title: Changes in the Relationship Between Socioeconomic Position and Maternal Depressive Symptoms: Results from the Panel Study on Korean Children (PSKC).
abstract: Maternal depression is a common health problem during the perinatal period. The purpose of this study was to examine changes in the relationship between socioeconomic position and maternal depressive symptoms from prenatal to 3 years postpartum in Korean women. Prospective cohort data were collected from the Panel Study on Korean Children between 2008 and 2011. Maternal depression was assessed using the Kessler 6-Item Psychological Distress Scale. Socioeconomic position indicators used were maternal education, paternal education, maternal occupation, paternal occupation, and household income. Repeated-measures analyses with a generalized estimating equation approach were used to investigate relationships between socioeconomic position and maternal depressive symptoms during the study period. Low socioeconomic position was associated with greater levels of maternal depressive symptoms between 4 months after childbirth and 3 years postpartum, but the association was not evident between 1 month before and after childbirth. The magnitude of the significant association between socioeconomic position and maternal depression was the greatest at 1 year postpartum but then became smaller. Among the five socioeconomic position indicators included, maternal education, paternal education, and household income showed graded inverse relationships with maternal depressive symptoms, while no significant relationship was found for paternal occupation over the study period. Socioeconomic inequalities in maternal depressive symptoms emerged in early childhood in a prospective study of Korean mothers. These emerging inequalities may contribute to socioeconomic inequalities in childhood health and development.
authors: Institute of Health Policy and Management, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 110-799, South Korea, jwbahk@snu.ac.kr.
authors: Jinwook
authors: J
authors: Bahk
authors: Sung-Cheol
authors: SC
authors: Yun
authors: Yu-mi
authors: YM
authors: Kim
authors: Young-Ho
authors: YH
authors: Khang
mesh_terms: D000328:Adult; D015331:Cohort Studies; D019052:Depression, Postpartum / Q000191:economics* / Q000523:psychology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008425:Maternal Behavior / Q000523:psychology*; D009035:Mothers / Q000523:psychology*; D011247:Pregnancy; D056910:Republic of Korea / Q000453:epidemiology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
references: J Am Acad Child Adolesc Psychiatry. 2011 May;50(5):460-70
references: 21515195
references: Womens Health Issues. 2010 Mar-Apr;20(2):96-104
references: 20133153
references: J Womens Health (Larchmt). 2011 May;20(5):711-8
references: 21426237
references: J Fam Psychol. 2008 Apr;22(2):264-73
references: 18410213
references: Korea J Popul Dev. 1991 Dec;20(2):1-15
references: 12285491
references: J Affect Disord. 1993 Oct-Nov;29(2-3):85-96
references: 8300981
references: BMC Psychiatry. 2012 Aug 19;12:117
references: 22900835
references: Soc Psychiatry Psychiatr Epidemiol. 2007 Apr;42(4):316-21
references: 17370048
references: Soc Sci Med. 2007 May;64(9):1802-11
references: 17316942
references: J Health Soc Behav. 2010 Sep;51(3):274-90
references: 20943590
references: Psychol Med. 2013 Jan;43(1):13-25
references: 22490169
references: Obstet Gynecol. 2005 Nov;106(5 Pt 1):1071-83
references: 16260528
references: J Child Psychol Psychiatry. 2006 Jul;47(7):660-9
references: 16790001
references: Arch Gen Psychiatry. 2003 Feb;60(2):184-9
references: 12578436
references: Science. 2006 Jun 30;312(5782):1900-2
references: 16809525
references: Matern Child Health J. 2003 Sep;7(3):157-68
references: 14509411
references: JAMA. 2006 Mar 22;295(12):1389-98
references: 16551710
references: Obstet Gynecol. 2004 Apr;103(4):698-709
references: 15051562
references: J Abnorm Child Psychol. 2008 Nov;36(8):1189-98
references: 18473162
references: Lancet. 2014 Nov 15;384(9956):1800-19
references: 25455250
references: Arch Gen Psychiatry. 2010 Oct;67(10):1012-24
references: 20921117
references: J Obstet Gynecol Neonatal Nurs. 2007 Nov-Dec;36(6):542-9
references: 17973697
references: J Health Soc Behav. 2011 Sep;52(3):314-32
references: 21896685
references: Int J Public Health. 2010 Dec;55(6):543-9
references: 20725761
references: Am J Public Health. 2004 Aug;94(8):1372-7
references: 15284046
references: Soc Sci Res. 2012 Nov;41(6):1495-514
references: 23017970
references: J Abnorm Child Psychol. 2007 Dec;35(6):943-55
references: 17577659
references: Psychol Rev. 1999 Jul;106(3):458-90
references: 10467895
references: Clin Pract Epidemiol Ment Health. 2009 Jun 05;5:12
references: 19500361
references: J Womens Health (Larchmt). 2011 Nov;20(11):1609-17
references: 21877915
references: J Psychiatr Pract. 2005 Sep;11(5):353-8
references: 16184076
references: Women Health. 1999;29(1):57-72
references: 10427641
references: Psychol Med. 2002 Aug;32(6):959-76
references: 12214795
references: Soc Sci Res. 2012 Nov;41(6):1546-64
references: 23017973
references: JAMA. 2009 Jun 3;301(21):2252-9
references: 19491187
references: J Affect Disord. 1994 Jan;30(1):15-26
references: 8151045
references: Lancet. 2014 Nov 15;384(9956):1723-4
references: 25455235