Risk for Maternal Depressive Symptoms and Perceived Stress by Ethnicities in Canada: From Pregnancy Through the Preschool Years
Objective: Past cross-sectional studies have reported that mothers from ethnic minorities experience higher levels of prenatal and post-partum psychosocial distress compared with mothers from ethnic majorities. However, no studies have examined how the pattern varies longitudinally in a Canadian pop...
Published in: | The Canadian Journal of Psychiatry |
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Online Access: | http://dx.doi.org/10.1177/0706743718792190 http://journals.sagepub.com/doi/pdf/10.1177/0706743718792190 http://journals.sagepub.com/doi/full-xml/10.1177/0706743718792190 |
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crsagepubl:10.1177/0706743718792190 2024-09-09T19:40:23+00:00 Risk for Maternal Depressive Symptoms and Perceived Stress by Ethnicities in Canada: From Pregnancy Through the Preschool Years Dharma, Christoffer Lefebvre, Diana L. Lu, Zihang Lou, Wendy Y. W. Becker, Allan B. Mandhane, Piush J. Turvey, Stuart E. Moraes, Theo J. Azad, Meghan B. Chen, Edith Elliott, Susan J. Kozyrskyj, Anita L. Sears, Malcolm R. Subbarao, Padmaja Canadian Institutes of Health Research 2018 http://dx.doi.org/10.1177/0706743718792190 http://journals.sagepub.com/doi/pdf/10.1177/0706743718792190 http://journals.sagepub.com/doi/full-xml/10.1177/0706743718792190 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license The Canadian Journal of Psychiatry volume 64, issue 3, page 190-198 ISSN 0706-7437 1497-0015 journal-article 2018 crsagepubl https://doi.org/10.1177/0706743718792190 2024-07-08T04:30:12Z Objective: Past cross-sectional studies have reported that mothers from ethnic minorities experience higher levels of prenatal and post-partum psychosocial distress compared with mothers from ethnic majorities. However, no studies have examined how the pattern varies longitudinally in a Canadian population of heterogeneous ethnicity. Methods: We analyzed data from 3,138 mothers participating in the Canadian Healthy Infant Longitudinal Development (CHILD) Study, a longitudinal multi-center study incorporating 10 distinct waves of psychosocial data collection from pregnancy until the index child was aged 5 y. Maternal self-identified ethnicity was grouped as White Caucasian, First Nations, Black, Southeast Asian, East Asian, South Asian, Middle Eastern, Hispanic and mixed ethnicity. We performed a multi-level regression to determine whether mothers of specific minority ethnicities were more likely to experience higher levels of distress (i.e. depressive symptoms and perceived stress) compared to white Caucasian mothers. Results: Mothers self-identifying as Black or First Nations had consistently higher distress scores than mothers from other ethnicities across all data collection times. After adjusting for relevant variables (history of depression, education, household income, marital status, and social support), First Nations mothers had a 20% increase in the mean scores of depressive symptoms compared to White Caucasian Mothers. Conclusions: Increased levels of perinatal and post-partum distress were seen in only some ethnic minority groups. Studies should avoid collapsing all categories into ethnic minority or majority and may need to consider how ethnicity interacts with other sociodemographic factors such as poverty. Article in Journal/Newspaper First Nations SAGE Publications Canada The Canadian Journal of Psychiatry 64 3 190 198 |
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English |
description |
