Research article Special Issues

Can support from the father of the baby buffer the adverse effects of depressive symptoms on risk of preterm birth in Black families?

  • Received: 11 September 2017 Accepted: 16 January 2018 Published: 30 March 2018
  • Background: While maternal depressive symptoms during pregnancy have been linked to preterm birth (PTB; birth before 37 completed weeks of gestation), little has been reported on potential buffering factors, particularly specific to Black women who are at much higher risk. We examined the association between depressive symptoms and PTB in pregnant Black women, with father of the baby (FOB) support as a potential buffering factor. Methods: Data were obtained from the life-course influences on fetal environments study (2009–2011), a cohort of 1,410 Black women in metropolitan Detroit, Michigan (71% response rate) using maternal interviews and medical record abstraction collected during the postpartum hospitalization. The 20-item Center for Epidemiologic Studies Depression (CES-D) scale was used to measure depressive symptoms. The 14-item social networks in adult relations questionnaire was used to assess the mother’s relationship with the FOB. Logistic regression was used to explore the interaction between CES-D and FOB support with regard to PTB risk. We adjusted for maternal advanced age, income, education level, smoking status, hypertension, prenatal care and BMI. Results: The PTB rate in this cohort was 17.7%. Among women with FOB scale < 60 (less support), the odd ratio (OR) of PTB for women with CES-D scores ≥ 23 (severe depressive symptoms) as compared to CES-D scores < 23 (no severe depressive symptoms) was 2.57 [95% confidence interval (CI): 1.68, 3.94; p < 0.001]. Among women with FOB scores ≥ 60 (more support), the odds of PTB in women with CES-D scores ≥ 23 did not significantly differ from the odds of PTB in women with CES-D scores < 23 (OR = 1.34; 95% CI: 0.74, 2.44; p = 0.3). After adjustment for covariates, among women with FOB scores < 60, the OR of PTB for women with CES-D scores ≥ 23 compared to < 23 was 2.79 (95% CI: 1.75, 4.45; p < 0.001). Among women with FOB scores ≥ 60, the odds of PTB in women with CES-D scores ≥ 23 was not statistically significantly different compared to the odds of PTB in women with CES-D scores < 23 (OR = 1.21; 95% CI: 0.62, 2.35; p = 0.6). The interaction term was statistically significant (p = 0.04). Discussion/Conclusions: The adverse effect of depressive symptoms on risk of PTB may be buffered by factors such as a supportive relationship with the FOB.

    Citation: Carmen Giurgescu, Lara Fahmy, Jaime Slaughter-Acey, Alexandra Nowak, Cleopatra Caldwell, Dawn P Misra. Can support from the father of the baby buffer the adverse effects of depressive symptoms on risk of preterm birth in Black families?[J]. AIMS Public Health, 2018, 5(1): 89-98. doi: 10.3934/publichealth.2018.1.89

    Related Papers:

