178135 Estimates of Self-reported Postpartum Depression and Racial/Ethnic Disparities among Asian and Pacific Islander Women in Hawaii: Results from the Pregnancy, Risk, Assessment, and Monitoring System (PRAMS), 2004-2006

Tuesday, October 28, 2008

Donald K. Hayes, MD, MPH , Hawaii State Dept. of Health, Family Health Services Division, Honolulu, HI
Van M. Ta, PhD, MPH , Department of Health Science, San Jose State University, San Jose, CA
Eric Hurwitz, PhD , Office of Public Health Studies, University of Hawaii, Honolulu, HI
Kristen Mitchell, MSPH, MPH, REHS , Department of Public Health Sciences, University of Hawaii- Manoa, Honolulu, HI
Loretta J. Fuddy, ACSW, MPH , Family Health Services Division, Hawaii State Department of Health, Honolulu, HI
Objective: This study will determine if these estimates are consistent among Asian or Pacific Islander racial/ethnic groups common in Hawaii.

Methods: Data from the Hawaii Pregnancy, Risk, Assessment, and Monitoring

System, a population-based surveillance system on maternal behaviors and experiences before, during and after the birth of a live infant were analyzed for 2004-2006. Respondents were asked questions on mood and interest since delivery. An “Always” or “Often” selection to either question was defined as Self-reported Postpartum Depression (SRPPD). Weighted prevalence estimates of SRPPD were determined and multivariate logistic regression analysis evaluated race/ethnicity while adjusting for age, education, income, and marital status.

Results: The overall SRPPD estimate in Hawaii is 14.8%(95%CI:13.9-15.8) with variation among racial/ethnic groups: Samoan(20.2%); Black(17.5%); Hawaiian(17.2%); Filipino(16.1%); Korean(15.9%); Chinese(13.7%); Japanese(12.3%); and White(9.4%). Lower levels of education, income, being under 20 years old, and not being married were associated with higher SRPPD estimates. In the adjusted analysis, Chinese(Adjusted Odds Ratio[AOR]=1.8,95%CI:1.3-2.5), Korean(AOR=1.8,95%CI:1.3-2.7), Filipino(AOR=1.6,95%CI:1.2-2.1), Japanese(AOR=1.5,95%CI:1.1-2.1) , and Hawaiian(AOR=1.5,95%CI:1.1-1.9) women remained significantly more likely to have SRPPD compared to White women.

Conclusions: Almost 15% of women having a live birth in Hawaii report symptoms suggestive of postpartum depression. After controlling for socio-economic and demographic factors, Asian or Pacific Islander groups had 50-80% higher risk, compared to white women. These findings suggest the importance of clinical screening for postpartum depression, particularly among Asian or Pacific Islander women in Hawaii.

Learning Objectives:
By the end of the presentation, the participant can describe what is Self-Reported Postpartum Depression as found in PRAMS? 2. By the end of the presentation, the participant can characterize differences in SRPPD among certain race/ethnic groups of women in Hawaii. 3. By the end of the presentation, the participant can discuss the potential impact of SRPPD and implications for postpartum care.

Keywords: Depression, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the lead on all aspects of this abstract including developing, analysis, and discussion of results
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.