Postpartum Depression Much More Likely In African-American And Occasional-Earnings Women


Research through the College of Iowa printed within the journal Social

Psychiatry and Psychological Epidemiology reports that

low-earnings women in Iowa are more likely to be affected by postpartum

depression than wealthier women.

College of Iowa psychiatrist Lisa Segre and colleagues studied 4,332

new moms from four Iowa counties. They collected

sociodemographic data and also the participants completed the Inventory to

Identify Depression within the late 1990s. The moms had given birth an

average of four.6 several weeks prior to the survey.

Primary findings include:

40 % of Iowa moms having a household earnings less

than $20,000 endured from clinically significant postpartum


13 % of recent moms having a household earnings of $80,000

or even more were clinically depressed.

Segre highlights that, “40 % of Iowa’s cheapest-earnings moms

are facing the double burden to be depressed and being poor.”

“Ladies who are poor curently have lots of stress, varying from poor

living conditions to concerns about having to pay the debts. The birth of the

infant can represent additional financial and emotional stress, and

depression negatively impacts the girl ability to deal with these

already difficult conditions.”

Segre and colleagues also studied the hyperlink between publish-natal

depression and race among Iowans. She discovered that when compared with white-colored

moms, African-American moms are more inclined to experience

depression after getting an infant. However, Latina moms aren’t as

prone to experience depressed moods.

For that study race, researchers used data in the Iowa Barriers to

Prenatal Care Project Survey, which moms take while they’re within the

maternity wards of hospitals in Iowa. Moms are requested when they felt

sad or miserable throughout the prior two days. In 2001-02, 26,877

British-speaking moms completed laptop computer, and also the outcome was

printed within the Journal of Reproductive and Infant Psychology.

Segre writes: “Other research signifies that strong support can

function as a buffer against postpartum depression, which poor social

support is really a major predictor of postpartum depression. Past studies

also have proven that Latina moms generally have more support,

while African-American women generally have less strong support systems.” The

author believes that racial variations within the rate of publish-natal

depressed moods may be because of these ethnic variations in social


The outcomes of each of Segre’s studies claim that low-earnings and

African-American ladies have an elevated chance of publish-natal depression,

early identification programs are essential. Segre and co-author Michael

O’Hara, a co-author from the studies beginning try to help moms

struggling with postpartum depression.

Segre and colleagues think that screening for postpartum depression

is really a initial step. They’ve became a member of with Healthy Begin in Plusieurs Moines – a

program funded by the us government that educates and supports

families in communities in which the infant mortality rates are over the

national average. Healthy Start is made to educate caseworkers and

nurses to supply depression screenings for brand new moms. In 2 years,

Segre and O’Hara have trained 31 social workers to screen new moms

for depression who trained other people in their own individual agencies.

Segre and O’Hara will also be dealing with Healthy Begin to implement and

evaluate an intervention for depressed moms known as “listening

visits.” Mildly to moderately depressed moms are supplied an

chance to speak to an experienced caseworker or nurse. The program is

like the “health visitors” enter in the Uk. Moms

can work collaboratively having a professional whom they previously

know and trust. This eliminates barriers to mental health treatment

like cost, waiting lists, stigma or insufficient providers.

“A listening customer isn’t a trained psychiatrist, but may just

getting someone take time to sit lower and have a keen curiosity about

what’s happening together with your existence is sufficient,Inch Segre comments. “I am not

saying the listening visits would be the cure-all, however for mild to moderate

depression, they are an excellent start. As well as if women require more treatment

past the listening visits, our hope would be that the listening visits will

function as an ice-breaker, helping women feel at ease with the

concept of mental health treatment.”

The prevalence of postpartum depression: The relative

value of three social status indices

Lisa S. Segre, Michael W. O’Hara, Stephan Arndt, and Scott


Social Psychiatry and Psychological Epidemiology. (2007).

Vol. 42, No. 4: pp. 316-321.


For Abstract

Race/ethnicity and perinatal depressed mood


S. Segre, Michael W. O’Hara, Mary E. Losch

Journal of Reproductive and Infant Psychology.

(2006). Vol. 24, No. 2. pp. 99 – 106.


For Abstract