262440 Role of health literacy and self efficacy in depressive symptoms in mothers of newborn infants

Wednesday, October 31, 2012 : 1:10 PM - 1:25 PM

Lucila Bloise, BA , Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL
Anna Maria Patino-Fernandez, PhD , Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL
Yaray Agosto , College of Arts and Sciences, University of Miami, Coral Gables, FL
Russell Rothman, MD, MPP , Department of Pediatrics, Vanderbilt University, Nashville, TN
Eliana Perrin, MD, MPH , Department of Pediatrics, University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, NC
H. Shonna Yin, MD , Department of Pediatrics, NYU School of Medicine / Bellevue Hospital Center, New York, NY
Svetlana Eden, MS , Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, TN
Lee Sanders, MD, MPH , Department of Pediatrics, Stanford University, Stanford, CA
Background: Mothers with limited literacy skills are more likely to have depressive symptoms; interventions that increase maternal literacy skills may also improve symptoms of depression, and associations are recognized between low health literacy and adverse health outcomes, yet research has yet to be conducted in a large sample of mothers of newborn infants. This study explored the relationship between depressive symptoms and health literacy among low-income mothers of newborn infants. Methods: 429 mothers (M age = 26 years) of diverse racial/ethnic backgrounds (47% Hispanic, 29% Black, 27% white, 44% other) completed the Parent Health Literacy Assessment Test (PHLAT), CES-D to examine depression, and a measure of maternal locus of control during their child's 2 month well-child doctor's visit. Analysis used proportional odds logistic regression and adjusted for a priori covariates, maternal self-efficacy, caregiver's age, race, ethnicity, level of English fluency, income, work status, and education. Results: A ten-unit increase in PHLAT was associated with increased odds of having a higher depression score (OR=1.11, 95% CI (1.04, 1.18)). Higher depression scores were also associated with decreased maternal self-efficacy (OR=1.68, 95% CI (1.27, 2.22)) and with unemployment status (OR=2.52, 95% CI (1.66, 3.83)); however, self-efficacy did not mediate the relationship between health literacy and depression. Conclusions: Prevention programs to screen mothers for depressive symptoms may be beneficial and allow for targeted interventions to increase literacy and self-efficacy skills, possibly improving health for mother and child.

Learning Areas:
Advocacy for health and health education
Assessment of individual and community needs for health education

Learning Objectives:
Describe the relationship between depressive symptoms and health literacy among mothers of newborn infants. Discuss the potential role of self-efficacy in the relationship between depressive symptoms and health literacy.

Keywords: Health Literacy, Depression

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved on this multi-site, randomized control trial for the past year and contributed to every aspect of the abstract. My mentors have researched and published extensively in the area of health literacy.
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.