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Maternal care experience and postpartum depressive symptoms among migrant and native in Portugal

dc.contributor.authorTeixeira, Cristina
dc.contributor.authorSantos, Susana
dc.contributor.authorGuerra, João
dc.contributor.authorBarros, Henrique
dc.date.accessioned2023-02-27T15:43:03Z
dc.date.available2023-02-27T15:43:03Z
dc.date.issued2022
dc.description.abstractMigration is a risk factor for both, poor maternal experience with healthcare services (MEHCS) and postpartum depressive symptoms (PPDS), a matter of concern due to their adverse consequences. We aimed to assess the association between MEHCS and PPDS taking into account the migration status. Methods: This is part of a population-based study (baMBINO project), enrolling native (PT; n = 1568), permanent migrant (PM; n = 676) and temporary migrant (TM; n = 757) women recruited at delivery (2017-2019) in 32 Portuguese public hospitals. MEHCS was assessed based on 39 items of the Migrant Friendly Maternal Care Questionnaire asking about how women have experienced maternal care during pregnancy, during delivery and after birth. Items were grouped into 9 components each one assessing a different issue of MEHCS. For each component women were classified as having ‘‘good’’ or ‘‘less than good’’ experience. PPDS were assessed using the Edinburgh Postnatal Depression Scale (cut-off>12).Multivariate logistic regression model was fitted to estimate the association between MEHCS and PPDS. Adjusted odds ratio (aOR) and respective 95% confidence interval were obtained. Results: PPDS were reported by 3.8%, 5.8% and 8.2% of PT, PM and TM women, respectively (p < 0.001). After adjustment, 4 out 9 components of MEHCS appeared related with PPDS, such that women reporting less than good experience with ‘‘under standing information’’ (aOR = 1.72 95%CI:1.14-2.60), ‘‘decisions according to maternal wishes’’ (aOR = 1.56 95% CI:1.04-2.34), ‘‘time waiting for healthcare’’ (aOR = 1.50 95%CI:1.04-2.18) and ‘‘healthcare provider’s attitudes during pregnancy’’ (aOR = 1.58 95%CI:1.01-2.47) showed higher odds of PPDS than women reporting good experience. Conclusions: Further than the migration status, poor experience with some issues of maternal care seems play a role in the risk of PPDS Key messages: Awareness should be given to maternal care experience. Public health strategies should address factors underlying a positive maternal experience.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationTeixeira, Cristina; Santos, S; Guerra, J; Barros, Henrique (2022). Maternal care experience and postpartum depressive symptoms among migrant and native in Portugal. In 15th European Public Health Conference 2022. Berlin, Germanypt_PT
dc.identifier.doi10.1093/eurpub/ckac130.087pt_PT
dc.identifier.urihttp://hdl.handle.net/10198/27248
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford Academicpt_PT
dc.relationThis study is funded by FEDER funds through the Operational Program for Competitiveness and Internationalization, and by na tional funds of FCT—Fundac¸~ao para a Cieˆncia e Tecnologia, under the scope of the project ‘Perinatal Health in Migrants Barriers, Incentives and Outcomes’ (POCI-01-0145-FEDER-016874; PTDC/DTPSAP/6384/2014), the Unidade de Investigac¸~ao em Epidemiologia (EPIUnit) - Instituto de Sau´ de Pu´ blica da Universidade do Porto (ISPUP) (UIDB/04750/2020).pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectWomen' healthpt_PT
dc.subjectmaternal experiencept_PT
dc.subjectMigrant womenpt_PT
dc.subjectDepressive symptomspt_PT
dc.titleMaternal care experience and postpartum depressive symptoms among migrant and native in Portugalpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceBerlin, Germanypt_PT
oaire.citation.issueSupplement_3pt_PT
oaire.citation.startPageiii347pt_PT
oaire.citation.titleEuropean Journal of Public Healthpt_PT
oaire.citation.volume32pt_PT
person.familyNameTeixeira
person.givenNameCristina
person.identifier.ciencia-id6E12-F2A0-568F
person.identifier.orcid0000-0001-5194-5141
person.identifier.ridO-2296-2013
person.identifier.scopus-author-id55207402700
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublication9037c83c-43c1-4714-ad3e-9f307dd1d89f
relation.isAuthorOfPublication.latestForDiscovery9037c83c-43c1-4714-ad3e-9f307dd1d89f

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