Journal article
Perinatal depression at the intersection of race/ethnicity and disability
Archives of women's mental health, Vol.28(4), pp.679-689
08/2025
DOI: 10.1007/s00737-025-01593-y
PMCID: PMC12283910
PMID: 40542198
Abstract
Perinatal depression disparately impacts diverse groups, with marginalized populations often facing greater vulnerability. While previous research has highlighted disparities in perinatal depression by race/ethnicity and by disability status independently, there is a lack of research examining the intersectionality of these social identities and their combined association with perinatal depression. Therefore, this study adopts an intersectional lens to explore variations in perinatal depressive symptoms associated with the combination of race/ethnicity and disability status in a nationally representative sample of women who had recently given birth.
We conducted a cross-sectional secondary data analysis using 2019-2020 data from the Pregnancy Risk Assessment Monitoring System (PRAMS), including a sample of disabled and non-disabled individuals across 22 sites. We used logistic regression analyses to estimate associations of race/ethnicity and disability status with perinatal depressive symptoms, performing separate analyses for the antenatal and postpartum periods. In adjusted regression models, we controlled for other sociodemographic characteristics.
Our analysis included 33,854 individuals, including 31,480 (93%) without a disability and 2,374 (7%) with at least one disability. Women with disabilities reported higher prevalence of antenatal (42.7%) and postpartum (33.1%) depressive symptoms compared to non-disabled women (14.1% and 12.1%, respectively). Antenatal depression was most common among disabled Non-Hispanic (NH) White women, while prevalence and odds of postpartum depression were highest among disabled NH American/Indian Alaska Native and disabled NH Black women.
Our findings emphasize the need for perinatal depression screening for disabled women, as well as culturally appropriate interventions to support the mental health of diverse women with disabilities throughout the perinatal period.
Details
- Title: Subtitle
- Perinatal depression at the intersection of race/ethnicity and disability
- Creators
- Brandie Bentley - University of MichiganWilli Horner-Johnson - Oregon Health & Science UniversityNichole Nidey - University of IowaTuyet-Mai Hoang - University of Illinois Urbana-ChampaignChi-Fang Wu - University of Illinois Urbana-ChampaignSkky Martin - National Opinion Research CenterAshley Brevil - University of Central FloridaReshawna Chapple - University of Central FloridaKaren M Tabb - University of Illinois Urbana-Champaign
- Resource Type
- Journal article
- Publication Details
- Archives of women's mental health, Vol.28(4), pp.679-689
- DOI
- 10.1007/s00737-025-01593-y
- PMID
- 40542198
- PMCID
- PMC12283910
- NLM abbreviation
- Arch Womens Ment Health
- ISSN
- 1435-1102
- eISSN
- 1435-1102
- Publisher
- SPRINGER WIEN
- Grant note
- NIDILRR #90RTHF0005 / National Institute on Disability and Rehabilitation Research 90DPHF0011 / National Institute on Disability and Rehabilitation Research R01HD105712 / Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Language
- English
- Electronic publication date
- 06/20/2025
- Date published
- 08/2025
- Academic Unit
- Psychiatry; Epidemiology; Addiction Medicine; Craniofacial Anomalies Research Center
- Record Identifier
- 9984832082902771
Metrics
4 Record Views