title: [Maternal depressive symptomatology in México: National prevalence, care, and population risk profiles].
abstract: OBJECTIVE
  This study estimates the prevalence of depressive symptomatology (DS) in women with children younger than five years of age, examines detection and care rates and probabilities of developing DS based on specific risk profiles.
  
  
  METHODS
  The sample consists of 7 187 women with children younger than five drawn from the Ensanut 2012.
  
  
  RESULTS
  DS prevalence is 19.91%, which means at least 4.6 million children live with mothers who experience depressive symptoms indicative of moderate to severe depression. Rates of detection (17.06%) and care (15.19%) for depression are low. DS is associated with violence (OR=2.34; IC95% 1.06-5.15), having ≥4 children, having a female baby, older age of the last child, low birth weight, food insecurity, and sexual debut <15 years old (p<0.01). Accumulated probability of DS, taking into consideration all risk factors measured, is 69.76%. It could be reduced to 13.21% through prevention efforts focused on eliminating violence, food insecurity, bias against having a female baby, and low birth weight.
  
  
  CONCLUSIONS
  DS is a compelling public health problem in Mexico associated with a well-defined set of risk factors that warrant attention and timely detection at various levels of care.
authors.affiliation: Departamento de Métodos en Salud Pública, Dirección de Salud Reproductiva, Centro de Investigaciones en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Filipa
authors.initials: F
authors.lastname: de Castro
authors.affiliation: Department of Physiology and Health Science, Ball State University, Muncie, Indiana, Estados Unidos de América.
authors.forename: Jean Marie
authors.initials: JM
authors.lastname: Place
authors.affiliation: Departamento de Métodos en Salud Pública, Dirección de Salud Reproductiva, Centro de Investigaciones en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Aremis
authors.initials: A
authors.lastname: Villalobos
authors.affiliation: Departamento de Métodos en Salud Pública, Dirección de Salud Reproductiva, Centro de Investigaciones en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Betania
authors.initials: B
authors.lastname: Allen-Leigh
mesh_terms: D000328:Adult; D003863:Depression / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D003866:Depressive Disorder / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D017579:Domestic Violence; D005191:Family Characteristics; D005260:Female; D005523:Food Supply; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D015995:Prevalence; D012306:Risk; D063507:Sexism; D012725:Sexual Behavior; D064890:Social Determinants of Health; D055815:Young Adult