Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey
Introduction: There is little research done on mental health among pregnant Aboriginal women. Therefore, the purpose of the study was to examine the prevalence of postpartum depression (PPD) and its determinants, including pre-existing depression among non-Aboriginal and Aboriginal women in Canada....
Published in: | Health Promotion and Chronic Disease Prevention in Canada |
---|---|
Main Authors: | , , , |
Format: | Article in Journal/Newspaper |
Language: | English French |
Published: |
Public Health Agency of Canada
2018
|
Subjects: | |
Online Access: | https://doi.org/10.24095/hpcdp.38.7/8.01 https://doaj.org/article/ace97e467d2043f1a83e6c70bbe83651 |
id |
ftdoajarticles:oai:doaj.org/article:ace97e467d2043f1a83e6c70bbe83651 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:ace97e467d2043f1a83e6c70bbe83651 2023-05-15T16:15:23+02:00 Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey Chantal Nelson Karen M. Lawford Victoria Otterman Elizabeth K. Darling 2018-01-01T00:00:00Z https://doi.org/10.24095/hpcdp.38.7/8.01 https://doaj.org/article/ace97e467d2043f1a83e6c70bbe83651 EN FR eng fre Public Health Agency of Canada https://doi.org/10.24095/hpcdp.38.7/8.01 https://doaj.org/toc/2368-738X 2368-738X doi:10.24095/hpcdp.38.7/8.01 https://doaj.org/article/ace97e467d2043f1a83e6c70bbe83651 Health Promotion and Chronic Disease Prevention in Canada, Vol 38, Iss 7/8, Pp 269-276 (2018) postpartum depression Aboriginal pregnant mental health Medicine (General) R5-920 article 2018 ftdoajarticles https://doi.org/10.24095/hpcdp.38.7/8.01 2022-12-31T13:42:23Z Introduction: There is little research done on mental health among pregnant Aboriginal women. Therefore, the purpose of the study was to examine the prevalence of postpartum depression (PPD) and its determinants, including pre-existing depression among non-Aboriginal and Aboriginal women in Canada. Methods: The Maternity Experiences Survey (MES) is a national survey of Canadianwomen’s experiences and practices before conception, up to the early months of parenthood. Predictors of PPD were calculated using the Mantel-Haenszel correction method relative to the risk estimates based on the odds ratio from adjusted regression analysis. The analysis was conducted among women who self-identified as Aboriginal (Inuit, Métis or First Nations living off-reserve) and those who identified as non-Aboriginal. Results: The prevalence of pre-existing depression was higher among self-reported First Nations off-reserve and Métis women than non-Aboriginal women. Inuit women had the lowest prevalence of self-reported pre-existing depression, and Aboriginal women reported a higher prevalence of PPD than non-Aboriginal women. Pre-existing depression was not a predictor for PPD for Inuit or Métis women in this study but was a positive predictor among First Nations off-reserve and non-Aboriginal women. A disproportionally higher number of Aboriginal women reported experiencing abuse, as compared to non-Aboriginal women. Conclusion: Our study demonstrated that common predictors of PPD including anxiety, experiencing stressful life events during pregnancy, having low levels of social support, and a previous history of depression were consistent among non-Aboriginal women. However, with the exception of the number of stressful events among First Nations offreserve, these were not associated with PPD among Aboriginal women. This information can be used to further increase awareness of mental health indicators among Aboriginal women. Article in Journal/Newspaper First Nations inuit Directory of Open Access Journals: DOAJ Articles Canada Health Promotion and Chronic Disease Prevention in Canada 38 7/8 269 276 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English French |
topic |
postpartum depression Aboriginal pregnant mental health Medicine (General) R5-920 |
spellingShingle |
postpartum depression Aboriginal pregnant mental health Medicine (General) R5-920 Chantal Nelson Karen M. Lawford Victoria Otterman Elizabeth K. Darling Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey |
topic_facet |
postpartum depression Aboriginal pregnant mental health Medicine (General) R5-920 |
description |
Introduction: There is little research done on mental health among pregnant Aboriginal women. Therefore, the purpose of the study was to examine the prevalence of postpartum depression (PPD) and its determinants, including pre-existing depression among non-Aboriginal and Aboriginal women in Canada. Methods: The Maternity Experiences Survey (MES) is a national survey of Canadianwomen’s experiences and practices before conception, up to the early months of parenthood. Predictors of PPD were calculated using the Mantel-Haenszel correction method relative to the risk estimates based on the odds ratio from adjusted regression analysis. The analysis was conducted among women who self-identified as Aboriginal (Inuit, Métis or First Nations living off-reserve) and those who identified as non-Aboriginal. Results: The prevalence of pre-existing depression was higher among self-reported First Nations off-reserve and Métis women than non-Aboriginal women. Inuit women had the lowest prevalence of self-reported pre-existing depression, and Aboriginal women reported a higher prevalence of PPD than non-Aboriginal women. Pre-existing depression was not a predictor for PPD for Inuit or Métis women in this study but was a positive predictor among First Nations off-reserve and non-Aboriginal women. A disproportionally higher number of Aboriginal women reported experiencing abuse, as compared to non-Aboriginal women. Conclusion: Our study demonstrated that common predictors of PPD including anxiety, experiencing stressful life events during pregnancy, having low levels of social support, and a previous history of depression were consistent among non-Aboriginal women. However, with the exception of the number of stressful events among First Nations offreserve, these were not associated with PPD among Aboriginal women. This information can be used to further increase awareness of mental health indicators among Aboriginal women. |
format |
Article in Journal/Newspaper |
author |
Chantal Nelson Karen M. Lawford Victoria Otterman Elizabeth K. Darling |
author_facet |
Chantal Nelson Karen M. Lawford Victoria Otterman Elizabeth K. Darling |
author_sort |
Chantal Nelson |
title |
Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey |
title_short |
Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey |
title_full |
Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey |
title_fullStr |
Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey |
title_full_unstemmed |
Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey |
title_sort |
mental health indicators among pregnant aboriginal women in canada: results from the maternity experiences survey |
publisher |
Public Health Agency of Canada |
publishDate |
2018 |
url |
https://doi.org/10.24095/hpcdp.38.7/8.01 https://doaj.org/article/ace97e467d2043f1a83e6c70bbe83651 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
Health Promotion and Chronic Disease Prevention in Canada, Vol 38, Iss 7/8, Pp 269-276 (2018) |
op_relation |
https://doi.org/10.24095/hpcdp.38.7/8.01 https://doaj.org/toc/2368-738X 2368-738X doi:10.24095/hpcdp.38.7/8.01 https://doaj.org/article/ace97e467d2043f1a83e6c70bbe83651 |
op_doi |
https://doi.org/10.24095/hpcdp.38.7/8.01 |
container_title |
Health Promotion and Chronic Disease Prevention in Canada |
container_volume |
38 |
container_issue |
7/8 |
container_start_page |
269 |
op_container_end_page |
276 |
_version_ |
1766001125485445120 |