Risque de symptômes dépressifs maternels et stress perçu par les ethnies au Canada: de la grossesse aux années préscolaires

Translated title of the contribution: Risk for Maternal Depressive Symptoms and Perceived Stress by Ethnicities in Canada: From Pregnancy Through the Preschool Years

Christoffer Dharma, Diana L. Lefebvre, Zihang Lu, Wendy Y.W. Lou, Allan B. Becker, Piush J. Mandhane, Stuart E. Turvey, Theo J. Moraes, Meghan B. Azad, Edith Chen, Susan J. Elliott, Anita L. Kozyrskyj, Malcolm R. Sears*, Padmaja Subbarao

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: Past cross-sectional studies have reported that mothers from ethnic minorities experience higher levels of prenatal and post-partum psychosocial distress compared with mothers from ethnic majorities. However, no studies have examined how the pattern varies longitudinally in a Canadian population of heterogeneous ethnicity. Methods: We analyzed data from 3,138 mothers participating in the Canadian Healthy Infant Longitudinal Development (CHILD) Study, a longitudinal multi-center study incorporating 10 distinct waves of psychosocial data collection from pregnancy until the index child was aged 5 y. Maternal self-identified ethnicity was grouped as White Caucasian, First Nations, Black, Southeast Asian, East Asian, South Asian, Middle Eastern, Hispanic and mixed ethnicity. We performed a multi-level regression to determine whether mothers of specific minority ethnicities were more likely to experience higher levels of distress (i.e. depressive symptoms and perceived stress) compared to white Caucasian mothers. Results: Mothers self-identifying as Black or First Nations had consistently higher distress scores than mothers from other ethnicities across all data collection times. After adjusting for relevant variables (history of depression, education, household income, marital status, and social support), First Nations mothers had a 20% increase in the mean scores of depressive symptoms compared to White Caucasian Mothers. Conclusions: Increased levels of perinatal and post-partum distress were seen in only some ethnic minority groups. Studies should avoid collapsing all categories into ethnic minority or majority and may need to consider how ethnicity interacts with other sociodemographic factors such as poverty.

Translated title of the contributionRisk for Maternal Depressive Symptoms and Perceived Stress by Ethnicities in Canada: From Pregnancy Through the Preschool Years
Original languageFrench
Pages (from-to)190-198
Number of pages9
JournalCanadian Journal of Psychiatry
Volume64
Issue number3
DOIs
StatePublished - Mar 1 2019

Keywords

  • Canada
  • depression
  • ethnic inequality
  • ethnicity
  • motherhood
  • perceived stress
  • postpartum
  • pregnancy

ASJC Scopus subject areas

  • Psychiatry and Mental health

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