  • Background: While maternal depressive symptoms during pregnancy have been linked to preterm birth (PTB; birth before 37 completed weeks of gestation), little has been reported on potential buffering factors, particularly specific to Black women who are at much higher risk. We examined the association between depressive symptoms and PTB in pregnant Black women, with father of the baby (FOB) support as a potential buffering factor. Methods: Data were obtained from the life-course influences on fetal environments study (2009–2011), a cohort of 1,410 Black women in metropolitan Detroit, Michigan (71% response rate) using maternal interviews and medical record abstraction collected during the postpartum hospitalization. The 20-item Center for Epidemiologic Studies Depression (CES-D) scale was used to measure depressive symptoms. The 14-item social networks in adult relations questionnaire was used to assess the mother’s relationship with the FOB. Logistic regression was used to explore the interaction between CES-D and FOB support with regard to PTB risk. We adjusted for maternal advanced age, income, education level, smoking status, hypertension, prenatal care and BMI. Results: The PTB rate in this cohort was 17.7%. Among women with FOB scale < 60 (less support), the odd ratio (OR) of PTB for women with CES-D scores ≥ 23 (severe depressive symptoms) as compared to CES-D scores < 23 (no severe depressive symptoms) was 2.57 [95% confidence interval (CI): 1.68, 3.94; p < 0.001]. Among women with FOB scores ≥ 60 (more support), the odds of PTB in women with CES-D scores ≥ 23 did not significantly differ from the odds of PTB in women with CES-D scores < 23 (OR = 1.34; 95% CI: 0.74, 2.44; p = 0.3). After adjustment for covariates, among women with FOB scores < 60, the OR of PTB for women with CES-D scores ≥ 23 compared to < 23 was 2.79 (95% CI: 1.75, 4.45; p < 0.001). Among women with FOB scores ≥ 60, the odds of PTB in women with CES-D scores ≥ 23 was not statistically significantly different compared to the odds of PTB in women with CES-D scores < 23 (OR = 1.21; 95% CI: 0.62, 2.35; p = 0.6). The interaction term was statistically significant (p = 0.04). Discussion/Conclusions: The adverse effect of depressive symptoms on risk of PTB may be buffered by factors such as a supportive relationship with the FOB.


