Home > Review Articles > Pregnancy > The association between maternal and partner experienced racial discrimination and prenatal perceived stress, prenatal and postnatal depression: findings from the Growing Up in New Zealand cohort study

The association between maternal and partner experienced racial discrimination and prenatal perceived stress, prenatal and postnatal depression: findings from the Growing Up in New Zealand cohort study

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Summary:

These researchers explored how mother’s and partner’s experiences of lifetime and past year racial discrimination impact upon prenatal and postnatal mental health among Māori, Pacific, and Asian women in New Zealand. The study data consisted of material from the first two interviews conducted with 6,822 pregnant women from the Growing Up in New Zealand cohort; 4,401 pregnant mother’s partners also enrolled in the study poll. All lifetime experiences of unfair treatment were associated with increased perceived stress during pregnancy. Past year experiences of unfair treatment by a health professional and by the banking sector were associated with increased prenatal stress. Māori, Pacific, and Asian women who had ever experienced a physical attack because of their ethnicity were 86% more likely to suffer from prenatal depression than women who did not report experiencing a physical attack (OR 1.86; 95% CI, 1.13 to 3.06). Moreover, Māori, Pacific, and Asian women who reported unfair treatment in the housing sector during the past year were more than twice as likely to suffer from depressive symptoms during pregnancy than those who did not report experiencing such treatment (OR 2.10; 95% CI, 1.28 to 3.43). Postnatal depression among Māori, Pacific, and Asian women was detrimentally associated with lifetime experiences of unfair treatment by a health professional (OR 1.66; 95% CI, 1.08 to 2.55). Lifetime experiences of ethnically-motivated personal attacks and unfair treatment reported by both the mother and the partner were associated with a higher likelihood of reporting postnatal depression.

Comment:
An important piece of research showing the effect that racism has on the wellbeing of new mums of Māori, Pacific and Asian ethnicity. Health research undertaken in the US on Middle-Eastern mums after 9/11 showed similar findings. Will be interesting to see whether further research is undertaken following the recent presidential election.
Reference: Int J Equity Health. 2016;15(1):155
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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