Research article Special Issues

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

  • Received: 21 May 2015 Accepted: 27 July 2015 Published: 31 July 2015
  • 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.

    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[J]. AIMS Public Health, 2015, 2(3): 411-425. doi: 10.3934/publichealth.2015.3.411

    Related Papers:

  • 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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    [1] Kessler RC, Berglund P, Demler O, et al. (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62: 593-602. doi: 10.1001/archpsyc.62.6.593
    [2] Gaynes BN, Gavin N, Meltzer-Brody S, et al. (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evid Rep Technol Assess (summary) 119: 1-8.
    [3] Melville JL, Gavin A, Guo Y, et al. (2010) Depressive disorders during pregnancy: prevalence and risk factors in a large urban sample. Obstet Gynecol 116: 1064-1070. doi: 10.1097/AOG.0b013e3181f60b0a
    [4] Bowen A, Muhajarine N (2006) Antenatal depression. Can Nurs 102: 26-30.
    [5] Alder J, Fink N, Bitzer J, et al. (2007) Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. J Matern Fetal Neonatal Med 20: 189-209. doi: 10.1080/14767050701209560
    [6] 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
    [7] 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
    [8] Diego MA, Field T, Hernandez-Reif M, et al. (2009) Prenatal depression restricts fetal growth. Early Hum Dev 85: 65-70. doi: 10.1016/j.earlhumdev.2008.07.002
    [9] Murray CJ, Lopez AD (1996) Alternative visions of the future: projecting mortality and disability, 1990-2020. In: Murray, CJ., Lopez AD (Eds.), The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Disease, Injuries, and Risk Factors in 1990 and Projected to 2020. Harvard University Press, Boston, 325-395.
    [10] Salomon JA, Vas T, Hogan DR, et al. (2012) Common values in assessing health outcomes from disease and injury: disability weights measurement study for the Global Burden of Disease Study 2010. Lancet 380: 2129-2143. doi: 10.1016/S0140-6736(12)61680-8
    [11] Korstein SG, Schatzberg AF, Thase ME, et al. (2000) Gender differences in chronic major and double depression. J Affect Disord 60: 1-11. doi: 10.1016/S0165-0327(99)00158-5
    [12] Pajer K (1995) New Strategies in the Treatment of Depression in Women. J Clin Psychiatry 56 (suppl 2): 30-37.
    [13] Lindgren K (2001) Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy. Res Nurs Health 24: 203-217. doi: 10.1002/nur.1023
    [14] Marcus SM, Flynn HA, Blow FC, et al. (2003) Depressive symptoms among pregnant women screened in obstetrics settings. J Womens Health 12: 373-380. doi: 10.1089/154099903765448880
    [15] Lancaster C, Gold KJ, Flynn HA, et al. (2010) Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol 202: 5-14. doi: 10.1016/j.ajog.2009.09.007
    [16] Orr ST, Blazer DG, James SA (2006) Racial disparities in elevated prenatal depressive symptoms among black and white women in eastern North Carolina. Ann Epidemiol 16: 463-468. doi: 10.1016/j.annepidem.2005.08.004
    [17] Canady RB, Bullen BL, Holzman C, et al. (2008) Discrimination and symptoms of depression in pregnancy among African American and White women. Womens Health Issues 18, 292-300.
    [18] Rich-Edwards JW, Kleinman K, Abrams A, et al. (2006) Sociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice. J Epidemiol Community Health 60: 221-227. doi: 10.1136/jech.2005.039370
    [19] Leigh B, Milgrom J (2008) Risk factors for antenatal depression, postnatal depression and parenting stress. BMC Psychiatry 8: 24-35. doi: 10.1186/1471-244X-8-24
    [20] Westdahl C, Milan S, Magriples U, et al. (2007) Social support and social conflict as predictors of prenatal depression. Obstet Gynecol 110: 134-140. doi: 10.1097/01.AOG.0000265352.61822.1b
    [21] Groffen DA, Koster A, Bosma H, et al. (2013) Unhealthy lifestyles do not mediate the relationship between socioeconomic status and incident depressive symptoms: The Health ABC study. Am J Geriatr Psychiatry 21: 664-674. doi: 10.1016/j.jagp.2013.01.004
    [22] Lorant V, Deliege D, Eaton W, et al. (2003) Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol 157: 98-112. doi: 10.1093/aje/kwf182
    [23] Huurre T, Eerola M, Rahkonen O, et al. (2007) Does social support affect the relationship between socioeconomic status and depression? A longitudinal study from adolescence to adulthood. J Affect Disord 100: 55-64.
    [24] McLeroy KR, Bibeau D, Steckler A, et al. (1988) An ecological perspective on health promotion programs. Health Educ Q, Winter 15: 351-77. doi: 10.1177/109019818801500401
    [25] Diez-Roux AV, Mair C (2010) Neighborhoods and health. Ann N Y Acad Sci 1186: 125-145. doi: 10.1111/j.1749-6632.2009.05333.x
    [26] Truong KD, Ma S (2006) A systemic review of relations between neighborhoods and mental health. J Ment Health Policy Econ 9: 137-154.
    [27] Mair C, Diez-Roux AV, Galea S (2008) Are neighbourhood characteristics associated with depressive symptons? A review of evidence. J Epidemiol Community Health 62, 940-946.
