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Mental health status in pregnancy among native and non-native Swedish-speaking women: a Bidens study

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Abstract
Objectives. To describe mental health status in native and non-native Swedish-speaking pregnant women and explore risk factors of depression and posttraumatic stress (PTS) symptoms. Design and setting. A cross-sectional questionnaire study was conducted at midwife-based antenatal clinics in Southern Sweden. Sample. A non-selected group of women in mid-pregnancy. Methods. Participants completed a questionnaire covering background characteristics, social support, life events, mental health variables and the short Edinburgh Depression Scale. Main outcome measures. Depressive symptoms during the past week and PTS symptoms during the past year. Results. Out of 1003 women, 21.4% reported another language than Swedish as their mother tongue and were defined as non-native. These women were more likely to be younger, have fewer years of education, potential financial problems, and lack of social support. More non-native speakers self-reported depressive, PTS, anxiety and, psychosomatic symptoms, and fewer had had consultations with a psychiatrist or psychologist. Of all women, 13.8% had depressive symptoms defined by Edinburgh Depression Scale 7 or above. Non-native status was associated with statistically increased risks of depressive symptoms and having =1 PTS symptom compared with native-speaking women. Multivariate modeling including all selected factors resulted in adjusted odds ratios for depressive symptoms of 1.75 (95% confidence interval: 1.112.76) and of 1.56 (95% confidence interval: 1.102.34) for PTS symptoms in non-native Swedish speakers. Conclusion. Non-native Swedish-speaking women had a more unfavorable mental health status than native speakers. In spite of this, non-native speaking women had sought less mental health care.
Keywords
AUSTRALIA, SAMPLE, PREVALENCE, Depressive, POSTNATAL-DEPRESSION-SCALE, pregnancy, posttraumatic stress, SOCIAL SUPPORT, SEXUAL-ABUSE, ethnicity, mental health, EXPERIENCES, CARE, VALIDATION, RISK

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MLA
Wangel, Anne-Marie, Berit Schei, Elsa Lena Ryding, et al. “Mental Health Status in Pregnancy Among Native and Non-native Swedish-speaking Women: a Bidens Study.” ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA 91.12 (2012): 1395–1401. Print.
APA
Wangel, A.-M., Schei, B., Ryding, E. L., Östman, M., Bidens Study Group, the, Temmerman, M., & Van Parys, A.-S. (2012). Mental health status in pregnancy among native and non-native Swedish-speaking women: a Bidens study. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 91(12), 1395–1401.
Chicago author-date
Wangel, Anne-Marie, Berit Schei, Elsa Lena Ryding, Margareta Östman, the Bidens Study Group, Marleen Temmerman, and An-Sofie Van Parys. 2012. “Mental Health Status in Pregnancy Among Native and Non-native Swedish-speaking Women: a Bidens Study.” Acta Obstetricia Et Gynecologica Scandinavica 91 (12): 1395–1401.
Chicago author-date (all authors)
Wangel, Anne-Marie, Berit Schei, Elsa Lena Ryding, Margareta Östman, the Bidens Study Group, Marleen Temmerman, and An-Sofie Van Parys. 2012. “Mental Health Status in Pregnancy Among Native and Non-native Swedish-speaking Women: a Bidens Study.” Acta Obstetricia Et Gynecologica Scandinavica 91 (12): 1395–1401.
Vancouver
1.
Wangel A-M, Schei B, Ryding EL, Östman M, Bidens Study Group the, Temmerman M, et al. Mental health status in pregnancy among native and non-native Swedish-speaking women: a Bidens study. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA. 2012;91(12):1395–401.
IEEE
[1]
A.-M. Wangel et al., “Mental health status in pregnancy among native and non-native Swedish-speaking women: a Bidens study,” ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, vol. 91, no. 12, pp. 1395–1401, 2012.
@article{3257287,
  abstract     = {Objectives. To describe mental health status in native and non-native Swedish-speaking pregnant women and explore risk factors of depression and posttraumatic stress (PTS) symptoms.
Design and setting. A cross-sectional questionnaire study was conducted at midwife-based antenatal clinics in Southern Sweden.
Sample. A non-selected group of women in mid-pregnancy.
Methods. Participants completed a questionnaire covering background characteristics, social support, life events, mental health variables and the short Edinburgh Depression Scale.
Main outcome measures. Depressive symptoms during the past week and PTS symptoms during the past year.
Results. Out of 1003 women, 21.4% reported another language than Swedish as their mother tongue and were defined as non-native. These women were more likely to be younger, have fewer years of education, potential financial problems, and lack of social support. More non-native speakers self-reported depressive, PTS, anxiety and, psychosomatic symptoms, and fewer had had consultations with a psychiatrist or psychologist. Of all women, 13.8% had depressive symptoms defined by Edinburgh Depression Scale 7 or above. Non-native status was associated with statistically increased risks of depressive symptoms and having =1 PTS symptom compared with native-speaking women. Multivariate modeling including all selected factors resulted in adjusted odds ratios for depressive symptoms of 1.75 (95% confidence interval: 1.112.76) and of 1.56 (95% confidence interval: 1.102.34) for PTS symptoms in non-native Swedish speakers.
Conclusion. Non-native Swedish-speaking women had a more unfavorable mental health status than native speakers. In spite of this, non-native speaking women had sought less mental health care.},
  author       = {Wangel, Anne-Marie and Schei, Berit and Ryding, Elsa Lena and Östman, Margareta and Bidens Study Group, the and Temmerman, Marleen and Van Parys, An-Sofie},
  issn         = {0001-6349},
  journal      = {ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA},
  keywords     = {AUSTRALIA,SAMPLE,PREVALENCE,Depressive,POSTNATAL-DEPRESSION-SCALE,pregnancy,posttraumatic stress,SOCIAL SUPPORT,SEXUAL-ABUSE,ethnicity,mental health,EXPERIENCES,CARE,VALIDATION,RISK},
  language     = {eng},
  number       = {12},
  pages        = {1395--1401},
  title        = {Mental health status in pregnancy among native and non-native Swedish-speaking women: a Bidens study},
  url          = {http://dx.doi.org/10.1111/j.1600-0412.2012.01512.x},
  volume       = {91},
  year         = {2012},
}

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