Journal article
Rurality and Risk of Perinatal Depression Among Women in the United States
The Journal of rural health, Vol.36(1), pp.9-16
01/2020
DOI: 10.1111/jrh.12401
PMID: 31602705
Abstract
Rural populations may experience more frequent and intense risk factors for perinatal depression than their urban counterparts. However, research has yet to examine rural versus urban differences in a population-based study in the United States. Therefore, this study examined differences in risk of perinatal depression between women living in rural versus urban areas in the United States.
Using 2016 data from the Pregnancy Risk Assessment Monitoring System, we examined the association between rural-urban status and the risk of depression during the perinatal time period. The total analytical sample included 17,229 women from 14 states. The association between rural-urban status and risk of perinatal depression was estimated using logistic regression, adjusting for race/ethnicity, maternal age, and state of residence. A second model adjusted for maternal education, health insurance status, and Women, Infants, and Children Special Supplemental Nutrition Program (WIC).
Odds of perinatal depression risk were higher by 21% among rural versus urban women (OR = 1.21, 95% CI: 1.05-1.41) adjusted for race, ethnicity, and maternal age. This risk difference became smaller and not significant when adding maternal education, health insurance coverage, and WIC participation.
Findings suggest a rural-urban inequality in perinatal depression risk. Reducing this inequality may require improving socioeconomic conditions and reducing associated risk factors among rural women.
Details
- Title: Subtitle
- Rurality and Risk of Perinatal Depression Among Women in the United States
- Creators
- Nichole Nidey - Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital, Cincinnati, OhioKaren M Tabb - School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IllinoisKnute D Carter - Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IowaWei Bao - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IowaLane Strathearn - Division of Developmental and Behavioral Pediatrics, Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, IowaDiane S Rohlman - Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, IowaGeorge Wehby - Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IowaKelli Ryckman - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of rural health, Vol.36(1), pp.9-16
- DOI
- 10.1111/jrh.12401
- PMID
- 31602705
- NLM abbreviation
- J Rural Health
- ISSN
- 0890-765X
- eISSN
- 1748-0361
- Publisher
- England
- Language
- English
- Date published
- 01/2020
- Academic Unit
- Preventive and Community Dentistry; Public Health Administration; Psychiatry; Health Management and Policy; Biostatistics; Addiction Medicine; Craniofacial Anomalies Research Center; Developmental and Behavioral Pediatrics; Injury Prevention Research Center; Occupational and Environmental Health; International Programs; Stead Family Department of Pediatrics; Epidemiology; Economics; Iowa Neuroscience Institute; Neuroscience and Pharmacology; Public Policy Center (Archive)
- Record Identifier
- 9984066102002771
Metrics
37 Record Views