The 130th Annual Meeting of APHA

4050.0: Tuesday, November 12, 2002 - 9:00 AM

Abstract #50659

Association between prenatal depression and indicators of health behavior, income status, predisposing health conditions, and protective support

Sarah C. Janicki, AB, MCP-Hahnemann University School of Public Health, Mail Stop 660, 245 N. 15th Street, Philadelphia, PA 19102, 215-762-4110,, Virginia Rauh, ScD, Columbia Center for Children's Environmental Health (CCCEH) at the Joseph L. Mailman School of Public Health, 60 Haven Avenue, B-116, New York, NY 10032, and Jennifer F Culhane, PhD, MPH, Obsbtetrics and Gynecology, Thomas Jefferson University, 834 Chestnut Street, Suite 320, Ben Franklin House, Philadelphia, PA 19107.

Objective: This study examines the association between prenatal depression and health behaviors, indicators of income status, predisposing health conditions, and protective support factors. Design/Methods: Data were derived from the Stress, Pregnancy, Evaluation, and Community Study, a study funded by the Centers for Disease Control and performed by Thomas Jefferson University. We conducted a cross-sectional, clinical prevalence study examining the relationship between depressive symptoms and health behaviors, income indicators, predisposing health conditions, and protective support factors in a sample of 2304 pregnant women obtaining prenatal care at Philadelphia District Health Centers. Depressive symptomatology was categorized by a score of 23 or greater on the Center for Epidemiologic Studies Despression Scale (CES-D), a 40-point scale. Data were analyzed by logistic regression for relative risk of depressive score given the above variable categories. Results: Twenty-three percent of our population exhibited prenatal depressive symptoms as measured by a CES-D score of 23 or greater. Lifetime history of twenty or more cigarettes smoked, as well as having enough money to pay for basic needs on a monthly basis were the greatest risk factors for prenatal depressive symptoms. Marital status as married, religious support, social support, awareness of diet, and regular sleep were associated with reduced likelihood of CES-D score greater than 23, indicating that control over personal health habits and a strong social network composed of interpersonal and community ties are associated with less depressive symptomatology during pregnancy.

Learning Objectives:

  • After reading the study summarized in this poster, the learner will be able to

    Keywords: Pregnancy, Depression

    Presenting author's disclosure statement:
    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.

    Outstanding Student Papers in Maternal and Child Health

    The 130th Annual Meeting of APHA