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Postnatal depression (PND) and neighborhood effects for women enrolled in a home visitation program

Jones, David
http://orcid.org/0000-0001-5040-1708
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459438588

Abstract Details

2016, EdD, University of Cincinnati, Education, Criminal Justice, and Human Services: Counselor Education.
Postnatal depression (PND) impacts an estimated 13% of women of childbearing age. PND impacts the mother’s offspring evidenced by increased risk of developmental delays, alcohol dependence, anxiety, and depression. Many investigators have examined the individual risk factors associated with PND but only a few studies outside of the U.S. have delved into the maternal neighborhood characteristics for PND. The aim of this study was to investigate the association between postnatal depression potential and structural neighborhood characteristics among at-risk women in a home visitation program in Hamilton County, Ohio. The archival data sources - eECS (individual level) and U.S. 2010 census tract (neighborhood level) were utilized for this study. The sample included 295 mothers enrolled in a home visitation program between 2006 and 2011 who were at risk for developing PND, observed as three-month Edinburgh Postnatal Depression Scale (EPDS) scores ≥ 10. After a principal component analysis of the structural characteristics, two components were maintained: Social Disadvantage and Stability. These two components were the neighborhood predicators analyzed in a generalized estimating equation (GEE) method using clustered standard errors. Stability was negatively associated with PND potential. Social Disadvantage was not found to be statistically significantly associated with PND potential. The findings suggest that women in home visitation programs who have high EPDS scores and live in unstable neighborhoods are at special risk of developing PND. This finding is significant in that it is possible for the counseling profession to intervene with at-risk women not only at the individual level, through differing therapeutic approaches (individual to group), but also at the neighborhood level (e.g., advocating for policy to increase stability).
Mei Tang, Ph.D. (Committee Chair)
George Richardson, Ph.D. (Committee Member)
Christopher Swoboda, Ph.D. (Committee Member)
102 p.
Counseling Psychology
postnatal depression; neighborhoods risk factors; social determinants of health; generalized estimating equations

Recommended Citations

Citations

  • Jones, D. (2016). Postnatal depression (PND) and neighborhood effects for women enrolled in a home visitation program [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459438588

    APA Style (7th edition)

  • Jones, David. Postnatal depression (PND) and neighborhood effects for women enrolled in a home visitation program. 2016. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459438588.

    MLA Style (8th edition)

  • Jones, David. "Postnatal depression (PND) and neighborhood effects for women enrolled in a home visitation program." Doctoral dissertation, University of Cincinnati, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459438588

    Chicago Manual of Style (17th edition)

ucin1459438588
549
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This open access ETD is published by University of Cincinnati and OhioLINK.