Differential effects of ethnic density on the risk of postnatal depression and personality dysfunction

TY - JOUR

T1 - Differential effects of ethnic density on the risk of postnatal depression and personality dysfunction

AU - Du Preez, Andrea

AU - Conroy, Susan

AU - Pawlby, Susan Jennifer

AU - Moran, Paul Anthony

AU - Pariante, Carmine Maria

PY - 2016/1

Y1 - 2016/1

N2 - Background The relationship between ethnic density and psychiatric disorder in postnatal women in the UK is unclear. Aims To examine the effect of own and overall ethnic density on postnatal depression (PND) and personality dysfunction. Method Multilevel analysis of ethnically mixed community-level data gathered from a sample of 2262 mothers screened at 6 weeks postpartum for PND and personality dysfunction. Results Living in areas of higher own ethnic density was protective against screening positive for PND in White women (z =73.18, P = 0.001), even after adjusting for area level deprivation, maternal age, relationship status, screening positive for personality dysfunction, parity and geographical clustering (odds ratio (OR) 0.98 (95% CI 0.96-0.99); P = 0.002), whereas the effect on personality dysfunction (z =72.42, P = 0.016) was no longer present once the effect of PND was taken into account (OR = 0.99 (95% CI 0.90-1.0); P = 0.13). No overall ethnic density effect was found for women screening positive for PND or personality dysfunction. Conclusions In White women, living in areas of higher own ethnic density was protective against developing PND.

AB - Background The relationship between ethnic density and psychiatric disorder in postnatal women in the UK is unclear. Aims To examine the effect of own and overall ethnic density on postnatal depression (PND) and personality dysfunction. Method Multilevel analysis of ethnically mixed community-level data gathered from a sample of 2262 mothers screened at 6 weeks postpartum for PND and personality dysfunction. Results Living in areas of higher own ethnic density was protective against screening positive for PND in White women (z =73.18, P = 0.001), even after adjusting for area level deprivation, maternal age, relationship status, screening positive for personality dysfunction, parity and geographical clustering (odds ratio (OR) 0.98 (95% CI 0.96-0.99); P = 0.002), whereas the effect on personality dysfunction (z =72.42, P = 0.016) was no longer present once the effect of PND was taken into account (OR = 0.99 (95% CI 0.90-1.0); P = 0.13). No overall ethnic density effect was found for women screening positive for PND or personality dysfunction. Conclusions In White women, living in areas of higher own ethnic density was protective against developing PND.

U2 - 10.1192/bjp.bp.114.148874

DO - 10.1192/bjp.bp.114.148874

M3 - Article

SN - 0007-1250

VL - 208

SP - 49

EP - 55

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - 1

ER -