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Perinatal Distress and Depression in Culturally and Linguistically Diverse (CALD) Australian Women: The Role of Psychosocial and Obstetric Factors

Author

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  • Felix Akpojene Ogbo

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia
    General Practice Unit, Prescot Specialist Medical Centre, Welfare Quarters, Makurdi, Benue State 972261, Nigeria)

  • Osita Kingsley Ezeh

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Mansi Vijaybhai Dhami

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Sabrina Naz

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Sarah Khanlari

    (Department of Community Paediatrics, Sydney Local Health District, Croydon Community Health Centre, 24 Liverpool Street, Croydon, NSW 2132, Australia
    School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia)

  • Anne McKenzie

    (Primary & Community Health, Child and Family, South Western Sydney Local Health District, Narellan CHC, NSW 2567, Australia)

  • Kingsley Agho

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Andrew Page

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Jane Ussher

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Janette Perz

    (Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • John Eastwood

    (Department of Community Paediatrics, Sydney Local Health District, Croydon Community Health Centre, 24 Liverpool Street, Croydon, NSW 2132, Australia
    Ingham Institute for Applied Medical Research, 1 Campbell Street, Liverpool, NSW 2170, Australia
    School of Women’s and Children’s Health, The University of New South Wales, Kensington, Sydney, NSW 2052, Australia
    Menzies Centre for Health Policy, Charles Perkins Centre, School of Public Health, Sydney University, Sydney, NSW 2006, Australia)

Abstract

Perinatal distress and depression can have significant impacts on both the mother and baby. The present study investigated psychosocial and obstetric factors associated with perinatal distress and depressive symptoms among culturally and linguistically diverse (CALD) Australian women in Sydney, New South Wales. The study used retrospectively linked maternal and child health data from two Local Health Districts in Australia ( N = 25,407). Perinatal distress was measured using the Edinburgh Postnatal Depression Scale (EPDS, scores of 10–12) and depressive symptoms, with EPDS scores of 13 or more. Multivariate multinomial logistic regression models were used to investigate the association between psychosocial and obstetric factors with perinatal distress and depressive symptoms. The prevalence of perinatal distress and depressive symptoms among CALD Australian women was 10.1% for antenatal distress; 7.3% for antenatal depressive symptoms; 6.2% for postnatal distress and 3.7% for postnatal depressive symptoms. Antenatal distress and depressive symptoms were associated with a lack of partner support, intimate partner violence, maternal history of childhood abuse and being known to child protection services. Antenatal distress and depressive symptoms were strongly associated with postnatal distress and depressive symptoms. Higher socioeconomic status had a protective effect on antenatal and postnatal depressive symptoms. Our study suggests that current perinatal mental health screening and referral for clinical assessment is essential, and also supports a re-examination of perinatal mental health policy to ensure access to culturally responsive mental health care that meets patients’ needs.

Suggested Citation

  • Felix Akpojene Ogbo & Osita Kingsley Ezeh & Mansi Vijaybhai Dhami & Sabrina Naz & Sarah Khanlari & Anne McKenzie & Kingsley Agho & Andrew Page & Jane Ussher & Janette Perz & John Eastwood, 2019. "Perinatal Distress and Depression in Culturally and Linguistically Diverse (CALD) Australian Women: The Role of Psychosocial and Obstetric Factors," IJERPH, MDPI, vol. 16(16), pages 1-22, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:2945-:d:258156
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    2. United Nations, 2016. "The Sustainable Development Goals 2016," Working Papers id:11456, eSocialSciences.
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    Cited by:

    1. Thi Thu Le Pham & Janneke Berecki-Gisolf & Angela Clapperton & Kerry S. O’Brien & Sara Liu & Katharine Gibson, 2021. "Definitions of Culturally and Linguistically Diverse (CALD) : A Literature Review of Epidemiological Research in Australia," IJERPH, MDPI, vol. 18(2), pages 1-23, January.
    2. Bridget Basile-Ibrahim & Joan Combellick & Thomas L. Mead & Alee Sorensen & Janene Batten & Robyn Schafer, 2024. "The Social Context of Pregnancy, Respectful Maternity Care, Biomarkers of Weathering, and Postpartum Mental Health Inequities: A Scoping Review," IJERPH, MDPI, vol. 21(4), pages 1-27, April.

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