Maternal income and preconception mental disorders: A Finnish cohort study

Background: Recent studies focusing on young women have reported an association between low household income and mental disorders. This study aimed to evaluate whether an association exists between maternal income and socioeconomic status and preconception mental disorders. Methods: This is an obser...

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Main Authors: S.-M. Björkstedt, H. Koponen, H. Kautiainen, M. Gissler, P. Pennanen, J.G. Eriksson, M.K. Laine
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Journal of Affective Disorders Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S266691532300015X
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author S.-M. Björkstedt
H. Koponen
H. Kautiainen
M. Gissler
P. Pennanen
J.G. Eriksson
M.K. Laine
author_facet S.-M. Björkstedt
H. Koponen
H. Kautiainen
M. Gissler
P. Pennanen
J.G. Eriksson
M.K. Laine
author_sort S.-M. Björkstedt
collection DOAJ
description Background: Recent studies focusing on young women have reported an association between low household income and mental disorders. This study aimed to evaluate whether an association exists between maternal income and socioeconomic status and preconception mental disorders. Methods: This is an observational register-based study comprising of 6189 Finnish women, who delivered a singleton between 2009 and 2015. Pregnancy data was obtained from The Finnish Medical Birth register, maternal income from Finnish Tax Administration and educational attainment from Statistics of Finland. Obtained from the Care Register for Health Care was data on maternal psychiatric diagnosis one year before conception. Results: Of the study participants, 3.1% had a diagnosis of CMD (common mental disorders) one year before conception. Women with CMD were younger, more often lived alone, smoked and had less educational attainment than women without mental disorders (for all p<0.001). Annual income was €4619 less in women with preconception CMD diagnosis than women without mental disorders (age and educational attainment adjusted p<0.001). Limitations: All participants were Finnish; thus, the generalization of the study observations is limited. Conclusions: Low maternal income and low socioeconomic status are associated with preconception mental disorders.
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spelling doaj.art-064f860cb4c14727851a27752ca215702023-01-21T04:21:53ZengElsevierJournal of Affective Disorders Reports2666-91532023-01-0111100476Maternal income and preconception mental disorders: A Finnish cohort studyS.-M. Björkstedt0H. Koponen1H. Kautiainen2M. Gissler3P. Pennanen4J.G. Eriksson5M.K. Laine6Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Social Services and Health Care division, City of Helsinki, Helsinki, Finland; Corresponding author.Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandFolkhälsan Research Center, Helsinki, Finland; Primary Health Care Unit, Kuopio University Hospital, Kuopio, FinlandFinnish Institute for Health and Welfare, Helsinki, Finland; Karolinska Institute and Region Stockholm, Stockholm, SwedenVantaa Health Center, Vantaa, FinlandDepartment of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Folkhälsan Research Center, Helsinki, Finland; National University Singapore, Yong Loo Lin School of Medicine, Department of Obstetrics and Gynecology and Human Potential Translational Research Program, Singapore, Singapore; Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), SingaporeDepartment of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Folkhälsan Research Center, Helsinki, FinlandBackground: Recent studies focusing on young women have reported an association between low household income and mental disorders. This study aimed to evaluate whether an association exists between maternal income and socioeconomic status and preconception mental disorders. Methods: This is an observational register-based study comprising of 6189 Finnish women, who delivered a singleton between 2009 and 2015. Pregnancy data was obtained from The Finnish Medical Birth register, maternal income from Finnish Tax Administration and educational attainment from Statistics of Finland. Obtained from the Care Register for Health Care was data on maternal psychiatric diagnosis one year before conception. Results: Of the study participants, 3.1% had a diagnosis of CMD (common mental disorders) one year before conception. Women with CMD were younger, more often lived alone, smoked and had less educational attainment than women without mental disorders (for all p<0.001). Annual income was €4619 less in women with preconception CMD diagnosis than women without mental disorders (age and educational attainment adjusted p<0.001). Limitations: All participants were Finnish; thus, the generalization of the study observations is limited. Conclusions: Low maternal income and low socioeconomic status are associated with preconception mental disorders.http://www.sciencedirect.com/science/article/pii/S266691532300015XCommon mental disordersIncomePreconceptionPsychiatric diagnosisSocioeconomic status
spellingShingle S.-M. Björkstedt
H. Koponen
H. Kautiainen
M. Gissler
P. Pennanen
J.G. Eriksson
M.K. Laine
Maternal income and preconception mental disorders: A Finnish cohort study
Journal of Affective Disorders Reports
Common mental disorders
Income
Preconception
Psychiatric diagnosis
Socioeconomic status
title Maternal income and preconception mental disorders: A Finnish cohort study
title_full Maternal income and preconception mental disorders: A Finnish cohort study
title_fullStr Maternal income and preconception mental disorders: A Finnish cohort study
title_full_unstemmed Maternal income and preconception mental disorders: A Finnish cohort study
title_short Maternal income and preconception mental disorders: A Finnish cohort study
title_sort maternal income and preconception mental disorders a finnish cohort study
topic Common mental disorders
Income
Preconception
Psychiatric diagnosis
Socioeconomic status
url http://www.sciencedirect.com/science/article/pii/S266691532300015X
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