    [28] Kim D (2008) Blues from the neighborhood? Neighborhood characteristics and depression. Epidemiol Rev 30, 101-117.
    [29] Messer LC, Maxson P, Miranda ML (2012) The urban built environment and associations with women's psychosocial health. J Urban Health 90, 857-871.
    [30] Giurgescu C, Misra DP, Sealy-Jefferson S, 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
    [31] Gutman LM, Sameroff AJ (2004). Continuities in depression from adolescence to young adulthood: contrasting ecological influences. Dev Psychopathol 16: 967-984.
    [32] Gary TL, Stark SA, LaVeist TA (2007). Neighborhood characteristics and mental health among African American and Whites living in a racially integrated urban community. Health Place 13: 569-575.
    [33] Weich S, Twigg L, Holt G, et al. (2003) Contextual risk factors for the common mental disorders in Britain: a multilevel investigation of the effects of place. J Epidemiol Community Health 57: 616-621. doi: 10.1136/jech.57.8.616
    [34] Margerison-Zilko C, Cubbin C, Jun J, et al. (2015) Beyond the cross-sectional: neighborhood poverty histories and preterm birth. Am J Public Health, 1174-1180.
    [35] Tatian PA (2003) Neighborhood Change Database (NCDB) 1970-2000 Tract data: data user's guide long form release. Washington, DC: Urban Institute.
    [36] Andruff H, Carraro N, Thompson A, et al. (2009) Latent class growth modelling: a tutorial. Tutor Quant Methods Psychol 5: 11-24.
    [37] Nagin DS, Tremblay RE (2001) Analyzing developmental trajectories of distinct but related behaviors: A group-based method. Psychol Methods 6: 18-34. doi: 10.1037/1082-989X.6.1.18
    [38] Hudson DL, Neighbors HW, Geronimus AT, et al. (2012) The relationship between socioeconomic position and depression among a US nationally representative sample of African Americans. Soc Psychiatry Psychiatr Epidemiol 47: 373-381. doi: 10.1007/s00127-011-0348-x
    [39] Nuru-Jeter A, Dominguez TP, Hammond WP, et al. (2009) “It's the skin you're in”: African-American women talk about their experiences of racism. An exploratory study to develop measures of racism for birth outcome studies. Matern Child Health J 13: 29-39.
    [40] Cole ER, Omari SR (2003) Race, class and the dilemmas of upward mobility for African Americans. J Soc Issues 59: 785-802. doi: 10.1046/j.0022-4537.2003.00090.x
    [41] Smedley BD (2012) The lived experience of race and its health consequences. Am J Public Health 102: 933-935. doi: 10.2105/AJPH.2011.300643
    [42] Dailey AB, Kasl SV, Holford TR, et al. (2010) Neighborhood- and individual-level socioeconomic variation in perceptions of racial discrimination. Ethn Health 15: 145-163. doi: 10.1080/13557851003592561
    [43] Braveman PA, Heck K, Egerter S, et al. (2015) The role of socioeconomic factors in black-white disparities in preterm birth. Am J Public Health 105: 694-702. doi: 10.2105/AJPH.2014.302008
    [44] Jackson FM, Phillips MT, Hogue CJ, et al. (2001) Examining the burdens of gendered racism: implications for pregnancy outcomes among college-educated African American women. Matern Child Health J 5: 95-107. doi: 10.1023/A:1011349115711
    [45] Collins JW, Rankin KM, David RJ (2011) African American women's lifetime upward economic mobility and preterm birth: the effect of fetal programming. Am J Public Health 101: 714-719. doi: 10.2105/AJPH.2010.195024
    [46] Mustillo S, Krieger N, Gunderson EP, et al. (2004) Self-reported experiences of racial discrimination and black-white differences in preterm and low-birthweight deliveries: The CARDIA Study. Am J Public Health 94: 2125-2131. doi: 10.2105/AJPH.94.12.2125
    [47] Kramer MR, Cooper HL, Drews-Botsch CD, et al. (2010) Metropolitan isolation segregation and black-white disparities in very preterm birth: a test of mediating pathways and variance explained. Soc Sci Med 71: 2108-2116. doi: 10.1016/j.socscimed.2010.09.011
    [48] Kramer MR, Hogue CR (2008) Place matters: variation in the black/white very preterm birth rate across U.S. metropolitan areas, 2002-2004. Public Health Rep 123: 576-585.
    [49] Margerison-Zilko C, Cubbin C, Jun J, et al. (in press) Post-partum residential mobility among a statewide representative sample of California women, 2003-2007. In press, Matern Child Health J.
    [50] Reeves WC, Strine TW, Pratt LA, et al. (2011) Mental illness surveillance among adults in the United States. MMWR 60: 1-32.
    [51] Robbins CL, Zapata LB, Farr SL, et al. (2014) Core state preconception health indicators - Pregnancy Risk Assessment Monitoring System and Behavioral Risk Factor Surveillance System, 2009. MMWR 63:1-62.
    [52] Zahnd E, Wyn R (2012) Over one million adult women in california report serious psychological distress during the past year. Oakland, CA: Public Health Institute.
    [53] Kessler RC, Berglund P, Demler O, et al. (2003) The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA 18: 3095-3105.
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