Journal article
Depressive symptoms in disadvantaged women receiving prenatal care: The influence of adverse and positive childhood experiences
Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association, v 8(2)
01 Mar 2008
PMID: 18355740
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective.-To determine the association between adverse childhood experiences (ACEs), positive influences in childhood (PICs), and depressive symptoms among low-income pregnant women.
Methods.-Face-to-face survey of women receiving prenatal care at Philadelphia community health centers. We conducted surveys at the first prenatal care visit and at a mean age standard deviation of 11 +/- 1 months postpartum, and obtained information on sociodemographic characteristics and childhood experiences before age 16. Group differences were tested with respect to a cut-point of 23 on the Center for Epiderniologic Studies-Depression scale (CES-D), with the chi(2) test used for categorical variables and the Student's t test used for continuous variables. Logistic regression analyses were conducted to adjust for potential confounding variables.
Results.-The sample consisted of 1476 mostly young, African American, low-income women. The majority (70% and 90%, respectively) of women reported at least one ACE and one PIC. For each ACE, affected women were more likely to have depressive symptoms than their counterparts. There was a dose-response effect in that a higher number of ACEs was associated with a higher likelihood of having depressive symptoms. PICs, on the other hand, were associated with a lower likelihood of having depressive symptoms.
Conclusions.-Among low-income women, ACEs were associated with a higher likelihood of having depressive symptoms in a dose-response fashion, and PICs were associated with a lower risk. Efforts to prevent ACEs and to promote PICs might help reduce the risk of depressive symptoms and their associated problems in adulthood.
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Details
- Title
- Depressive symptoms in disadvantaged women receiving prenatal care: The influence of adverse and positive childhood experiences
- Creators
- Esther K. Chung - Alfred I. duPont Hospital for ChildrenLeny Mathew - Drexel UniversityIrma T. Elo - University of PennsylvaniaJames C. Coyne - University of PennsylvaniaJennifer F. Culhane - Drexel University
- Publication Details
- Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association, v 8(2)
- Publisher
- Elsevier
- Number of pages
- 8
- Grant note
- TS-286-14/14 / ATSDR CDC HHS R01HD036462 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) 1-R01-HD36462-01A1 / NICHD NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000254455000010
- Scopus ID
- 2-s2.0-40849150923
- Other Identifier
- 991019339572404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics