Factors Associated with Postpartum Maternal Functioning in Black Women: A Secondary Analysis

In the United States, 29–44% of Black women experience postpartum depressive symptoms (PDS), yet few are properly identified and/or connected to mental care services. The purpose of this secondary analysis was to examine the relationship between maternal functioning and clinical variables (PDS, mate...

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Main Authors: Kortney Floyd James, Betsy E. Smith, Millicent N. Robinson, Courtney S. Thomas Tobin, Kelby F. Bulles, Jennifer L. Barkin
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/2/647
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author Kortney Floyd James
Betsy E. Smith
Millicent N. Robinson
Courtney S. Thomas Tobin
Kelby F. Bulles
Jennifer L. Barkin
author_facet Kortney Floyd James
Betsy E. Smith
Millicent N. Robinson
Courtney S. Thomas Tobin
Kelby F. Bulles
Jennifer L. Barkin
author_sort Kortney Floyd James
collection DOAJ
description In the United States, 29–44% of Black women experience postpartum depressive symptoms (PDS), yet few are properly identified and/or connected to mental care services. The purpose of this secondary analysis was to examine the relationship between maternal functioning and clinical variables (PDS, maternal–infant attachment), racial variable (Black racial identity types—low race salience, assimilated and miseducated, self-hating, anti-White, multiculturalist, and conflicted), and sociodemographic characteristics (relationship status, education, insurance, childbirth type). A total of 116 women living in the southern United States were included in the analysis. Multivariate analyses revealed that Black racial identity (<i>p</i> = 0.02), PDS (<i>p</i> < 0.0001), maternal–infant attachment (<i>p</i> < 0.0001), and educational level (<i>p</i> = 0.03) were independently associated with maternal functioning. This work provides new evidence regarding the role of various clinical and racial factors on Black postpartum women’s adjustment to motherhood. This analysis also adds to the growing body of evidence of reliability for the BIMF in Black postpartum women.
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spelling doaj.art-34b2a55958c74ea6b143fb63299a926a2023-11-30T22:52:54ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-0112264710.3390/jcm12020647Factors Associated with Postpartum Maternal Functioning in Black Women: A Secondary AnalysisKortney Floyd James0Betsy E. Smith1Millicent N. Robinson2Courtney S. Thomas Tobin3Kelby F. Bulles4Jennifer L. Barkin5National Clinician Scholars Program, David Geffen School of Medicine, University of California, Los Angeles, CA 90024, USADepartment of Internal Medicine, Mercer University School of Medicine, Macon, GA 31207, USASchool of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC 27516, USALos Angeles Jonathan and Karin Fielding School of Public Health, Department of Community Health Sciences, University of California, Los Angeles, CA 90095, USASchool of Medicine, Department of Community Medicine, Mercer University, Macon, GA 31207, USASchool of Medicine, Department of Community Medicine, Mercer University, Macon, GA 31207, USAIn the United States, 29–44% of Black women experience postpartum depressive symptoms (PDS), yet few are properly identified and/or connected to mental care services. The purpose of this secondary analysis was to examine the relationship between maternal functioning and clinical variables (PDS, maternal–infant attachment), racial variable (Black racial identity types—low race salience, assimilated and miseducated, self-hating, anti-White, multiculturalist, and conflicted), and sociodemographic characteristics (relationship status, education, insurance, childbirth type). A total of 116 women living in the southern United States were included in the analysis. Multivariate analyses revealed that Black racial identity (<i>p</i> = 0.02), PDS (<i>p</i> < 0.0001), maternal–infant attachment (<i>p</i> < 0.0001), and educational level (<i>p</i> = 0.03) were independently associated with maternal functioning. This work provides new evidence regarding the role of various clinical and racial factors on Black postpartum women’s adjustment to motherhood. This analysis also adds to the growing body of evidence of reliability for the BIMF in Black postpartum women.https://www.mdpi.com/2077-0383/12/2/647maternal functioningpostpartum mental healthBlack motherhood
spellingShingle Kortney Floyd James
Betsy E. Smith
Millicent N. Robinson
Courtney S. Thomas Tobin
Kelby F. Bulles
Jennifer L. Barkin
Factors Associated with Postpartum Maternal Functioning in Black Women: A Secondary Analysis
Journal of Clinical Medicine
maternal functioning
postpartum mental health
Black motherhood
title Factors Associated with Postpartum Maternal Functioning in Black Women: A Secondary Analysis
title_full Factors Associated with Postpartum Maternal Functioning in Black Women: A Secondary Analysis
title_fullStr Factors Associated with Postpartum Maternal Functioning in Black Women: A Secondary Analysis
title_full_unstemmed Factors Associated with Postpartum Maternal Functioning in Black Women: A Secondary Analysis
title_short Factors Associated with Postpartum Maternal Functioning in Black Women: A Secondary Analysis
title_sort factors associated with postpartum maternal functioning in black women a secondary analysis
topic maternal functioning
postpartum mental health
Black motherhood
url https://www.mdpi.com/2077-0383/12/2/647
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