A Rural Perspective on Perinatal Depression: Prevalence, Correlates, and Implications for Help-Seeking among Low-Income Women

Autor/inn/en	Price, Sarah Kye; Proctor, Enola K.
Titel	A Rural Perspective on Perinatal Depression: Prevalence, Correlates, and Implications for Help-Seeking among Low-Income Women
Quelle	In: Journal of Rural Health, 25 (2009) 2, S.158-166 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2009.00212.x
Schlagwörter	Health Services; Health Needs; Low Income Groups; Females; Mental Disorders; Mental Health Programs; Pregnancy; Criteria; Referral; Depression (Psychology); Rural Areas; At Risk Persons; Help Seeking; Incidence; Severity (of Disability); Symptoms (Individual Disorders); Correlation; Screening Tests; Psychological Patterns + Suchen Sie Ihr Suchwort? Health service; Gesundheitsdienst; Gesundheitswesen; Weibliches Geschlecht; Mental illness; Geisteskrankheit; Schwangerschaft; Rural area; Ländlicher Raum; Risikogruppe; Help-seeking behavior; Help-seeking behaviour; Hilfe suchendes Verhalten; Vorkommen; Schweregrad; Psychiatrische Symptomatik; Korrelation; Screening-Verfahren
Abstract	Context/Purpose: To examine a low-income sample of women in the rural Midwest (N = 1,086) who were screened for perinatal depression through the outreach and education activities within a Healthy Start Initiative project. Specifically, we describe the frequency and severity of depressive symptoms, explore social and demographic correlates of depression, and examine help-seeking through patterns of self-referral to a Healthy Start perinatal depression project in a rural, medically underserved community. Methods: Depression screening data using the Primary Care Evaluation of Mental Disorders (PRIME-MD) as well as intake records from the project were analyzed in a retrospective analysis to identify important demographic and psychosocial characteristics associated with elevated levels of depressive symptoms and help-seeking patterns. Findings: Thirty-six percent of screened women met criteria for major, minor, or subthreshold depression, with 13% meeting diagnostic criteria for major depression alone. Less than 8% were currently receiving any type of mental health services or treatment at screening. The most significant correlate of self-referral to the Healthy Start project was meeting symptom criteria for major depression, although minor depression, subthreshold depression, and status as low-income/"Temporary Aid to Needy Families" (TANF)-eligible were all significantly associated with self-referral. Conclusions: The findings from this study highlight the potential significance of identifying and addressing the unmet mental health needs of low-income rural women during and around pregnancy. In addition, the study illustrates that low income, in addition to depressive symptoms, impacts mental health service delivery in this rural community with a fragmented mental health service infrastructure. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10