Full Citation
Title: Postnatal depression (PND) and neighborhood effects for women enrolled in a home visitation program
Citation Type: Dissertation/Thesis
Publication Year: 2016
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Abstract: Postnatal depression (PND) impacts an estimated 13% of women of childbearing age. PND impacts the mother’s offspring evidenced by increased risk of developmental delays, alcohol dependence, anxiety, and depression. Many investigators have examined the individual risk factors associated with PND but only a few studies outside of the U.S. have delved into the maternal neighborhood characteristics for PND. The aim of this study was to investigate the association between postnatal depression potential and structural neighborhood characteristics among at-risk women in a home visitation program in Hamilton County, Ohio. The archival data sources - eECS (individual level) and U.S. 2010 census tract (neighborhood level) were utilized for this study. The sample included 295 mothers enrolled in a home visitation program between 2006 and 2011 who were at risk for developing PND, observed as three-month Edinburgh Postnatal Depression Scale (EPDS) scores ≥ 10. After a principal component analysis of the structural characteristics, two components were maintained: Social Disadvantage and Stability. These two components were the neighborhood predicators analyzed in a generalized estimating equation (GEE) method using clustered standard errors. Stability was negatively associated with PND potential. Social Disadvantage was not found to be statistically significantly associated with PND potential. The findings suggest that women in home visitation programs who have high EPDS scores and live in unstable neighborhoods are at special risk of developing PND. This finding is significant in that it is possible for the counseling profession to intervene with at-risk women not only at the individual level, through differing therapeutic approaches (individual to group), but also at the neighborhood level (e.g., advocating for policy to increase stability).
Url: https://etd.ohiolink.edu/pg_10?0::NO:10:P10_ACCESSION_NUM:ucin1459438588
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Authors: Jones, David
Institution: University of Cincinnati
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Data Collections: IPUMS NHGIS
Topics: Health, Housing and Segregation, Other
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