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Updated: Jul 6, 2025

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
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Published on: June 13, 2021

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Examination of Social Determinants of Health Characteristics Influencing Maternal Postpartum Symptom Experiences

Jihye Kim Scroggins1,2, Qing Yang3, Kristin P Tully4

  • 1School of Nursing, Columbia University, 560 W 168thStreet, New York, NY, 10032, USA. jks2238@cumc.columbia.edu.

Journal of Racial and Ethnic Health Disparities
|January 5, 2024
PubMed

Postpartum women experience multiple, co-occurring postpartum symptoms. It is unknown if social determinants of health (SDOH) influence postpartum symptom typologies. This secondary analysis used the Community and Child Health Network study data. Participants included for analysis varied depending on the availability of the SDOH data (N = 851 to 1784). Bivariate and multiple regression analyses were conducted to examine the association between SDOH and previously identified postpartum symptom typologies. Area under the receiver operating characteristics curve (AUROC) was calculated to examine if adding SDOH variables contributes to predicting postpartum symptom typologies. The adjusted odds (aOR) of being in high symptom severity or occurrence typologies were greater for participants who had less than high school education (aOR = 2.29), experienced healthcare discrimination (aOR = 2.21), used governmental aid (aOR = 2.11), or were food insecure (aOR = 2.04). AUROC improved after adding SDOH. Considering experiences of different social-economic hardships influence postpartum symptom typologies, future practice and research should address SDOH to improve postpartum symptom experiences.

Keywords:
DepressionPostpartum periodPsychological distressSocial determinants of healthSymptoms

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