Black Maternal Depression and Barriers to Care

George Sheriff^1,

¹Department Name, A.T. Still University, Mesa, AZ, USA

Cite this paper

George Sheriff. Black Maternal Depression and Barriers to Care. American Journal of Public Health Research. 2023; 11(5):152-156. doi: 10.12691/AJPHR-11-5-1

Abstract

Ethnic and racial disparities in perinatal depression care are well documented, but Black women's care information is significantly limited. This study aimed to identify barriers to Black postpartum depression care. Quantitative descriptive research was used to investigate and document the barriers to postpartum depression care faced by low-income Black women in Central Texas. The Edinburgh Postnatal Depression Scale (EPDS) and a self-made 5 point Likert Scale questionnaire were used to collect data from 12 participants. The result indicated that 41.7% of participants showed significant signs of postpartum depression. Just over 16.7% of postpartum depression participants strongly agreed that low-income prevents treatment. Additionally, the mean rank of 5.40 and a p-value of 0.35 further indicated that low income is the mean barrier to low-income Black maternal postpartum care in Central Texas. Prior literatures have detailed mental health care disparities across various racial and ethnic groups, but none have addressed the barriers of postpartum depression care. This study present evidence of barriers to postpartum depression care among low-income Black women residing in Central Texas. Because of the limited nature of current studies on Black maternal depression and care needs in Central Texas, this study provides clinicians, researchers, and educators with the evidence needed to guide future research on this demographic. A limitation in this study was that the EDPS score was used instead of a trained mental health professional to identify postpartum depression participants. Therefore, future researchers are recommended to recruit a larger number of participants with a known diagnosis of postpartum depression.

Keywords

postpartum depression, Black maternal, postpartum care, Central Texas, low-income mothers, and depression

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Pizeta, F. A., Loureiro, S. R., & Pasian, S. R. (2018). Maternal depression, social vulnerability and gender: Prediction of emotional problems among schoolchildren. Journal of Child & Family Studies, 27(6), 1981–1991.
[2]	Kingston, D., Kehler, H., Austin, M.-P., Mughal, M. K., Wajid, A., Vermeyden, L., Benzies, K., Brown, S., Stuart, S., & Giallo, R. (2018). Trajectories of maternal depressive symptoms during pregnancy and the first 12 months postpartum and child externalizing and internalizing behavior at three years. PloS One, e0195365.
[3]	Williams, D. R., González, H. M., Neighbors, H., Nesse, R., Abelson, J. M., Sweetman, J., & Jackson, J. S. (2007). Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic Whites: Results from the national survey of American life. Archives of General Psychiatry, 64(3), 305–315.
[4]	Hassert, S., Robinson Kurpius, S. E., & Tracey, T. J. G. (2015). Testing a conceptual model of postpartum depressive symptoms in the first year. Women & Health, 55(6), 700–716.
[5]	Kozhimannil, K. B., Trinacty, C. M., Busch, A. B., Huskamp, H. A., & Adams, A. S. (2011). Racial and ethnic disparities in postpartum depression care among low-income women. Psychiatric Services, 62(6), 619–625.
[6]	Alvarez, S. L., Meltzer-Brody, S., Mandel, M., & Beeber, L. (2015). Maternal depression and early intervention: A call for an integration of services. Infants and Young Children, 28(1), 72–87.
[7]	Ahun, M. N., & Côté, S. M. (2019). Maternal depressive symptoms and early childhood cognitive development: A review of putative environmental mediators. Archives of Women’s Mental Health, 22(1), 15–24.
[8]	Bennett, I. M., Schott, W., Krutikova, S., & Behrman, J. R. (2016). Maternal mental health, and child growth and development, in four low-income and middle-income countries. Journal of Epidemiology and Community Health, 70(2), 168–173.
[9]	Gheorghe, M., Varin, M., Wong, S. L., Baker, M., Grywacheski, V., & Orpana, H. (2021). Symptoms of postpartum anxiety and depression among women in Canada: Findings from a national cross-sectional survey. Canadian Journal of Public, 244–252.
[10]	Brahm, P., Cortázar, A., Fillol, M. P., Mingo, M. V., Vielma, C., & Aránguiz, M. C. (2016). Maternal sensitivity and mental health: Does an early childhood intervention programme have an impact? Family Practice, 33(3), 226–232.
[11]	Accortt, E. E., Schetter, C. D., Peters, R. M., & Cassidy-Bushrow, A. E. (2016). Lower prenatal vitamin D status and postpartum depressive symptomatology in African American women: Preliminary evidence for moderation by inflammatory cytokines. Archives of Women’s Mental Health, 19(2), 373–383.
[12]	Cox, J.L., Holden, J.M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry.
[13]	Tabb, K. M., Hsieh, W.-J., Gavin, A. R., Eigbike, M., Faisal-Cury, A., Hajaraih, S. K. M., Huang, W. D., Laurent, H., Carter, D., Nidey, N., Ryckman, K., & Zivin, K. (2020). Racial differences in immediate postpartum depression and suicidal ideation among women in a Midwestern delivery hospital. Journal of Affective Disorders Reports, 1.
[14]	Iturralde, E., Hsiao, C.A., Nkemere, L., Kubo, A., Sterling, S.A., Flanagan, T., & Avalos, L. A. (2021). Engagement in perinatal depression treatment: a qualitative study of barriers across and within racial/ethnic groups. BMC Pregnancy Childbirth 21, 512.
[15]	Kinser, P. A., & Lyon, D. E. (2014). A conceptual framework of stress vulnerability, depression, and health outcomes in women: potential uses in research on complementary therapies for depression. Brain & Behavior, 4(5), 665–674.