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Table 2 Study factors and antenatal depressive symptoms (EPDS≥13) in South Western Sydney and Sydney Local Health Districts, 2014–2016 (N = 53, 032)

From: Psychosocial and obstetric determinants of women signalling distress during Edinburgh Postnatal Depression Scale (EPDS) screening in Sydney, Australia

 

Complete cases

Multiple imputation*

Outcome

Participants

Cases

%

Unadjusted OR (95%CI)

P value

Adjusted OR (95%CI)

P value

Unadjusted OR (95%CI)

P value

Adjusted OR (95%CI) (a)

P value

Antenatal depressive symptoms

42,027

2496

5.9

        

Maternal age group

 20–34 years

39,199

2273

5.8

1.0

 

1.0

 

1.0

   

  > 35 years

2184

156

7.1

1.3 (1.1–1.5)

0.008

1.2 (1.0–1.5)

0.101

1.3 (1.1–1.5)

0.008

1.2 (1.0–1.5)

0.123

  < 20 years

643

67

10.4

2.0 (1.5–2.6)

< 0.001

0.5 (0.2–1.2)

0.123

2.0 (1.5–2.6)

< 0.001

0.7 (0.3–1.5)

0.320

SES category

 Low

16,529

1272

7.7

1.0

< 0.001

1.0

 

1.0

 

1.0

 

 Medium

19,345

980

5.1

0.6 (0.6–0.7)

< 0.001

0.8 (0.7–0.9)

< 0.001

0.6 (0.6–0.7)

< 0.001

0.8 (0.7–0.9)

< 0.001

 High

4701

155

3.3

0.4 (0.3–0.5)

< 0.001

0.6 (0.4–0.7)

< 0.001

0.4 (0.3–0.5)

< 0.001

0.6 (0.4–0.7)

< 0.001

CALD group

 No

20,668

946

4.6

1.0

 

1.0

 

1.0

 

1.0

 

 Yes

20,560

1510

7.3

1.7 (1.6–1.9)

< 0.001

2.0 (1.8–2.3)

< 0.001

1.7 (1.6–1.9)

< 0.001

2.0 (1.8–2.3)

< 0.001

Supportive partner

 Yes

39,735

2037

5.1

1.0

< 0.001

1.0

 

1.0

 

1.0

 

 No

1193

337

28.3

8.5 (7.4–9.8)

< 0.001

6.5 (5.3–8.0)

< 0.001

8.1 (7.0—9.2)

< 0.001

6.2 (5.0–7.6)

< 0.001

Maternal history of childhood abuse

 No

38,020

1969

5.2

1.0

 

1.0

 

1.0

 

1.0

 

 Yes

2803

408

14.6

3.3 (3.0–3.8)

< 0.001

3.2 (2.6–3.8)

< 0.001

3.3 (3.0–3-3.8)

< 0.001

3.1 (2.6–3.8)

< 0.001

Psychological IPV

 No

40,367

2269

5.6

1.0

 

1.0

 

1.0

 

1.0

 

 Yes

560

137

24.5

6.0 (4.9–7.3)

< 0.001

2.6 (1.8–3.7)

< 0.001

6.0 (4.9–7.3)

< 0.001

2.7 (1.9–3.9)

< 0.001

Physical IPV

 No

40,529

2290

5.7

1.0

 

1.0

 

1.0

 

1.0

 

 Yes

700

142

20.3

4.7 (3.9–5.7)

< 0.001

1.3 (0.9–1.9)

0.150

4.7 (3.9–5.7)

< 0.001

1.4 (0.9–1.9)

0.097

Pregnancy known to FaCS

 No

35,482

2009

5.7

1.0

 

1.0

 

1.0

 

1.0

 

 Yes

748

108

14.4

3.1 (2.5–3.8)

< 0.001

1.3 (0.9–1.8)

0.141

3.1 (2.5–3.8)

< 0.001

1.3 (0.9–1.8)

0.133

Previous child in OOHC

 No

26,421

1462

5.5

1.0

 

1.0

 

1.0

 

1.0

 

 Yes

1015

114

11.2

2.3 (1.9–2.9)

< 0.001

1.1 (0.9–1.5)

0.378

2.3 (1.9–2.9)

< 0.001

1.2 (0.9–1.6)

0.187

Alcohol use in pregnancy

 No

40,688

2399

5.9

1.0

 

1.0

 

1.0

 

1.0

 

 Yes

647

48

7.4

1.3 (1.0–1.8)

0.051

1.0 (0.6–1.7)

0.947

1.3 (1.0–1.8)

0.051

1.2 (0.7–1.8)

0.503

Antenatal health problems

 No

34,322

1937

5.6

1.0

 

1.0

 

1.0

 

1.0

 

 Yes

6442

451

7.0

1.3 (1.2–1.4)

< 0.001

1.2 (1.0–1.4)

0.073

1.3 (1.2–1.4)

< 0.001

1.2 (1.0–1.4)

0.057