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AAP Grand Rounds 2:56-57 (1999) Risk Factors for Maternal Depression in Neonatal and Head Start Age GroupsSources: (1) Lanzi RG, Pascoe JM, Keltner B, Ramey S. Correlates of maternal depressive symptoms in a national Head Start sample. Arch Pediatr Adol Med. 1999;153:801807. (2) Mandl KD, Tronick EZ, Brennan TA, Alpert HR, Homer CJ. Infant health care use and maternal depression. Arch Pediatr Adol Med. 1999;153:808813.
These two studies examined maternal depression, which is a very common and important problem that often goes untreated and undiagnosed. Lanzi and her associates examined depressive symptomatology among 5,820 mothers during their childrens kindergarten years using data collected from the National Head Start/Public School Early Childhood Transition Demonstration Project. Rates of maternal depression were assessed using the Parent Health and Depression Questionnaire, a 3-item, validated screening tool. The mean (SD) age of the mothers was 30.1 (5.55) years; 57% were unemployed; 68% had a high school diploma; 46% were non-Hispanic white, 30% African American, 13% Hispanic, 6% American Indian, 1% Asian American, 4% other. More than 40% of the mothers screened positive for depressive symptoms. The strongest associations, after controlling for several biological and demographic variables, were maternal chronic health problem (adjusted odds ratio, 2.77; 95% confidence interval 1.983.87), homelessness (adjusted odds ratio, 2.00; 95% CI 1.452.77), and lowest income level (adjusted odds ratio, 1.56; 95% CI 1.301.88). The authors recommended
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