TY - JOUR
T1 - Social determinants of perinatal mental health during the COVID-19 pandemic
AU - Endres, Kodi
AU - Haigler, Katherine
AU - Sbrilli, Marissa
AU - Jasani, Sona
AU - Laurent, Heidemarie
N1 - Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2023/9/1
Y1 - 2023/9/1
N2 - Objective: We sought to clarify relevant social-structural determinants of perinatal mental health—material and social resources, as well as pandemic employment-related stressors, in White and BIPOC child-bearers—toward building comprehensive risk screening and prevention/intervention models that can alleviate health disparities. Each of these determinants was hypothesized to contribute to perinatal symptoms in ways that disproportionately benefit White child-bearers. Method: A community sample of Illinois child-bearers (n = 409 pregnant, 122 new parents) completed online questionnaires from May 2020–June 2021. Relations between composite measures of child-bearers' material resources, social resources, and pandemic employment-related stressors and mental health symptoms were tested in multiple regression models. Main effects of social determinant composites and moderated effects by race/ethnic identification were tested. Results: All social determinants displayed significant unique associations with mental health in the sample, with social resources carrying the greatest weight. Although no moderated effects of composite resource measures were found, the relation between pandemic employment-related reduced resources and symptoms proved stronger in BIPOC compared to White child-bearers. Conclusions: Both stable social-structural determinants and acute crisis-related shifts contribute to perinatal mental health, with higher levels and/or impacts of resources helping to explain racial/ethnic disparities. These findings can inform more comprehensive screening and prevention protocols and policy recommendations that improve perinatal health outcomes.
AB - Objective: We sought to clarify relevant social-structural determinants of perinatal mental health—material and social resources, as well as pandemic employment-related stressors, in White and BIPOC child-bearers—toward building comprehensive risk screening and prevention/intervention models that can alleviate health disparities. Each of these determinants was hypothesized to contribute to perinatal symptoms in ways that disproportionately benefit White child-bearers. Method: A community sample of Illinois child-bearers (n = 409 pregnant, 122 new parents) completed online questionnaires from May 2020–June 2021. Relations between composite measures of child-bearers' material resources, social resources, and pandemic employment-related stressors and mental health symptoms were tested in multiple regression models. Main effects of social determinant composites and moderated effects by race/ethnic identification were tested. Results: All social determinants displayed significant unique associations with mental health in the sample, with social resources carrying the greatest weight. Although no moderated effects of composite resource measures were found, the relation between pandemic employment-related reduced resources and symptoms proved stronger in BIPOC compared to White child-bearers. Conclusions: Both stable social-structural determinants and acute crisis-related shifts contribute to perinatal mental health, with higher levels and/or impacts of resources helping to explain racial/ethnic disparities. These findings can inform more comprehensive screening and prevention protocols and policy recommendations that improve perinatal health outcomes.
UR - http://www.scopus.com/inward/record.url?scp=85162144641&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85162144641&partnerID=8YFLogxK
U2 - 10.1016/j.genhosppsych.2023.05.010
DO - 10.1016/j.genhosppsych.2023.05.010
M3 - Article
C2 - 37336179
AN - SCOPUS:85162144641
SN - 0163-8343
VL - 84
SP - 39
EP - 43
JO - General Hospital Psychiatry
JF - General Hospital Psychiatry
ER -