Associations between mental health conditions in pregnancy and maternal socioeconomic status: a population-based retrospective cohort study in Ontario, Canada
2024

Mental Health Conditions in Pregnancy and Socioeconomic Status

Sample size: 1202292 publication 10 minutes Evidence: high

Author Information

Author(s): Miao Qun, Zai Gwyneth, Joiner Ian, Burnside Jessica, Walker Mark

Primary Institution: Better Outcomes Registry & Network (BORN) Ontario

Hypothesis

How do mental health conditions during pregnancy relate to socioeconomic status in Ontario, Canada?

Conclusion

Pregnant individuals in lower socioeconomic neighborhoods are at a higher risk for mental health conditions, indicating health inequity in Ontario.

Supporting Evidence

  • 10.5% of pregnant individuals experienced anxiety.
  • 8.1% of pregnant individuals experienced depression.
  • 15.8% had at least one mental health condition during pregnancy.
  • Lower socioeconomic status is linked to higher rates of mental health issues.

Takeaway

If you live in a poorer neighborhood, you might feel more anxious or depressed when you're pregnant. This study shows that where you live can affect how you feel.

Methodology

A population-based retrospective cohort study using data from Ontario hospitals for singleton pregnancies from 2012 to 2021.

Potential Biases

Potential misclassification of mental health outcomes due to reliance on hospital diagnoses and self-reports.

Limitations

The study used neighborhood-level socioeconomic indicators instead of individual-level measures, which may lead to misclassification.

Participant Demographics

76% of participants were under 35 years old, with 12.6% living in rural areas.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95%CI: 1.22–1.27 for anxiety, 95%CI: 1.52–1.59 for depression

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1186/s12905-024-03499-w

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