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The role of prenatal social support in social inequalities with regard to maternal postpartum depression according to migrant status

dc.rights.licenseopenen_US
dc.contributor.authorNAKAMURA, A.
dc.contributor.authorEL-KHOURY LESUEUR, F.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorSUTTER-DALLAY, Anne-Laure
dc.contributor.authorFRANCK, J. E.
dc.contributor.authorTHIERRY, X.
dc.contributor.authorMELCHIOR, M.
dc.contributor.authorVAN DER WAERDEN, J.
dc.date.accessioned2021-02-08T14:45:45Z
dc.date.available2021-02-08T14:45:45Z
dc.date.issued2020
dc.identifier.issn0165-0327en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/26177
dc.description.abstractEnBackground An advantaged socioeconomic position (SEP) and satisfying social support during pregnancy (SSP) have been found to be protective factors of maternal postpartum depression (PDD). An advantaged SEP is also associated with satisfying SSP, making SSP a potential mediator of social inequalities in PPD. SEP, SSP and PPD are associated with migrant status. The aim of this study was to quantify the mediating role of SSP in social inequalities in PPD regarding mother's migrant status. Methods A sub-sample of 15,000 mothers from the French nationally-representative ELFE cohort study was used for the present analyses. SEP was constructed as a latent variable measured with educational attainment, occupational grade, employment, financial difficulties and household income. SSP was characterized as perceived support from partner (good relation, satisfying support and paternal leave) and actual support from midwives (psychosocial risk factors assessment and antenatal education). Mediation analyses with multiple mediators, stratified by migrant status were conducted. Results Study population included 76% of non-migrant women, 12% of second and 12% of first generation migrant. SEP was positively associated with support from partner, regardless of migrant status. Satisfying partner support was associated with a 8 (non-migrant women) to 11% (first generation migrant women) reduction in PPD score. Limitations History of depression was not reported. Conclusions Partner support could reduce social inequalities in PPD. This work supports the need of interventions, longitudinal and qualitative studies including fathers and adapted to women at risk of PPD to better understand the role of SSP in social inequalities in PPD.
dc.language.isoENen_US
dc.subjectPharmacoEpi-Drugs
dc.title.enThe role of prenatal social support in social inequalities with regard to maternal postpartum depression according to migrant status
dc.title.alternativeJ Affect Disorden_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.jad.2020.04.024en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed32553390en_US
bordeaux.journalJournal of Affective Disordersen_US
bordeaux.page465-473en_US
bordeaux.volume272en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamPharmacoEpi-Drugsen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03134910
hal.version1
hal.date.transferred2021-02-08T14:45:48Z
hal.exporttrue
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