    加载中
    [1] Kochanek KD, Murphy SL, Xu J, et al. (2016) Deaths: Final data for 2014. National Center for Health Statistics: Hyattsville.
    [2] Martin JA, Hamilton BE, Osterman MJ, et al. (2017) Births: Final data for 2015. National Vital Statistics Report 2017, National Center for Health Statistics: Hyattsville, MD.
    [3] Hedegaard M, Henriksen TB, Secher NJ, et al. (1993) Psychological distress in pregnancy and preterm delivery. BMJ 307: 234–239. doi: 10.1136/bmj.307.6898.234
    [4] Rini CK, Dunkelschetter C, Wadhwa PD, et al. (1999) Psychological adaptation and birth outcomes: The role of personal resources, stress, and sociocultural context in pregnancy. Health Psychol 18: 333–345. doi: 10.1037/0278-6133.18.4.333
    [5] Dole N, Savitz DA, Siega-Riz AM, et al. (2003) Maternal stress and preterm birth. Am J Epidemiol 157: 14–24. doi: 10.1093/aje/kwf176
    [6] Dole N, Savitz DA, Siegariz AM, et al. (2004) Psychosocial factors and preterm birth among African American and White women in central North Carolina. Am J Public Health 94: 1358–1365. doi: 10.2105/AJPH.94.8.1358
    [7] Wadhwa PA, Sandman CA, Porto M, et al. (1993) The association between prenatal stress and infant birth weight and gestational age at birth: A prospective investigation. Am J Obstet Gynecol 169: 858–865. doi: 10.1016/0002-9378(93)90016-C
    [8] Ding XX, Wu YL, Xu SJ, et al. (2014) Maternal anxiety during pregnancy and adverse birth outcomes: A systematic review and meta-analysis of prospective cohort studies. J Affective Disord 159: 103–110. doi: 10.1016/j.jad.2014.02.027
    [9] McDonald SW, Kingston D, Bayrampour H, et al. (2014) Cumulative psychosocial stress, coping resources, and preterm birth. Arch Womens Mental Health 17: 559–568. doi: 10.1007/s00737-014-0436-5
    [10] Dayan J, Creveuil C, Marks MN, et al. (2006) Prenatal depression, prenatal anxiety, and spontaneous preterm birth: A prospective cohort study among women with early and regular care. Psychosom Med 68: 938–946. doi: 10.1097/01.psy.0000244025.20549.bd
    [11] Orr ST, James SA, Prince CB (2002) Maternal prenatal depressive symptoms and spontaneous preterm births among African-American women in Baltimore, Maryland. Ame J Epidemiol 156: 797–802. doi: 10.1093/aje/kwf131
    [12] Jesse DE, Seaver W, Wallace DC (2003) Maternal psychosocial risks predict preterm birth in a group of women from Appalachia. Midwifery 19: 191–202. doi: 10.1016/S0266-6138(03)00031-7
    [13] Misra D, Strobino D, Trabert B (2010) Effects of social and psychosocial factors on risk of preterm birth in Black women. Paediatr Perinat Epidemiol 24: 546–554. doi: 10.1111/j.1365-3016.2010.01148.x
    [14] Grote NK, Bridge JA, Gavin AR, et al. (2010) A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry 67: 1012–1024. doi: 10.1001/archgenpsychiatry.2010.111
    [15] Szegda K, Markenson G, Bertone-Johnson ER, et al. (2014) Depression during pregnancy: A risk factor for adverse neonatal outcomes? A critical review of the literature. J Matern-Fetal Neonat Med 27: 960–967. doi: 10.3109/14767058.2013.845157
    [16] Misra D, Strobino D, Trabert B (2010) Effects of social and psychosocial factors on risk of preterm birth in Black women. Paediatr Perinat Epidemiol 24: 546–554. doi: 10.1111/j.1365-3016.2010.01148.x
    [17] Giurgescu C, Engeland CG, Templin TN (2015) Symptoms of depressive predict negative birth outcomes in African American women: A pilot study. J Midwifery Women's Health 60: 570–577. doi: 10.1111/jmwh.12337
    [18] Giurgescu C, Sanguanklin N, Engeland CG, et al. (2015) Relationships among psychosocial factors, biomarkers, preeclampsia, and preterm birth in African American women: A piol. Appl Nurs Res 28: 1–6. doi: 10.1016/j.apnr.2014.12.004
    [19] Paul K, Boutain D, Agnew K, et al. (208) The relationship between racial identity, income, stress and C-reactive protein among parous women: Implications for preterm birth disparity research. J Natl Med Assoc 100: 540–546.
    [20] Giurgescu C, Misra DP, Caldwell CH, et al. (2015) The impact of neighborhood quality, perceived stress, and social support on depressive symptoms during pregnancy in African American women. Soc Sci Med 130: 172–180. doi: 10.1016/j.socscimed.2015.02.006
    [21] Giurgescu C, Zenk SN, Templin TN, et al. (2015) The impact of neighborhood environment, social support, and avoidance coping on depressive symptoms of pregnant African American women. Womens Health Issues 25: 294–302. doi: 10.1016/j.whi.2015.02.001
