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Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 6/2016

01-06-2016

Intimate Partner Violence Associated with Postpartum Depression, Regardless of Socioeconomic Status

Authors: Catherine L. Kothari, Michael R. Liepman, R. Shama Tareen, Phyllis Florian, Remitha M. Charoth, Suzanne S. Haas, Joseph W. McKean, Angela Moe, James Wiley, Amy Curtis

Published in: Maternal and Child Health Journal | Issue 6/2016

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Abstract

Objective This study examined whether socioeconomic status moderated the association between intimate partner violence (IPV) and postpartum depression among a community-based sample of women. Defining the role of poverty in the risk of postpartum depression for IPV victims enables prioritization of health promotion efforts to maximize the effectiveness of existing maternal-infant resources. Methods This cross-sectional telephone-survey study interviewed 301 postpartum women 2 months after delivery, screening them for IPV and depression [using Edinburgh Postnatal Depression Scale (EPDS)]. Socioeconomic status was defined by insurance (Medicaid-paid-delivery or not). This analysis controlled for the following covariates, collected through interview and medical-record review: demographics, obstetric history, prenatal health and additional psychosocial risk factors. After adjusting for significant covariates, multiple linear regression was conducted to test whether socioeconomic status confounded or moderated IPV’s relationship with EPDS-score. Results Ten percent of participants screened positive for postpartum depression, 21.3 % screened positive for current or previous adult emotional or physical abuse by a partner, and 32.2 % met poverty criteria. IPV and poverty were positively associated with each other (χ2 (1) = 11.76, p < .001) and with EPDS score (IPV: beta 3.2 (CI 2.0, 4.5) p < .001, poverty: beta 1.3 (CI 0.2, 2.4) p = .017). In the multiple linear regression, IPV remained significantly associated, but poverty did not (IPV: adjusted beta 3.1 (CI 1.8, 4.3) p < .001, poverty: adjusted beta 0.8 (CI −0.3, 1.9) p = .141), and no statistically significant interaction between IPV and poverty was found. Conclusions Study findings illustrated that IPV was strongly associated with postpartum depression, outweighing the influence of socioeconomic status upon depression for postpartum women.
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Metadata
Title
Intimate Partner Violence Associated with Postpartum Depression, Regardless of Socioeconomic Status
Authors
Catherine L. Kothari
Michael R. Liepman
R. Shama Tareen
Phyllis Florian
Remitha M. Charoth
Suzanne S. Haas
Joseph W. McKean
Angela Moe
James Wiley
Amy Curtis
Publication date
01-06-2016
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 6/2016
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-016-1925-0

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