Cited by 315Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareChild and Adolescent Psychosocial and Emotional Development

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Maternal Depressive Symptoms and Infant Health Practices Among Low-Income Women

Chung, Esther K., McCollum, Kelly F., Elo, Irma T., Lee, Helen J., Culhane, Jennifer F.·2004·Pediatrics

DOI 10.1542/peds.113.6.e523

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Abstract

Objectives. To determine the relationships between maternal depressive symptoms and the use of infant health services, parenting practices, and injury-prevention measures. Methods. A prospective, community-based survey of women attending Philadelphia public health centers between February 2000 and November 2001 was conducted. Women were surveyed at 3 time points before and after parturition. Depressive symptoms were determined with the Center for Epidemiologic Studies Depression Scale at each time point. We studied 6 outcomes, clustered into 3 categories: 1) infant health service use (adequate well-child care and ever being hospitalized); 2) parenting practices (breastfeeding for ≥1 month and use of corporal punishment); and 3) injury-prevention measures (having a smoke alarm and using the back sleep position). Results. The sample consisted of 774 largely single (74%), uninsured (63%), African American (65%) women, with a mean age of 24 ± 6 years and a mean annual income of $8063. Forty-eight percent of women had depressive symptoms at 1 or 2 time points (ever symptoms) and 12% had depressive symptoms at all points (persistent symptoms). Compared with women who never had depressive symptoms (without symptoms), women with persistent symptoms were nearly 3 times as likely to have their child ever hospitalized (adjusted odds ratio: 2.89; 95% confidence interval: 1.61–5.07) and twice as likely to use corporal punishment (adjusted odds ratio: 1.90; 95% confidence interval: 1.08–3.34). Mothers with persistent depressive symptoms were nearly three-quarters less likely to have smoke alarms in their homes (adjusted odds ratio: 0.28; 95% confidence interval: 0.11–0.70) and one-half as likely to use the back sleep position (adjusted odds ratio: 0.56; 95% confidence interval: 0.35–0.91), compared with women without symptoms. There was no association between maternal depressive symptoms and infant receipt of well-child care or the likelihood of breastfeeding for ≥1 month. Conclusions. Maternal depressive symptoms persisting from the prepartum to postpartum periods were associated with increased risks of infant hospitalization and use of corporal punishment and with lower likelihood of having a smoke alarm and using the back sleep position. Additional efforts are needed to identify and evaluate mothers with depressive symptoms to improve the health and safety of young infants.

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Authors: Chung, E. K., McCollum, K. F., Elo, I. T., Lee, H. J., & Culhane, J. F.
Affiliations: Thomas Jefferson University (US)
University of Pennsylvania (US)
ORCID: Chung, Esther K.
Elo, Irma T.
Culhane, Jennifer F.
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2004-06-01
Volume: 113
Issue: 6
Pages: e523-e529
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.113.6.e523
OpenAlex: W2108288032
Cited by: 315
References: 56
Citations by year: 2025: 1 · 2024: 9 · 2023: 11 · 2022: 10 · 2021: 20 · 2020: 19 · 2019: 18 · 2018: 17 · 2017: 10 · 2016: 13 · 2015: 19 · 2014: 24 · 2013: 18 · 2012: 11
FWCI: 14.11
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
Centers for Disease Control and Prevention (TS-286-14/14)
National Institute of Child Health and Human Development
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD036462, 1-R01-HD36462-01A1)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: maternal depressive symptoms, postpartum depression, low-income women, infant health services, infant hospitalization, corporal punishment, parenting practices, injury prevention, smoke detectors, infant sleep position, breastfeeding, well-child care, African American women, uninsured women, public health centers, child safety, maternal mental health screening, Philadelphia, United States
MeSH terms: Adult, Black or African American, Child Health Services, Depression, Female, Health Surveys, Humans, Infant, Infant Welfare, Mothers, Poverty, Preventive Health Services, Socioeconomic Factors, United States, Parenting, Black People

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Maternal Depressive Symptoms and Infant Health Practices Among Low-Income Women

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