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Antenatal depressive symptoms in Jamaica associated with limited perceived partner and other social support: A cross-sectional study

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  • Omotayo Bernard
  • Roger C Gibson
  • Affette McCaw-Binns
  • Jody Reece
  • Charlene Coore-Desai
  • Sydonnie Shakespeare-Pellington
  • Maureen Samms-Vaughan

Abstract

Background: Antenatal depression is associated with adverse maternal and infant well-being. However, compared to postpartum depression, it has been less frequently explored globally or in Jamaica. This study aimed to determine the prevalence of, and factors associated with, antenatal depressive symptoms among Jamaican women in order to inform policy and build interventions that could improve their management and reduce their negative consequences. Methods: This secondary analysis of data from the second Jamaican Birth Cohort Study (JA-Kids Birth Cohort) included 3,517 women enrolled during pregnancy. Information was extracted from interviewer-administered questionnaires which recorded social, demographic, medical and obstetric information during pregnancy. The Edinburgh Postnatal Depression scale (EPDS) was used to screen for depression, with scores ≥13 considered indicative of a high likelihood of depression. Bivariate analysis examined associations between depressive symptoms and: age, income, financial difficulties, perceived social support, perceived partner infidelity, previous child-bearing unions and children with the current partner. Obstetric factors were also explored and included gravidity, prior adverse pregnancy outcome and complications from previous pregnancies. Variables that predicted the likelihood of depression based on an EPDS cut score of 13 were evaluated using logistic regression. Results: One in five participants (19.6%; 95% CI 18.3–20.9%) had a high likelihood of antenatal depression (EPDS ≥13). Significant predictors of high depressive symptom severity included four indicators of poor perceived social and partner support [ORs (95% CI) ranged from: 1.61 (1.07–2.43); p = 0.024 to 3.14(1.69–5.84); p

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  • Omotayo Bernard & Roger C Gibson & Affette McCaw-Binns & Jody Reece & Charlene Coore-Desai & Sydonnie Shakespeare-Pellington & Maureen Samms-Vaughan, 2018. "Antenatal depressive symptoms in Jamaica associated with limited perceived partner and other social support: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-19, March.
  • Handle: RePEc:plo:pone00:0194338
    DOI: 10.1371/journal.pone.0194338
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    References listed on IDEAS

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    1. McCaw-Binns, Affette & La Grenade, Janet & Ashley, Deanna, 1995. "Under-users of antenatal care: A comparison of non-attenders and late attenders for antenatal care, with early attenders," Social Science & Medicine, Elsevier, vol. 40(7), pages 1003-1012, April.
    2. Louise M Howard & Sian Oram & Helen Galley & Kylee Trevillion & Gene Feder, 2013. "Domestic Violence and Perinatal Mental Disorders: A Systematic Review and Meta-Analysis," PLOS Medicine, Public Library of Science, vol. 10(5), pages 1-1, May.
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    Cited by:

    1. Nuworza Kugbey & Martin Ayanore & Phidelia Doegah & Masauso Chirwa & Susan A. Bartels & Colleen M. Davison & Eva Purkey, 2021. "Prevalence and Correlates of Prenatal Depression, Anxiety and Suicidal Behaviours in the Volta Region of Ghana," IJERPH, MDPI, vol. 18(11), pages 1-13, May.
    2. Luca Rollè & Maura Giordano & Fabrizio Santoniccolo & Tommaso Trombetta, 2020. "Prenatal Attachment and Perinatal Depression: A Systematic Review," IJERPH, MDPI, vol. 17(8), pages 1-26, April.

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