Recent intimate partner violence as a prenatal predictor of maternal depression in the first year postpartum among Latinas
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Jeanette M. Valentine, Michael A. Rodriguez , Lisa M. Lapeyrouse, Muyu Zhang
- چاپ و سال / کشور: 2010
Description
The study aims to determine if recent intimate partner violence (IPV) is a prenatal risk factor for postpartum depression (PPD) among pregnant Latinas seeking prenatal care. A prospective observational study followed Latinas from pregnancy through 13 months postpartum. Prenatal predictors of PPD included depression, recent IPV exposure, remote IPV exposure, non-IPV trauma history, poverty, low social support, acculturation, high parity, and low education. Postpartum depression was measured at 3, 7, and 13 months after birth with the Beck's Depression Inventory—Fast Screen. Strength of association was evaluated using bivariate and multivariable odds ratio analysis. Subjects were predominantly low income, monolingual Spanish, and foreign-born, with mean age of 27.7. Recent IPV, prenatal depression, non-IPV trauma, and low social support were associated with greater likelihood of PPD in bivariate analyses. Recent IPV and prenatal depression continued to show significant association with PPD in multivariate analyses, with greater odds of PPD associated with recent IPV than with prenatal depression (adjusted OR=5.38, p<0.0001 for recent IPV and adjusted OR=3.48, p<0.0001 for prenatal depression). Recent IPV exposure is a strong, independent prenatal predictor of PPD among Latinas. Screening and referral for both IPV and PPD during pregnancy may help reduce postpartum mental health morbidity among Latinas.
Arch Womens Ment Health (2011) 14:135–143 Received: 7 May 2010 / Accepted: 11 October 2010 / Published online: 4 November 2010 # The Author(s) 2010. This article is published with open access at Springerlink.com