    [22] Hetherington E, Doktorchik C, Premji SS, et al. (2015) Preterm birth and social support during pregnancy: A systematic review and meta-analysis. Paediatr Perinat Epidemiol 29: 523–535. doi: 10.1111/ppe.12225
    [23] Giurgescu C, Templin TN (2015) Father involvement and psychological well-being of pregnant women. MCN Am J Matern Child Nurs 40: 381. doi: 10.1097/NMC.0000000000000183
    [24] Nylen KJ, O'Hara MW, Engeldinger J (2013) Perceived social support interacts with prenatal depression to predict birth outcomes. J Behav Med 36: 427–440. doi: 10.1007/s10865-012-9436-y
    [25] Jonsdottir SS, Thome M, Steingrimsdottir T, et al. (2017) Partner relationship, social support and perinatal distress among pregnant Icelandic women. Women Birth 30: e46–e55. doi: 10.1016/j.wombi.2016.08.005
    [26] Bloch JR, Webb DA, Matthew L, et al. (2010) Beyond marital status: The quality of the mother-father relationship and its influence on reproductive health behaviors and outcomes among unmarried low income pregnant women. Matern Child Health J 14: 726–734. doi: 10.1007/s10995-009-0509-7
    [27] Sealyjefferson S, Giurgescu C, Helmkamp L, et al. (2015) Perceived physical and social residential environment and preterm delivery in African-American women. Am J Epidemiol 182: 485–493. doi: 10.1093/aje/kwv106
    [28] Slaughter-Acey JC, Sealy-Jefferson S, Helmkamp L, et al. (2016) Racism in the form of micro aggressions and the risk of preterm birth among black women. Ann Epidemiol 26: 7–13. doi: 10.1016/j.annepidem.2015.10.005
    [29] Center for Disease Control and Prevention, Defining adult overweight and obesity. Available from: https://www.cdc.gov/obesity/adult/defining.html.
    [30] Radloff LS (1977) The CES-D scale: A self-report depression scale for research in the general population. App Psychol Meas 1: 385–401. doi: 10.1177/014662167700100306
    [31] Radloff LS, Locke BZ (1986) The community mental health assessment survey and CES-D scale, In: Weissman MM and Myers JK, Editors, Community Surveys of Psychiatric Disorders, New Brunswick, NJ: Rutgers University Press, 177–189.
    [32] Orr ST, Blazer DG, James SA, et al. (2007) Depressive symptoms and indicators of maternal health status during pregnancy. J Womens Health 16: 535–542. doi: 10.1089/jwh.2006.0116
    [33] Antonucci TC (1986) Social support networks: A hierarchical mapping technique. Generations 10: 10–12.
    [34] Kahn RL, Antonucci TC (1980) Convoys over the life course: Attachment, roles, and social support, In: Baltes PB, Editors, Life-span development and behavior, New York: Academic Press, 254–283.
    [35] Taipale P, Hiilesmaa V (2001) Predicting delivery date by ultrasound and last menstrual period in early gestation. Obstet Gynecol 97: 189–194.
    [36] Obstetriciansgynecologists ACO (2014) Committee opinion, number 611. Method for estimating due date. Am Coll Obstet Gynecol 863–866.
    [37] Misra DP, Caldwell C, Young AA, et al. (2010) Do fathers matter? Paternal contributions to birth outcomes and racial disparities. Am J Obstet Gynecol 202: 99–100.
    [38] Srinivasjois RM, Shah S, Shah PS (2012) Biracial couples and adverse birth outcomes: A systematic review and meta-analyses. Acta Obstet Gynecol Scand 91: 1134–1146. doi: 10.1111/j.1600-0412.2012.01501.x
    [39] Lewin A, Mitchell SJ, Waters D, et al. (2015) The protective effects of father involvement for infants of teen mothers with depressive symptoms. Matern Child Health J 19: 1016–1023. doi: 10.1007/s10995-014-1600-2
    [40] Shah MK, Gee RE, Theall KP (2014) Partner support and impact on birth outcomes among teen pregnancies in the United States. J Pediatr Adolesc Gynecol 27: 14–19. doi: 10.1016/j.jpag.2013.08.002
    [41] Brewin D, Nannini A (2014) Using a life course model to examine racial disparities in low birth weight during adolescence and young adulthood. J Midwifery Womens Health 59: 417–427. doi: 10.1111/jmwh.12110
    [42] Wilusz MJ, Peters RM, Cassidy-Bushrow AE (2014) Course of Depressive Symptoms across Pregnancy in African American Women. J Midwifery Womens Health 59: 411–416. doi: 10.1111/jmwh.12057
    [43] Misra DP, Slaughter-Acey J, Giurgescu C, et al. (2017) Why do Black women experience higher rates of preterm birth? Curr Epidemiol Rep 4: 1–15. doi: 10.1007/s40471-017-0094-z
  • Reader Comments
  • © 2018 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
通讯作者: 陈斌, bchen63@163.com
  • 1. 

    沈阳化工大学材料科学与工程学院 沈阳 110142

  1. 本站搜索
  2. 百度学术搜索
  3. 万方数据库搜索
  4. CNKI搜索

Metrics

Article views(4006) PDF downloads(855) Cited by(5)

Article outline

Figures and Tables

Tables(1)

/

DownLoad:  Full-Size Img  PowerPoint
Return
Return

Catalog