Natalie D Hernandez1, Sherilyn Francis2, Morgan Allen3, Erica Bellamy3, Omar T Sims4, Hyejung Oh5, Dominique Guillaume6, Andrea Parker7, Rasheeta Chandler8. 1. Department of Community Health and Preventive Medicine, Center for Maternal Health Equity, Morehouse School of Medicine, 720 Westview Drive SW, 30310, Atlanta, GA, USA. nhernandez@msm.edu. 2. Cardiovascular Research Institute, Morehouse School of Medicine, 720 Westview Drive SW, 30310, Atlanta, GA, USA. 3. Department of Community Health and Preventive Medicine, Center for Maternal Health Equity, Morehouse School of Medicine, 720 Westview Drive SW, 30310, Atlanta, GA, USA. 4. Department of Social Work, College of Arts and Sciences, Department of Health Behavior, School of Public Health Center for AIDS Research, School of Medicine Integrative Center for Aging Research, School of Medicine African American Studies, College of Arts and Sciences, University of Alabama at Birmingham, 3137 University Hall, 1720 2nd AVE S, 35294, Birmingham, AL, USA. 5. Department of Social Work, School of Social Sciences & Education, California State University, Bakersfield, CA, USA. 6. Department of Community-Public Health, Johns Hopkins School of Nursing, 525 N. Wolfe Street, Suite 430, 21205, Baltimore, MD, USA. 7. School of Interactive Computing, College of Computing, Georgia Tech, Tech Square Research Building, 85 Fifth Street NW, 30308, Atlanta, GA, USA. 8. Nell Hodgson School of Nursing, Emory University, 1520 Clifton Rd., NE, 30322, Atlanta, GA, USA.
Abstract
OBJECTIVES: Data are scarce regarding the prevalence and predictors of perinatal mood and anxiety disorders (PMADs) among Black women. The purpose of this study was to examine the prevalence and predictors of symptoms of PMADS among Black women. METHODS: Black women completed a paper survey between August 2019 and October 2019. Binomial logistic regression was employed to examine predictors of PMAD symptoms. RESULTS: The prevalence of symptoms of PMADs was 56%. A higher proportion of women with PMADs had experienced depression (16% vs. 32%, p = 0.006); physical (18% vs. 31%, p = 0.030), emotional (35% vs. 61%, p = 0.000), or sexual abuse (12% vs. 29%, p = 0.002); and symptoms of depression or anxiety before pregnancy (18% vs. 46%, p = 0.000). After adjusting for socio-demographics in multivariate analysis, experiencing symptoms of depression or anxiety before pregnancy (adjusted odds ratio [aOR] = 3.445, p = 0.001) was positively associated with experiencing symptoms of PMADs, whereas higher levels of self-esteem (aOR = 0.837, p = 0.000) were negatively associated with experiencing symptoms of perinatal mood and anxiety disorders. CONCLUSIONS FOR PRACTICE: The prevalence of PMAD symptoms among this sample of Black women was alarmingly high. Women who experienced PMADs were more likely to report adverse childhood experiences (e.g., physical, emotional, and/or sexual abuse). By understanding the prevalence of PMADs and the factors associated with these disorders, healthcare professionals can improve diagnosis and treatment rates among this understudied and underserved population.
OBJECTIVES: Data are scarce regarding the prevalence and predictors of perinatal mood and anxiety disorders (PMADs) among Black women. The purpose of this study was to examine the prevalence and predictors of symptoms of PMADS among Black women. METHODS: Black women completed a paper survey between August 2019 and October 2019. Binomial logistic regression was employed to examine predictors of PMAD symptoms. RESULTS: The prevalence of symptoms of PMADs was 56%. A higher proportion of women with PMADs had experienced depression (16% vs. 32%, p = 0.006); physical (18% vs. 31%, p = 0.030), emotional (35% vs. 61%, p = 0.000), or sexual abuse (12% vs. 29%, p = 0.002); and symptoms of depression or anxiety before pregnancy (18% vs. 46%, p = 0.000). After adjusting for socio-demographics in multivariate analysis, experiencing symptoms of depression or anxiety before pregnancy (adjusted odds ratio [aOR] = 3.445, p = 0.001) was positively associated with experiencing symptoms of PMADs, whereas higher levels of self-esteem (aOR = 0.837, p = 0.000) were negatively associated with experiencing symptoms of perinatal mood and anxiety disorders. CONCLUSIONS FOR PRACTICE: The prevalence of PMAD symptoms among this sample of Black women was alarmingly high. Women who experienced PMADs were more likely to report adverse childhood experiences (e.g., physical, emotional, and/or sexual abuse). By understanding the prevalence of PMADs and the factors associated with these disorders, healthcare professionals can improve diagnosis and treatment rates among this understudied and underserved population.
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