TY - JOUR
PY - 2019//
TI - Rurality and risk of perinatal depression among women in the United States
JO - Journal of rural health
A1 - Nidey, Nichole
A1 - Tabb, Karen M.
A1 - Carter, Knute D.
A1 - Bao, Wei
A1 - Strathearn, Lane
A1 - Rohlman, Diane S.
A1 - Wehby, George
A1 - Ryckman, Kelli
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: 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.
METHOD: 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).
RESULTS: 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.
CONCLUSION: 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.
© 2019 National Rural Health Association. Language: en
LA - en
SN - 0890-765X
UR - http://dx.doi.org/10.1111/jrh.12401
ID - ref1
ER -