Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey

Nelson, Chantal; Lawford, Karen; Otterman, Victoria; Darling, Elizabeth

doi:10.24095/hpcdp.38.7/8.01

Cited by 14 publications

(16 citation statements)

References 14 publications

(19 reference statements)

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“…Our results regarding the unique risks among Indigenous mothers for each EPDS cut-off suggest that using only one such cut-off might miss groups of Indigenous mothers, a consideration when screening for PPD. This result is supported by Nelson et al's 2018 study (Nelson et al, 2018), which used the MES data to compare the prevalence and risk factors for PPD within three groups of Indigenous mothers with non-Indigenous mothers in Canada (Nelson et al, 2018). The distinct risk factors for PPD that we identified for Indigenous mothers might relate to higher prevalence of mental health problems in the general Indigenous population in Canada and elsewhere (Bowen et al, 2014;King et al, 2009;Kirmayer et al, 2000).…”

Section: Discussionsupporting

confidence: 74%

“…A recent analysis of the MES data found that the prevalence of PPD is higher among each of three groups of Indigenous mothers (First Nations off-reserve, Inuit, and Métis) compared to non-Indigenous Canadian-born mothers (12.9 %, 10.6 %, and 9.1 %, respectively, compared to 5.6 %). These differences became non-significant after adjustment for different risk factors (Nelson et al, 2018). However, neither the MES data nor other data have been used to compare prevalence and risk factors across immigrant, Indigenous and Canadian-born non-Indigenous population groups.…”

Section: Introductionmentioning

confidence: 99%

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Postpartum depression prevalence and risk factors among Indigenous, non-Indigenous and immigrant women in Canada

Daoud

O’Brien

O’Campo

et al. 2019

Can J Public Health

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Objectives The social position of different minority groups in contemporary societies suggests different risk factors for postpartum depression (PPD). In this study, we used two cutoffs of the Edinburgh Postpartum Depression Scale (EPDS) to examine prevalence and risk factors for PPD among mothers participating in the Canadian Maternity Experiences Survey (MES), and to compare Indigenous, Canadian-born non-Indigenous and immigrant mothers. Methods We used cross-sectional nationwide data from the 2006 MES (unweighted N = 6237, weighted N = 74,231) and conducted multivariate logistic regression models for EPDS ≥ 10 and EPDS ≥ 13 to explore risk factors for the total sample of mothers and in each study group.

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Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Postpartum depression prevalence and risk factors among Indigenous, non-Indigenous and immigrant women in Canada

Daoud

O’Brien

O’Campo

et al. 2019

Can J Public Health

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“…These findings are consistent with a recent Canadian study (that was not eligible for this review) that showed that postpartum depression rates were higher in First Nations (12.9%), Inuit (10.6%), and Métis (9.1%) women compared to their non-Indigenous peers (5.6%). 57 Using the same data, another group reported that Indigenous women were twice as likely to have postpartum depression compared to their non-Indigenous peers (OR 2.11; 95% CI, 1.44 to 3.09). 58 However, previous meta-analyses on the mental health of Indigenous males and females of a wide range of ages living in the Americas, Australia, and New Zealand suggested that the prevalence of mental health problems is generally not increased relative to non-Indigenous groups, and in some cases, may even be lower.…”

Section: Discussionmentioning

confidence: 96%

The Perinatal Mental Health of Indigenous Women: A Systematic Review and Meta-Analysis

et al. 2019

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Objective: Although Indigenous women are exposed to high rates of risk factors for perinatal mental health problems, the magnitude of their risk is not known. This lack of data impedes the development of appropriate screening and treatment protocols, as well as the proper allocation of resources for Indigenous women. The objective of this systematic review and meta-analysis was to compare rates of perinatal mental health problems among Indigenous and non-Indigenous women. Methods: We searched Medline, EMBASE, PsycINFO, CINAHL, and Web of Science from their inceptions until February 2019. Studies were included if they assessed mental health in Indigenous women during pregnancy and/or up to 12 months postpartum. Results: Twenty-six articles met study inclusion criteria and 21 were eligible for meta-analysis. Indigenous identity was associated with higher odds of mental health problems (odds ratio [ OR] 1.62; 95% confidence interval [CI], 1.25 to 2.11). Odds were higher still when analyses were restricted to problems of greater severity ( OR 1.95; 95% CI, 1.21 to 3.16) and young Indigenous women ( OR 1.86; 95% CI, 1.51 to 2.28). Conclusion: Indigenous women are at increased risk of mental health problems during the perinatal period, particularly depression, anxiety, and substance misuse. However, resiliency among Indigenous women, cultural teachings, and methodological issues may be affecting estimates. Future research should utilize more representative samples, adapt and validate diagnostic and symptom measures for Indigenous groups, and engage Indigenous actors, leaders, and related allies to help improve the accuracy of estimates, as well as the well-being of Indigenous mothers, their families, and future generations. Trial Registration: PROSPERO-CRD42018108638.

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“…In Canada, Indigenous women are more likely to experience PPD, and rates are as high as 15% to 30% (Nelson et al, 2018). Chronic stress during pregnancy (Kingston et al, 2012) and PPD are important topics when addressing Indigenous perinatal health disparities (Chen et al, 2015;Gilbert et al, 2015;Smylie, 2012;Smylie et al, 2010).…”

Section: A U T H O R I N F Omentioning

confidence: 99%

Indigenous Women’s Stress and Postpartum Depression: Discussions from the Canadian Maternity Experiences Survey and Indigenous Maternity Narratives

Leason

2021

IJIH

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This doctoral research highlights Indigenous women’s experiences of stress and postpartum depression (PPD) through secondary quantitative analysis of the Public Health Agency of Canada’s Canadian Maternity Experiences Survey (2009) and qualitative Indigenous maternity narratives. Indigenous women’s responses to the survey demonstrate that Indigenous women experience 1.9 times higher odds of PPD and are 1.5 times as likely to be diagnosed with depression prior to pregnancy, compared to Canadian women. Indigenous women are also 1.3 times as likely to experience higher levels of stress and 3.3 times as likely to experience three or more stressful life events. While the survey demonstrates higher rates of stress and PPD, it is not culturally or contextually relevant. Therefore, Indigenous maternity narratives from 10 Indigenous mothers in 2015 further contextualize experiences of stress and PPD to include narratives related to adverse social determinants of health and impacts of colonialism. The research includes a discussion on the limitations of previous maternity research and the limits of clinical-medical assessments and diagnosis of stress and PPD in Indigenous populations. The research concludes with recommendations for additional maternity experiences research and ways to support Indigenous women, infants and children, birth partners, families, and communities.

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Mental health indicators among pregnant Aboriginal women in Canada: results from the Maternity Experiences Survey

Cited by 14 publications

References 14 publications

Postpartum depression prevalence and risk factors among Indigenous, non-Indigenous and immigrant women in Canada

Postpartum depression prevalence and risk factors among Indigenous, non-Indigenous and immigrant women in Canada

The Perinatal Mental Health of Indigenous Women: A Systematic Review and Meta-Analysis

Indigenous Women’s Stress and Postpartum Depression: Discussions from the Canadian Maternity Experiences Survey and Indigenous Maternity Narratives

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