabetes risk. Methods: We conducted a secondary analysis using data from Estudio Parto to evaluate sociodemographic, behavioral, psychosocial, and medical factors associated with perinatal depressive symptoms. Estudio Parto was a randomized controlled trial conducted in Western Massachusetts from 2013 to 17. Eligible participants had pregnancy hyperglycemia. The Edinburgh Postnatal Depression Scale (EPDS) was administered at 24–28 weeks gestation and at 6 weeks, 6 months, and 12 months postpartum. An EPDS cutpoint of 10 or greater defined the presence of depressive symptoms. Results: In this sample of Puerto Rican women with pregnancy hyperglycemia, 32% and 27% showed prenatal and postpartum depressive symptoms, respectively. Among participants, 35.5% were diagnosed with GDM, 44.3% with isolated hyperglycemia, and 20.2% with impaired glucose tolerance. In multivariable models, being unmarried (OR 3.87; 95% CI 1.51–9.94), prenatal substance use (smoking or alcohol consumption; OR 2.96; 95% CI 1.41–6.18), and maternal age (1.11 for each year; 95% CI 1.04–1.18) were associated with higher odds of prenatal depressive symptoms. None of the risk factors were associated with subsequent postpartum depression in adjusted analyses. Conclusions: Identifying factors associated with prenatal and postpartum depression in Puerto Rican women with pregnancy hyperglycemia can inform targeted lifestyle interventions in this at-risk group, increase the likely adoption of healthy lifestyle behaviors, and thereby work to address health disparities. Clinicaltrials.gov NCT01679210; date of registration 08/07/2012. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PUERTO Ricans
*STATISTICS
*POSTPARTUM depression
*HYPERGLYCEMIA
*CONFIDENCE intervals
*FISHER exact test
*RISK assessment
*COMPARATIVE studies
*T-test (Statistics)
*HEALTH behavior
*CHI-squared test
*DESCRIPTIVE statistics
*RESEARCH funding
*SOCIODEMOGRAPHIC factors
*LOGISTIC regression analysis
*PERINATAL period
*WOMEN'S health
*BEHAVIOR modification
*SECONDARY analysis
Subjects
Details
- Language :
- English
- ISSN :
- 10927875
- Volume :
- 26
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Maternal & Child Health Journal
- Publication Type :
- Academic Journal
- Accession number :
- 158205897
- Full Text :
- https://doi.org/10.1007/s10995-022-03429-y