title: Prevalence and predictors of positive screening for postpartum depression in minority parturients in the South Bronx.
abstract: It is reported that the rates of perinatal depressive disorders are high in ethnic minority groups from non-English speaking countries. However, very few studies have compared the prevalence of positive screening for postpartum depression (PPD) in minority communities living in an inner city. The goal of this study is to determine the prevalence and the predictors of positive screening for postpartum depression in minority parturients in the South Bronx. The study is a chart review of 314 minority parturients, Black or Hispanic, screened for postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS) tool. The overall prevalence of a positive EPDS screen among Black and Hispanic women was similar, 24.04 and 18.75%, respectively. The Black immigrant cohort had comparable positive screens with 23.81 as African Americans. Hispanic women born in the USA had the least prevalence of positive screens, 7.14%, and those who moved from the Dominican Republic and Puerto Rico had a prevalence of 17.24% of positive screens. The women who immigrated from Mexico, Central America, or South America had the highest prevalence of positive screens for PPD, 32.26%. As to the socioeconomic status (SES), there was a significant increase of 27.04 vs. 13.95% (P < 0.019) in positive screens for PPD for the unemployed mothers. Overall, Black and Hispanic parturients had similar rates of positive screens for PPD. Among the Hispanic women, immigrants had higher rates of positive screens, with those from Mexico, Central, and South America as the highest. The hospital experience did not affect the rates of positive screens. Neither did the SES with one exception; those unemployed had the higher rates of positive screens.
authors.affiliation: School of Medicine, St. George's University, True Blue, West Indies, Grenada.
authors.forename: Samfee
authors.initials: S
authors.lastname: Doe
authors.affiliation: School of Medicine, St. George's University, True Blue, West Indies, Grenada.
authors.forename: Stephen
authors.initials: S
authors.lastname: LoBue
authors.affiliation: From the Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY, 10451, USA. aha275@gmail.com.|Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY, 10451, USA. aha275@gmail.com.
authors.forename: Abraham
authors.initials: A
authors.lastname: Hamaoui
authors.affiliation: From the Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY, 10451, USA.
authors.forename: Shadi
authors.initials: S
authors.lastname: Rezai
authors.affiliation: From the Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY, 10451, USA. Cassandra.henderson@nychhc.org.|Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY, 10451, USA. Cassandra.henderson@nychhc.org.
authors.forename: Cassandra E
authors.initials: CE
authors.lastname: Henderson
authors.affiliation: From the Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY, 10451, USA.
authors.forename: Ray
authors.initials: R
authors.lastname: Mercado
mesh_terms: D000293:Adolescent; D000328:Adult; D044383:Black People / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data; D019052:Depression, Postpartum / Q000175:diagnosis / Q000453:epidemiology*; D004293:Dominican Republic; D054242:Emigrants and Immigrants / Q000523:psychology*; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D008800:Mexico / Q000208:ethnology; D009035:Mothers / Q000523:psychology*; D009518:New York / Q000453:epidemiology; D011237:Predictive Value of Tests; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D011647:Puerto Rico / Q000208:ethnology; D012111:Residence Characteristics; D012189:Retrospective Studies; D012307:Risk Factors; D012923:Social Class; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D001741:Black or African American
keywords: Black parturients; EPDS; Edinburgh Postnatal Depression Scale (EPDS); Hispanic parturients; Hospital experience; Socioeconomic status; Unemployment