Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan...

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Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical Center George Washington University Medical Center

Transcript of Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan...

Page 1: Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical.

Depression in New Mothers: Findings from the 2001 Early Childhood

Longitudinal Study

Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H.Children’s National Medical CenterGeorge Washington University Medical Center

Page 2: Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical.

Early Childhood Longitudinal Study, Birth Cohort (ECLS-B), 9-month data

The study follows a nationally representative cohort of children born in 2001. The parents of 10,688 children were interviewed when the children’s age ranged between 6-23 months. In our study: Mothers with a child under 1 year. Sample was designed to support statistical analysis in most race/ethnicity groups.

Page 3: Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical.

Center for Epidemiologic Studies – Depression Scale (CES-D) scores in ECLS-B

A modified version of the CES-D is used Scores can be computed based on

responses to 12 questions from the parent self-administered questionnaire

4 categories of depression: none, mild, moderate, and severe. The last category was used as an indicator for further assessment of the presence of an active, major or minor depressive episode*

* SOURCES: Suri, R and etc. 2004

Page 4: Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical.

Mother’s CES-D score by race/ethnicity

0%

20%

40%

60%

80%

100%

Overall White AfricanAmerican

Hispanics Asian PacificIslander

NativeAmerican

None Mild Moderate Severe

Page 5: Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical.

Mother’s CES-D score by Hispanic ethnicities

0%

20%

40%

60%

80%

100%

Overall Mexican PuertoRican Cuban Other

None Mild Moderate Severe

Page 6: Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical.

Mother’s CES-D score by Asian ethnicities

0%

20%

40%

60%

80%

100%

None Mild Moderate Severe

Page 7: Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical.

Mother’s CES-D score by nativity in Hispanics and Asians

0%

20%

40%

60%

80%

100%

US born Foreign born US born Foreign born

None Mild Moderate Severe

Hispanics Asians

Page 8: Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical.

Risk factors for severe depression

0 2 4 6 8 10 12 14 16 18

<20 years old

Rural

Not married at child birth

Poor health

Lower SES

Marriage (not married, married)

Mother’s Age(<20, 20-35, >35

SES(poorest, richest)

Urbanicity (rural, suburban, urban)

Mother’s Health(poor vs. good)

Page 9: Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical.

Percentage of mothers with severe depression who did not talk to doctor or counselor, by

race/ethnicity

57.5

72.279.9 78.3

100

73.1

0102030405060708090

100

White AfricanAmerican

Hispanics Asian PacificIslander

NativeAmerican

Page 10: Depression in New Mothers: Findings from the 2001 Early Childhood Longitudinal Study Zhihuan Jennifer Huang, M.B., Ph.D., M.P.H. Children’s National Medical.

For more informationEarly Childhood National Longitudinal Study: http://nces.ed.gov/ecls