Hung-Hui Chen1, Fang-Ming Hwang2, Li-Ju Lin3, Kuo-Chiang Han4, Chen-Li Lin5, Li-Yin Chien6. 1. Institute of Public Health, School of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address: loski0917@hotmail.com. 2. Department of Education, National Chiayi University, Chiayi, Taiwan. Electronic address: fmh@mail.ncyu.edu.tw. 3. Health Promotion Administration, Ministry of Health and Social Welfare, Taipei, Taiwan. Electronic address: lilian@hpa.gov.tw. 4. Taipei City Zhongshan District Health Center, Taipei, Taiwan. Electronic address: han@health.gov.tw. 5. Department of Obstetrics and Gynecology, Taipei City Hospital Heping Fuyou Branch, Taipei, Taiwan. Electronic address: dae34@tpech.gov.tw. 6. Institute of Community Health Care, National Yang-Ming University, Taipei, Taiwan. Electronic address: lychien@ym.edu.tw.
Abstract
OBJECTIVES: This panel study examined the trajectories of depression and social support during the first year postpartum among marriage-based immigrant mothers in Taiwan, and the effect of social support on depression. METHODS: This panel study recruited South-Asia immigrant mothers (mean age: 27years) to complete structured questionnaire at 1month, 6month, and 1year postpartum. A total of 203 immigrant mothers completed structured questionnaires at 1 and 6months, and 163 completed the questionnaires at 1year postpartum. Postpartum depression was measured using the Edinburgh Postpartum Depression Scale. Social support was composed of 3 subscales, emotional, instrumental, and informational support. Hierarchical linear modeling was used to examine the relationships between trajectories and factors associated with depression. RESULTS: Depression and instrumental support followed downward curvilinear trajectories, while emotional and informational support followed upward curvilinear trajectories. Depression was highest at 1month, decreased sharply until 6months, and then leveled off between 6 and 12months. Emotional and instrumental support negatively covaried with postpartum depression over time. When the three-dimensional supports were considered together, only emotional support retained its significance. CONCLUSIONS: Our results demonstrated that depression was highest at 1month, then decreased, and then leveled off during 1year postpartum, though further study may be needed to confirm the trajectory. The 3 types of social support differed in postpartum trajectory, suggesting the needs to consider them separately in future studies. To decrease postpartum depression among immigrant mothers, strategies should be developed to increase emotional and instrumental support during postpartum period.
OBJECTIVES: This panel study examined the trajectories of depression and social support during the first year postpartum among marriage-based immigrant mothers in Taiwan, and the effect of social support on depression. METHODS: This panel study recruited South-Asia immigrant mothers (mean age: 27years) to complete structured questionnaire at 1month, 6month, and 1year postpartum. A total of 203 immigrant mothers completed structured questionnaires at 1 and 6months, and 163 completed the questionnaires at 1year postpartum. Postpartum depression was measured using the Edinburgh Postpartum Depression Scale. Social support was composed of 3 subscales, emotional, instrumental, and informational support. Hierarchical linear modeling was used to examine the relationships between trajectories and factors associated with depression. RESULTS:Depression and instrumental support followed downward curvilinear trajectories, while emotional and informational support followed upward curvilinear trajectories. Depression was highest at 1month, decreased sharply until 6months, and then leveled off between 6 and 12months. Emotional and instrumental support negatively covaried with postpartum depression over time. When the three-dimensional supports were considered together, only emotional support retained its significance. CONCLUSIONS: Our results demonstrated that depression was highest at 1month, then decreased, and then leveled off during 1year postpartum, though further study may be needed to confirm the trajectory. The 3 types of social support differed in postpartum trajectory, suggesting the needs to consider them separately in future studies. To decrease postpartum depression among immigrant mothers, strategies should be developed to increase emotional and instrumental support during postpartum period.
Authors: Ashley Hagaman; Katherine LeMasters; Paul N Zivich; Siham Sikander; Lisa M Bates; Sonia Bhalotra; Esther O Chung; Ahmed Zaidi; Joanna Maselko Journal: J Epidemiol Community Health Date: 2021-03-12 Impact factor: 3.710
Authors: Ashley Hagaman; John A Gallis; Sonia Bhalotra; Victoria Baranov; Elizabeth L Turner; Siham Sikander; Joanna Maselko Journal: PLoS One Date: 2019-11-19 Impact factor: 3.240