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Racial/Ethnic Disparities in Depressive Symptoms Among Pregnant Women Vary by Income and Neighborhood Poverty

1 School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd, D3500, Austin, TX 78712 USA;
2 Department of Family & Community Medicine, University of California, San Francisco, 3333 California Street, Suite 365, San Francisco, CA 94118 USA;
3 Current affiliation: School of Social Work, University of Illinois Champaign-Urbana, 1010 West Nevada Street, Urbana, IL 61801 USA

Special Issues: Spatial Aspects of Health: Methods and Applications

We examined racial/ethnic disparities in depressive symptoms during pregnancy among a population-based sample of childbearing women in California (N = 24,587). We hypothesized that these racial/ethnic disparities would be eliminated when comparing women with similar incomes and neighborhood poverty environments. Neighborhood poverty trajectory descriptions were linked with survey data measuring age, parity, race/ethnicity, marital status, education, income, and depressive symptoms. We constructed logistic regression models among the overall sample to examine both crude and adjusted racial/ethnic disparities in feeling depressed. Next, stratified adjusted logistic regression models were constructed to examine racial/ethnic disparities in feeling depressed among women of similar income levels living in similar neighborhood poverty environments. We found that racial/ethnic disparities in feeling depressed remained only among women who were not poor themselves and who lived in long-term moderate or low poverty neighborhoods.
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Keywords race; ethnicity; income; neighborhood poverty; trajectory; depression

Citation: Catherine Cubbin, Katherine Heck, Tara Powell, Kristen Marchi, Paula Braveman. Racial/Ethnic Disparities in Depressive Symptoms Among Pregnant Women Vary by Income and Neighborhood Poverty. AIMS Public Health , 2015, 2(3): 411-425. doi: 10.3934/publichealth.2015.3.411


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Copyright Info: 2015, Catherine Cubbin, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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