Author(s): Stewart DE, Gagnon A, Saucier JF, Wahoush O, Dougherty G
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Abstract OBJECTIVES: To determine if postpartum depression (PPD) symptoms are more common in newcomer women than in Canadian-born women. METHODS: Refugee, nonrefugee immigrant, asylum-seeking, and Canadian-born new mothers were administered questionnaires for depression, social support, interpersonal violence, and demographic information. We created a PPD variable based on a score of > or = 10 on the Edinburgh Postnatal Depression Scale (EPDS) and performed a logistic regression analysis for PPD. RESULTS: Immigrants (35.1\%), asylum seekers (31.1\%), and refugees (25.7\%) were significantly more likely than Canadian-born (8.1\%) women to score > or = 10 (P = 0.008) on the EPDS, with the regression model showing an increased risk (odds ratio) for refugee (4.80), immigrant (4.58), and asylum-seeking (3.06) women. Women with less prenatal care were also more likely to have an EPDS of > or = 10 (P = 0.03). Newcomer women with EPDS scores of > or = 10 had lower social support scores than Canadian-born women (P < 0.0001). CONCLUSIONS: Newcomer mothers have an increased risk for PPD symptoms. Social support interventions should be tested for their ability to prevent or alleviate this risk.
This article was published in Can J Psychiatry
and referenced in Journal of Nursing & Care