Partner support during pregnancy mediates social inequalities in maternal postpartum depression for non-migrant and first generation migrant women
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ID: 282664
2020
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Abstract
Background An advantaged socioeconomic position (SEP) and satisfying social
support during pregnancy (SSP) have been found to be protective factors of
maternal postpartum depression (PDD). An advantaged SEP is also associated with
satisfying SSP, making SSP a potential mediator of social inequalities in PPD.
SEP, SSP and PPD are associated with migrant status. The aim of this study was
to quantify the mediating role of SSP in social inequalities in PPD regarding
mother's migrant status. Methods A sub-sample of 15,000 mothers from the French
nationally-representative ELFE cohort study was used for the present analyses.
SEP was constructed as a latent variable measured with educational attainment,
occupational grade, employment, financial difficulties and household income.
SSP was characterized as perceived support from partner (good relation,
satisfying support and paternal leave) and actual support from midwives
(psychosocial risk factors assessment and antenatal education). Mediation
analyses with multiple mediators, stratified by migrant status were conducted.
Results Study population included 76% of non-migrant women, 12% of second and
12% of first generation migrant. SEP was positively associated with support
from partner, regardless of migrant status. Satisfying partner support was
associated with a 8 (non-migrant women) to 11% (first generation migrant women)
reduction in PPD score. Limitations History of depression was not
reported.Conclusions Partner support could reduce social inequalities in PPD.
This work supports the need of interventions, longitudinal and qualitative
studies including fathers and adapted to women at risk of PPD to better
understand the role of SSP in social inequalities in PPD. Keywords social
support, postpartum depression, epidemiology, social inequalities, pregnancy,
mediation analysis
| Reference Key |
waerden2020partner
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| Authors | Aurelie Nakamura; Fabienne El-Khoury; Anne-Laure Sutter-Dallay; Jeanna-Eve Franck; Xavier Thierry; Maria Melchior; Judith van der Waerden |
| Journal | arXiv |
| Year | 2020 |
| DOI |
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