Cited by 33Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareInfant Development and Preterm Care

Prepregnancy Depressive Symptoms and Preterm Birth in the Black Women's Health Study

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Phillips, Ghasi S., Wise, Lauren A., Rich-Edwards, Janet W., Stampfer, Meir J., Rosenberg, Lynn·2010·Annals of Epidemiology

Abstract

PURPOSE To examine the association between prepregnancy depressive symptoms and preterm birth. METHODS The present study is a prospective investigation of prepregnancy depressive symptoms—measured by the Center for Epidemiologic Studies Depression Scale (CES-D)—and risk of preterm birth reported in the Black Women’s Health Study. With data on 2,627 singleton births (175 spontaneous and 163 medically-indicated preterm births and 2,289 term births), we used generalized estimating equation models to estimate odds ratios (ORs) and 95% confidence intervals (CIs) adjusted for potential confounders. RESULTS Relative to mothers with CES-D scores <16, the multivariable ORs of spontaneous preterm birth for mothers with CES-D scores of 16-22, 23-32, and ≥33 were 1.17 (95% CI=0.78-1.80), 1.20 (95% CI=0.69-2.10), and 2.00 (95% CI=0.94-4.25), respectively (P-trend=0.09). There was little evidence of an association between prepregnancy depressive symptoms and medically-indicated preterm birth. CONCLUSIONS Our data provide some evidence of an increased risk of spontaneous preterm birth among women with high prepregnancy depressive symptoms.

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  • Many studies demonstrate an association between stress or depression and preterm birth, while others suggest racial disparity is an underlying factor.

    “Although many studies demonstrate an association [10-15] others suggest that racial disparity [14,16,17] is an underlying factor.”

    From The association between parity, infant gender, higher level of paternal education and preterm birth in Pakistan: a cohort study (2011) · cites this paper as [10]

    The Introduction reports that preterm birth is more common among Black women than White women, and the Discussion describes suggestive evidence linking prepregnancy depressive symptoms to spontaneous preterm birth. But the paper does not establish racial disparity as an underlying factor in that association; instead, it calls for research on whether maternal depression contributes to the disparity. (LLM, conf=0.86)

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References 58 · Cited by 33

Research works printed but not linked: 1

  1. [29]Mohllajee AP The relation of pre-pregnancy depression with corticotropin-releasing hormone levels during pregnancy Presented at Presented at the Society for Pediatric and Perinatal Epidemiologic Research Conference Boston, Massachusetts June 2007

Authors
Phillips, G. S., Wise, L. A., Rich-Edwards, J. W., Stampfer, M. J., & Rosenberg, L.
Affiliations
  • Harvard University (US)
  • Boston University (US)
  • Brigham and Women's Hospital (US)
Corresponding author
Rosenberg, Lynn
Venue
Annals of Epidemiology
Publisher
Elsevier BV
Published
2010-01
Volume
20
Issue
1
Pages
8-15
ISSN
1047-2797 (ISSN-L)
OpenAlex
W1971237314
Cited by
33
References
58
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 2 · 2012: 4
FWCI
2.98
Type
journal article
Language
en
Open access
Locations
  • Annals of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders
  • Centers for Disease Control and Prevention
  • U.S. Public Health Service (S324-16/18)
  • National Cancer Institute (CA 58420, R01CA058420)
  • Agency for Toxic Substances and Disease Registry
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
preterm birth, spontaneous preterm birth, medically indicated preterm birth, Black women, maternal mental health, Black Women's Health Study, CES-D depression scale
MeSH terms
Adult, Black or African American, Depression, Female, Humans, Pregnancy, Prospective Studies, Surveys and Questionnaires, United States, Odds Ratio, Premature Birth

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