Objective: Past cross-sectional studies have reported that mothers from ethnic minorities experience higher levels of prenatal and post-partum psychosocial distress compared with mothers from ethnic majorities. However, no studies have examined how the pattern varies longitudinally in a Canadian population of heterogeneous ethnicity. Methods: We analyzed data from 3,138 mothers participating in the Canadian Healthy Infant Longitudinal Development (CHILD) Study, a longitudinal multi-center study incorporating 10 distinct waves of psychosocial data collection from pregnancy until the index child was aged 5 y. Maternal self-identified ethnicity was grouped as White Caucasian, First Nations, Black, Southeast Asian, East Asian, South Asian, Middle Eastern, Hispanic and mixed ethnicity. We performed a multi-level regression to determine whether mothers of specific minority ethnicities were more likely to experience higher levels of distress (i.e. depressive symptoms and perceived stress) compared to white Caucasian mothers. Results: Mothers self-identifying as Black or First Nations had consistently higher distress scores than mothers from other ethnicities across all data collection times. After adjusting for relevant variables (history of depression, education, household income, marital status, and social support), First Nations mothers had a 20% increase in the mean scores of depressive symptoms compared to White Caucasian Mothers. Conclusions: Increased levels of perinatal and post-partum distress were seen in only some ethnic minority groups. Studies should avoid collapsing all categories into ethnic minority or majority and may need to consider how ethnicity interacts with other sociodemographic factors such as poverty. |
author2 |
Canadian Institutes of Health Research |
format |
Article in Journal/Newspaper |
author |
Dharma, Christoffer Lefebvre, Diana L. Lu, Zihang Lou, Wendy Y. W. Becker, Allan B. Mandhane, Piush J. Turvey, Stuart E. Moraes, Theo J. Azad, Meghan B. Chen, Edith Elliott, Susan J. Kozyrskyj, Anita L. Sears, Malcolm R. Subbarao, Padmaja |
spellingShingle |
Dharma, Christoffer Lefebvre, Diana L. Lu, Zihang Lou, Wendy Y. W. Becker, Allan B. Mandhane, Piush J. Turvey, Stuart E. Moraes, Theo J. Azad, Meghan B. Chen, Edith Elliott, Susan J. Kozyrskyj, Anita L. Sears, Malcolm R. Subbarao, Padmaja Risk for Maternal Depressive Symptoms and Perceived Stress by Ethnicities in Canada: From Pregnancy Through the Preschool Years |
author_facet |
Dharma, Christoffer Lefebvre, Diana L. Lu, Zihang Lou, Wendy Y. W. Becker, Allan B. Mandhane, Piush J. Turvey, Stuart E. Moraes, Theo J. Azad, Meghan B. Chen, Edith Elliott, Susan J. Kozyrskyj, Anita L. Sears, Malcolm R. Subbarao, Padmaja |
author_sort |
Dharma, Christoffer |
title |
Risk for Maternal Depressive Symptoms and Perceived Stress by Ethnicities in Canada: From Pregnancy Through the Preschool Years |
title_short |
Risk for Maternal Depressive Symptoms and Perceived Stress by Ethnicities in Canada: From Pregnancy Through the Preschool Years |
title_full |
Risk for Maternal Depressive Symptoms and Perceived Stress by Ethnicities in Canada: From Pregnancy Through the Preschool Years |
title_fullStr |
Risk for Maternal Depressive Symptoms and Perceived Stress by Ethnicities in Canada: From Pregnancy Through the Preschool Years |
title_full_unstemmed |
Risk for Maternal Depressive Symptoms and Perceived Stress by Ethnicities in Canada: From Pregnancy Through the Preschool Years |
title_sort |
risk for maternal depressive symptoms and perceived stress by ethnicities in canada: from pregnancy through the preschool years |
publisher |
SAGE Publications |
publishDate |
2018 |
url |
http://dx.doi.org/10.1177/0706743718792190 http://journals.sagepub.com/doi/pdf/10.1177/0706743718792190 http://journals.sagepub.com/doi/full-xml/10.1177/0706743718792190 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
The Canadian Journal of Psychiatry volume 64, issue 3, page 190-198 ISSN 0706-7437 1497-0015 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/0706743718792190 |
container_title |
The Canadian Journal of Psychiatry |
container_volume |
64 |
container_issue |
3 |
container_start_page |
190 |
op_container_end_page |
198 |
_version_ |
1809909702618775552 |