scholarly journals The role of prenatal social support in social inequalities with regard to maternal postpartum depression according to migrant status

2020 ◽  
Vol 272 ◽  
pp. 465-473 ◽  
Author(s):  
Aurélie Nakamura ◽  
Fabienne El-Khoury Lesueur ◽  
Anne-Laure Sutter-Dallay ◽  
Jeanna-ève Franck ◽  
Xavier Thierry ◽  
...  
2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Nakamura ◽  
M Melchior ◽  
J van der Waerden

Abstract Introduction A disadvantaged socioeconomic position (SEP), as well as insufficient social support during pregnancy (SSP) increase the probability of subsequent postpartum depression (PPD). The aim of this study was to quantify the part of social inequalities in PPD due to insufficient SSP and in particular assess the impact relative to women’s migrant status. Methods The sample included 15,000 women from the nationally representative French ELFE birth cohort study. Depressive symptoms were assessed at two months postpartum by the EPDS. SEP was constructed as a latent factor explaining educational level, occupational grade, employment during pregnancy, household income and financial difficulties. SSP was characterized by informal support (partner perceived support, frequency of quarrels and paternal leave) and formal support (early prenatal psychosocial risk assessment and antenatal classes’ attendance). Causal mediation analyses between SEP, dimensions of SSP and PPD were conducted and stratified on migrant status (categorized as native French, first or second generation migrant or immigrant). Results A disadvantaged SEP and a lack of informal SSP during pregnancy were both associated with an increased risk for postpartum depressive symptoms and a disadvantaged SEP was positively associated with lack of SSP. In immigrant women, a larger proportion of social inequalities in PPD could be attributed to lack of SSP, in comparison to native French women (17.5% vs. 8.8%). Conclusions Both disadvantaged SEP and SSP are risk factors for PPD. We found evidence that disadvantaged women’s increased risk for PPD can partly be attributed to limited social support. Key messages PPD in disadvantaged groups, especially in migrant women, could possibly be prevented early in pregnancy by increasing support from partner and larger family. Access to social support health care systems directed towards pregnant women remains low for women with a disadvantaged SEP, especially in migrant women.


2016 ◽  
Vol 1 (1) ◽  
pp. 175-181
Author(s):  
Nancy Hall

Objective To survey speech-language pathologists (SLPs) regarding their involvement in treating infants whose mothers experience postpartum depression. Method SIG 1 members were invited to participate in an 8-question survey examining their involvement with infant-mother pairs, including mothers diagnosed with postpartum depression (PPD). Results Results indicate that, while some SLPs frequently work with infant-mother pairs, few have knowledge regarding the diagnosis of PPD in the mothers. Conclusions It is likely that many SLPs are working with infant-mother pairs that include mothers who are experiencing PPD. Suggestions regarding the role of the SLP are offered, including providing support for these mothers in terms of obtaining services and helping these mothers use appropriate infant-directed speech to facilitate communication and cognitive development in their infants.


2021 ◽  
pp. 174239532110650
Author(s):  
Amanda Nikolajew Rasmussen ◽  
Andrew Guise ◽  
Charlotte Overgaard

Objectives Ischemic heart disease (IHD) displays wide social inequalities that are often explained with reference to lifestyle factors. However, research indicates that social support may also play an important role in social inequality in IHD. This study aims to explore the role of social support in the experience of life with IHD for socially disadvantaged patients. Methods The study was conducted as a critical hermeneutic qualitative study in Denmark between October 2018 and August 2019. Data consist of in-depth qualitative interviews with 30 socially disadvantaged patients with IHD. Results The findings showed a notable difference between the participants who were engaged in close and supportive social relationships and those who were not. Life with IHD for those who lacked supportive relationships tended to be marked by feelings of chaos, powerlessness and meaninglessness. Contrarily, those who were engaged in supportive relationships received help to navigate their life with illness, reconcile with what had happened to them, feel empowered, and gain a sense of meaning in their life. Discussion: Social support from close social relationships appears to be crucial for socially disadvantaged ischemic heart patients, and should be encouraged and facilitated in healthcare and interventions targeting this patient group.


Author(s):  
Vincenzo Zanardo ◽  
Lara Giliberti ◽  
Elia Giliberti ◽  
Agostino Grassi ◽  
Veronica Perin ◽  
...  

2012 ◽  
Vol 59 (5) ◽  
pp. 474-481 ◽  
Author(s):  
Bettina F Piko ◽  
Aleksandra Luszczynska ◽  
Kevin M Fitzpatrick

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