Psychosocial and obstetric determinants of women signalling distress during Edinburgh Postnatal Depression Scale (EPDS) screening in Sydney, Australia

Khanlari, Sarah; Eastwood, John; Barnett, Bryanne; Naz, Sabrina; Ogbo, Felix Akpojene

doi:10.1186/s12884-019-2565-3

Table 1 Study factors and antenatal distress (EPDS = 10–12) in South Western Sydney and Sydney Local Health Districts, 2014–2016 (N = 53, 032)

From: Psychosocial and obstetric determinants of women signalling distress during Edinburgh Postnatal Depression Scale (EPDS) screening in Sydney, Australia

				Complete cases				Multiple imputation*
Outcome	Participants	Cases	%	Unadjusted OR (95%CI)	P value	Adjusted OR (95%CI)	P value	Unadjusted OR (95%CI)	P value	Adjusted OR (95%CI) (a)	P value
Antenatal distress	42,027	3378	8.0
Maternal age group
20–34 years	39,199	3119	8.0	1.0		1.0		1.0		1.0
> 35 years	2184	179	8.2	1.0 (0.9–1.2)	0.60	1.0 (0.8–1.2)	0.768	1.0 (0.9–1.2)	0.550	1.0 (0.8–1.3)	< 0.001
< 20 years	643	79	12.3	1.7 (1.4–2.2)	< 0.001	1.7 (1.0–2.8)	0.045	1.7 (1.4–2.2)	< 0.001	1.7 (1.0–2.8)	< 0.001
SES category
Low	16,529	1566	9.5	1.0		1.0		1.0		1.0
Medium	19,345	1374	7.1	0.7 (0.7–0.8)	< 0.001	0.9 (0.8–1.0)	0.066	0.7 (0.7–0.8)	< 0.001	0.9 (0.8–1.0)	< 0.001
High	4701	260	5.5	0.5 (0.5–0.6)	< 0.001	0.7 (0.6–0.9)	0.004	0.5 (0.5–0.6)	< 0.001	0.7 (0.6–0.9)	< 0.001
CALD group
No	20,668	1245	6.0	1.0		1.0		1.0		1.0
Yes	20,560	2078	10.1	1.8 (1.7–2.0)	< 0.001	2.0 (1.8–2.3)	< 0.001	1.8 (1.7–2.0)	< 0.001	2.0 (1.8–2.2)	< 0.001
Supportive partner
Yes	39,735	3096	7.8	1.0		1.0		1.0		1.0
No	1193	182	15.3	3.0 (2.6–3.6)	< 0.001	2.9 (2.3–3.7)	< 0.001	3.0 (2.5–3.5)	< 0.001	2.9 (2.3–3.6)	< 0.001
Maternal history of childhood abuse
No	38,020	2903	7.6	1.0		1.0		1.0		1.0
Yes	2803	342	12.2	1.9 (1.7–2.1)	< 0.001	1.9 (1.6–2.3)	< 0.001	1.9 (1.7–2.1)	< 0.001	1.9 (1.6–2.3)	< 0.001
Psychological IPV
No	40,367	3209	7.9	1.0		1.0		1.0		1.0
Yes	560	71	12.7	2.2 (1.7–2.8)	< 0.001	1.2 (0.8–1.9)	0.312	2.2 (1.7–2.8)	< 0.001	1.3 (0.9–2.0)	0.166
Physical IPV
No	40,529	99	0.2	1.0		1.0		1.0		1.0
Yes	700	142	14.1	2.4 (1.9–2.9)	< 0.001	1.6 (1.1–2.3)	0.013	2.4 (1.9–2.9)	< 0.001	1.5 (1.0–2.1)	0.035
Pregnancy known to FaCS
No	35,482	2767	7.8	1.0		1.0		1.0		1.0
Yes	748	99	13.2	2.0 (1.6–2.5)	< 0.001	1.3 (0.9–1.7)	0.136	2.0 (1.6–2.5)	< 0.001	1.2 (0.9–1.7)	< 0.001
Previous child in OOHC
No	26,421	1957	7.4	1.0		1.0		1.0		1.0
Yes	1015	137	13.5	2.1 (1.7–2.5)	< 0.001	1.5 (1.2–1.9)	0.001	2.1 (1.7–2.5)	< 0.001	1.5 (1.2–1.9)	< 0.001
Alcohol use in pregnancy
No	40,688	3238	7.9	1.0		1.0		1.0		1.0
Yes	647	78	12.1	1.6 (1.3–2.1)	< 0.001	1.6 (1.1–2.3)	0.011	1.6 (1.3–2.1)	< 0.001	1.5 (1.1–2.2)	0.018
Antenatal health problems
No	34,322	2641	7.7	1.0		1.0		1.0		1.0
Yes	6442	611	9.5	1.3 (1.2–1.4)	< 0.001	1.2 (1.1–1.4)	0.002	1.3 (1.2–1.4)	< 0.001	1.3 (1.1–1.5)	< 0.001

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ISSN: 1471-2393

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