The 130th Annual Meeting of APHA

5053.0: Wednesday, November 13, 2002 - Board 5

Abstract #49895

Mental health status among low-income women in the childbearing years

Sabina Hirshfield, PhD, Research and Evaluation Unit, Medical and Health Research Association of New York City, Inc., 40 Worth Street, Suite 720, New York, NY 10013, 212 285-0220 x115, shirshfield@mhra.org, Mary Ann Chiasson, DrPH, Research and Evaluation Unit, Medical and Health Research Association of New York City, 40 Worth Street Suite 720, New York, NY 10013, Ellen Rautenberg, MHS, CEO, Medical and Health Research Association of New York City, Inc., 40 Worth Street, Suite 720, New York, NY 10013, Maria Uribelarrea, NP, MIC-Women's Health Services, Medical and Health Research Association of NYC, Inc, 225 Broadway, 17th Floor, New York, NY 10007, and Raymond Fink, PhD, Chairperson Emeritus, Medical and Health Research Association of New York City, Inc., 40 Worth Street, Suite 720, New York, NY 10013.

Depression is more common among women than men and is fairly common during the postpartum period. However, depression during pregnancy has not received adequate attention. This study seeks preliminary point prevalence estimates of depression and anxiety in a sample of English and Spanish speaking pregnant, postpartum, and family planning patients at three MIC - Women’s Health Services Centers, which provide comprehensive reproductive health services to about 25,000 low-income women annually. A sample of 300 women is being recruited for an anonymous, self-administered survey. Depression is assessed by the Center for Epidemiologic Studies Depression short form, and anxiety by the Prime-MD Patient Health Questionnaire. Exposure to the World Trade Center disaster and its aftermath is also measured. Data from the first 149 cases show that, in the past month, 50% were depressed (according to the CES-D cutoff score of 8 or higher), 55% had general anxiety symptoms, and 17% had an anxiety attack. By reason for visit, 54% (39/72) of pregnant women, 43% (29/68) of family planning patients, and 67% (6/9) seeking a pregnancy test were depressed. Preliminary analyses indicate no differences in depressive symptoms by age, race/ethnicity or education. Overall, 13% of women had lost a family member or friend in either the World Trade Center disaster or American Airlines Flight 587. Estimates of the magnitude of mental health problems among women in the MIC centers will guide future research and intervention initiatives to improve detection and treatment in patients served by the centers.

Learning Objectives:

Keywords: Maternal Well-Being, Mental Health

Related Web page: www.mhra.org

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Medical and Health Research Association of New York City, Inc. provides care to at-risk, low-income families through its network of maternal/child health programs such as MIC-Women's Health Services.
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

MCH Data for Surveillance and Research II

The 130th Annual Meeting of APHA