Mother-Father Relationship and Depressive Symptoms Among Pregnant Black Women

Author:

Adaji Rosemary1ORCID,Wheeler Jenna M.2ORCID,Misra Dawn P.1,Giurgescu Carmen2ORCID

Affiliation:

1. Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA

2. College of Nursing, University of Central Florida, Orlando, FL, USA

Abstract

Background: Black women report higher levels of depressive symptoms during pregnancy than white women. A supportive relationship with the father of the baby may be protective and decrease depressive symptoms. Objective: We sought to examine the association between mother-father relationship and depressive symptoms among pregnant black women. Methods: Using a cross-sectional design, we conducted a secondary data analysis from a subsample of 405 pregnant black women who participated in the Biosocial Impact on Black Births study, a prospective cohort study. Participants completed questionnaires at 19- to 29-week gestation, including 6 measures of their relationship with the father of the baby: (1) contact, (2) involvement, (3) overall relationship, (4) change in relationship from prior to pregnancy to during pregnancy, (5) support, and (6) conflict. Latent class analysis was used to identify and classify the relationship construct. The Center for Epidemiologic Studies—Depression (CES-D) scale was used, with scores ≥23 considered high levels of depressive symptoms. Data were analyzed with logistic regression. Results: Following adjustment for maternal sociodemographic characteristics, comorbid conditions, and health behaviors, women in a conflictual relationship had higher odds of having depressive symptom scores ≥23 (adjusted odds ratio: 3.50, 95% confidence interval: 2.00, 6.12) than those having no relationship (adjusted odds ratio: 2.81, 95% confidence interval: 1.43, 5.52), when compared with those with a good relationship. Conclusions: These findings suggest that having either a conflictual or no relationship with the father of the baby during pregnancy increases the odds for higher maternal depressive symptoms (CES-D scores ≥ 23) among pregnant black women.

Funder

National Institute on Minority Health and Health Disparities

Publisher

SAGE Publications

Subject

General Nursing

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