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dc.contributor.authorBilszta, Justin L Cen
dc.contributor.authorGu, Ying Zhien
dc.contributor.authorMeyer, Dennyen
dc.contributor.authorBuist, Anneen
dc.identifier.citationAustralian and New Zealand Journal of Public Health; 32(5): 424-30en
dc.description.abstractThis study sought to compare the contribution of demographic and psychosocial variables on the prevalence of, and risk for, PND in urban and rural women.Demographic, psychosocial risk factor and mental health data was collected from urban (n=908) and rural (n=1,058) women attending perinatal health services in Victoria, Australia. Initial analyses determined similarities and significant differences between demographic and psychosocial variables. The association between these variables and PND case/non-case was evaluated using logistic regression analysis.There were a number of significant differences between the two cohorts in terms of socio-economic status (SES), age, marital status and past history of psychopathology Antenatal depression was more common in the urban group compared to the rural group (8.5% vs 3.4%, p=0.006); there was no significant difference in the prevalence of PND (6.6% vs 8.5%, p=0.165). For urban mothers, antenatal EPDS score was the best predictor of PND. For rural mothers antenatal EPDS score, SES and psychiatric history had a significant influence on postnatal mood.Findings confirm the contribution of established risk factors such as past psychopathology, antenatal EPDS score and SES on the development of PND and reiterate the need for procedures to identify and assess psychosocial risk factors for depression in the perinatal period. Other predictors such as efficacy of social support and perceived financial burden may strengthen statistical models used to predict PND for women living in a rural setting.en
dc.subject.otherCohort Studiesen
dc.subject.otherDepression, Postpartum.economics.epidemiologyen
dc.subject.otherHealth Surveysen
dc.subject.otherLogistic Modelsen
dc.subject.otherObstetrics and Gynecology Department, Hospital.utilizationen
dc.subject.otherPrenatal Care.utilizationen
dc.subject.otherPsychiatric Status Rating Scalesen
dc.subject.otherRisk Factorsen
dc.subject.otherRural Health.statistics & numerical dataen
dc.subject.otherSocioeconomic Factorsen
dc.subject.otherUrban Health.statistics & numerical dataen
dc.subject.otherYoung Adulten
dc.titleA geographic comparison of the prevalence and risk factors for postnatal depression in an Australian population.en
dc.typeJournal Articleen
dc.identifier.journaltitleAustralian and New Zealand journal of public healthen
dc.identifier.affiliationDepartment of Psychiatry, University of Melbourne, Melbourne, Australiaen
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