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Table 4 Association between perinatal depression and SMS messaging patterns

From: Perinatal depression and its impact on infant outcomes and maternal-nurse SMS communication in a cohort of Kenyan women

ANTENATAL DEPRESSION

Ever vs. never sending an SMS message

Presence of antenatal depression (n)

Proportion who ever sent an SMS (n (%)

Relative Risk (95% CI)

p-value

Adjusted Relative Riska (95% CI)

p-value

Yes (n = 163)

150 (92.0%)

0.99 (0.98, 1.00)

0.05*

0.97 (0.97, 0.98)

< 0.0001*

No (n = 409)

384 (93.9%)

    

Total participant SMS sent

Presence of antenatal depression (n)

Total SMS Count

Median (IQR)

Relative Risk (95% CI)

p-value

Adjusted Relative Riska (95% CI)

p-value

Yes (n = 163)

14 (5–38)

0.77 (0.72, 0.82)

< 0.0001*

0.91 (0.87, 0.96)

< 0.0001*

No (n = 409)

25 (8–44)

    

Total participant long SMS sent

Presence of antenatal depression (n)

Long SMS Count

Median (IQR)

Relative Risk (95% CI)

p-value

Adjusted Relative Riska (95% CI)

p-value

Yes (n = 163)

12 (3–28)

0.81 (0.79, 0.84)

< 0.0001*

0.92 (0.89, 0.96)

< 0.0001*

No (n = 409)

19 (6–34)

    

PERSISTENT PERINATAL DEPRESSION

Likelihood of ever versus never sending an SMS message

Presence of persistent depression (n)

Proportion who ever sent an SMS (n (%)

Relative Risk (95% CI)

p-value

Adjusted Relative Riska (95% CI)

p-value

Yes (n = 27)

25 (92.6%)

1.00 (0.93, 1.07)

0.91

0.96 (0.91, 1.00)

0.08

No (n = 545)

509 (93.4%)

    

Ratio of mean participant SMS counts

Presence of persistent depression (n)

Total SMS Count

Median (IQR)

Relative Risk (95% CI)

p-value

Adjusted Relative Riska (95% CI)

p-value

Yes (n = 27)

15 (8–35)

0.74 (0.54, 1.01)

0.05

0.81 (0.70, 0.94)

0.005*

No (n = 545)

22 (7–44)

    

Ratio of mean participant long SMS messages sent

Presence of persistent depression (n)

Long SMS Count

Median (IQR)

Relative Risk (95% CI)

p-value

Adjusted Relative Riska (95% CI)

p-value

Yes (n = 27)

13 (7–31)

0.78 (0.62, 0.97)

0.03*

0.86 (0.76, 0.98)

0.02*

No (n = 545)

17 (5–33)

    
  1. aAdjusted for self-reported SMS behaviors including participant response rate to received messages, physical sharing of phone, phone access, SMS as participants’ primary mode of communication, typical SMS use, and difficulty receiving SMS messages from the system