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The Incidence of Depression by Fertility Status in Overweight and Obese Latina Women

Abstract  

The link between depression, obesity, and fertility status is poorly understood among Latina women. The Patient Health Questionnaire
9 (PHQ-9) is routinely administered in the Diabetes and Obesity in Reproductive Age women Clinic. We describe median PHQ-9
score and PHQ-9 score ≥10 [indicative of Major Depressive Disorder (MDD)] by fertility status. Of the 76 eligible new patients
seen between June 2008 and 2009, 18.4% (n = 14) had PHQ-9 scores indicative of MDD. Infertile women had marginally significantly
higher PHQ-9 scores than non-infertile women (p = 0.08). 26.5% of infertile women and 12.2% of non-infertile women had a PHQ-9 score indicative of MDD (p = 0.14). Number of previous births was inversely correlated with PHQ-9 score (R = −0.34, p = 0.002), those with no previous births had higher PHQ-9 scores (p = 0.001) and were more likely to have a PHQ-9 score indicative of MDD than those with previous births (28.6 vs. 9.8%, p = 0.04). Among non-infertile women, postpartum women had significantly lower PHQ-9 scores than non-postpartum women (p = 0.002). 4.6% of postpartum women and 21.1% of non-postpartum women had a PHQ-9 indicative of MDD (p = 0.19). Further investigation is needed to determine if reproductive success is protective against MDD among overweight
and obese urban Latinas. Overall, depression is common among overweight and obese reproductive-age Latinas and thus routine
screening is recommended.

  • Content Type Journal Article
  • Category Original Paper
  • Pages 1-5
  • DOI 10.1007/s10903-012-9591-9
  • Authors
    • Penina Segall-Gutierrez, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, 2020 Zonal Ave Room 220, Los Angeles, CA 90033, USA
    • Courtney S. Berman, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, 2020 Zonal Ave Room 220, Los Angeles, CA 90033, USA
    • Neisha Opper, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, 2020 Zonal Ave Room 220, Los Angeles, CA 90033, USA
    • Emily Dossett, Department of Psychiatry, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
    • Kimberly Moore, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, 2020 Zonal Ave Room 220, Los Angeles, CA 90033, USA
    • Courtney Martin, Department of Obstetrics and Gynecology, Loma Linda School of Medicine, Loma Linda, CA, USA
    • Janet Pine, Department of Psychiatry, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
    • Journal Journal of Immigrant and Minority Health
    • Online ISSN 1557-1920
    • Print ISSN 1557-1912
Posted in: Journal Article Abstracts on 03/07/2012 | Link to this post on IFP |
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