Supplemental Material, Medline_search_strategy - The Perinatal Mental Health of Indigenous Women: A Systematic Review and Meta-Analysis: La Santé Mentale Périnatale des Femmes Autochtones: Une Revue Systématique et Une Méta-Analyse (original) (raw)
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The Perinatal Mental Health of Indigenous Women: A Systematic Review and Meta-Analysis
The Canadian Journal of Psychiatry, 2019
Objective: Although Indigenous women are exposed to high rates of risk factors for perinatal mental health problems, the magnitude of their risk is not known. This lack of data impedes the development of appropriate screening and treatment protocols, as well as the proper allocation of resources for Indigenous women. The objective of this systematic review and meta-analysis was to compare rates of perinatal mental health problems among Indigenous and non-Indigenous women. Methods: We searched Medline, EMBASE, PsycINFO, CINAHL, and Web of Science from their inceptions until February 2019. Studies were included if they assessed mental health in Indigenous women during pregnancy and/or up to 12 months postpartum. Results: Twenty-six articles met study inclusion criteria and 21 were eligible for meta-analysis. Indigenous identity was associated with higher odds of mental health problems (odds ratio [ OR] 1.62; 95% confidence interval [CI], 1.25 to 2.11). Odds were higher still when anal...
2022
Purpose Maternal mental health problems are common during the perinatal period and have been associated with several negative outcomes in children. However, few studies have examined these associations among Indigenous people, and the findings across these studies have been inconsistent. This scoping review comprehensively examined the perinatal and childhood (≤ 12 years) health and development outcomes of the children of Indigenous women with perinatal mental health problems. Methods Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, Medline, CINAHL, PsycINFO, Joanna Briggs Institute, Wed of Science, Scopus, and other databases were searched electronically for studies examining the associations between any perinatal maternal mental health problems and perinatal and child outcomes among the Indigenous population of Australia, Canada, New Zealand, and the USA. Two authors reviewed studies for inclusion. Results Of 2,038 records identified, 11...
Transcultural psychiatry, 2014
We conducted a review of research literature related to anxiety, depression, and mood problems in Indigenous women in Canada, the United States (including Hawaii), Australia, and New Zealand. Quantitative and qualitative research studies published between 1980 and March 2010 were reviewed. The initial search revealed 396 potential documents, and after being checked for relevance by two researchers, data were extracted from 16 quantitative studies, one qualitative research article, and one dissertation. Depression is a common problem in Indigenous pregnant and postpartum women; however, the prevalence and correlates of anxiety and mood disorders are understudied. The review identified four key areas where further research is needed: (a) longitudinal, population-based studies; (b) further validation and modification of appropriate screening tools; (c) exploration of cultural diversity and meaning of the lived experiences of antenatal and postpartum depression, anxiety, and mood disord...
International Journal of Indigenous Health
This doctoral research highlights Indigenous women’s experiences of stress and postpartum depression (PPD) through secondary quantitative analysis of the Public Health Agency of Canada’s Canadian Maternity Experiences Survey (2009) and qualitative Indigenous maternity narratives. Indigenous women’s responses to the survey demonstrate that Indigenous women experience 1.9 times higher odds of PPD and are 1.5 times as likely to be diagnosed with depression prior to pregnancy, compared to Canadian women. Indigenous women are also 1.3 times as likely to experience higher levels of stress and 3.3 times as likely to experience three or more stressful life events. While the survey demonstrates higher rates of stress and PPD, it is not culturally or contextually relevant. Therefore, Indigenous maternity narratives from 10 Indigenous mothers in 2015 further contextualize experiences of stress and PPD to include narratives related to adverse social determinants of health and impacts of colonia...
A systematic review of EPDS cultural suitability with Indigenous mothers: a global perspective
Archives of Women's Mental Health
The Edinburgh Postnatal Depression Scale (EPDS) is used extensively as the “gold standard” perinatal depression and anxiety screening tool. This study contributes to an emerging discussion about the tool’s shortcomings, specifically around cultural suitability for use with Indigenous women. A systematic search was conducted in ProQuest, PsycINFO, MEDLINE (Web of Science), PubMed, Scopus, Informit, and CINAHL research databases, and grey literature. The quality of the body of evidence was assessed using the NHMRC Level of Evidence framework. Three studies supported the cultural validation of the EPDS with Indigenous groups in Canada (n = 2) and the USA (n = 1). The remaining eleven Australian studies demonstrated that cultural concerns were suggested by either Indigenous mothers, healthcare professionals (Indigenous and non-Indigenous), or both, though cultural concerns were more weighted from the perspectives of healthcare professionals. The quality of the evidence was not strong, a...
2016
Development of policies and interventions to address health disparities between Indigenous and non-Indigenous populations requires a comprehensive understanding of Indigenous people’s experiences and perspectives of healthcare services. We systematically reviewed the published literature on Canadian Indigenous women’s experiences and perspectives of maternal healthcare during pregnancy, childbirth, and the postpartum period. Major bibliographic databases (including PubMed, CINAHL, EMBASE, SCOPUS, and SSCI) were searched for published studies (1990–March 2015) in English. Reference lists of identified articles were searched to identify additional articles. 92 articles were retrieved for further review, of which 16 studies were included: 8 on maternal healthcare and/or medical evacuation; 3 on gestational diabetes mellitus; 3 on the impact of policies on maternal health; and 2 on maternal weight changes and/or breastfeeding. The included studies described 1043 participants: Indigenous...
Indigenous perinatal and neonatal outcomes: A time for preventive strategies
Journal of Paediatrics and Child Health P, 2010
Pregnancy outcomes for Indigenous mothers and babies have improved, but marked disparities remain between Indigenous and non-Indigenous women. Many contributors to these disparities such as smoking, alcohol use, poor nutrition, infection, teenage pregnancy and stress are preventable or modifiable particularly if addressed prior to pregnancy. It is suggested that we expand our reproductive health research, education and care to a life course approach beginning in early adolescence.
Gestational Risks and Psychiatric Disorders Among Indigenous Adolescents
Community Mental Health Journal, 2009
Absract This study reports on the effects maternal prenatal binge drinking, cigarette smoking, drug use, and pregnancy and birth complications on meeting criteria for psychiatric disorders at ages 10-12 and 13-15 years among 546 Indigenous adolescents from a single culture in the northern Midwest and Canada. Adolescent DSM-IV psychiatric disorders were assessed with the Diagnostic Interview Schedule for Children-Revised (DISC-R). Results indicate that maternal behaviors when pregnant have significant effects on adolescent psychiatric disorders even when controlling for age and gender of adolescent, family per capita income, living in a single mother household, and adolescent reports of mother's positive parenting.