TY - JOUR
T1 - Perinatal mental disorders in native Danes and immigrant women
AU - Munk-Olsen, Trine
AU - Laursen, Thomas Munk
AU - Mendelson, Tamar
AU - Pedersen, Carsten B.
N1 - Funding Information:
This study was supported by the Stanley Medical Research Institute, MD, USA, Helsefonden (Danish Health Insurance Foundation) and The Danish Medical Research Council (reference number, 09-063642/FSS). The study sponsors had no role in the design of the study, in analysis and interpretation of the data, in the writing of the manuscript and in the decision to submit the manuscript for publication.
PY - 2010/8
Y1 - 2010/8
N2 - We aimed to explore if first- and second-generation immigrants have similar risks of mental disorder in pregnancy and postpartum as native Danes have. A population-based cohort study merging data from two Danish population registers was conducted, and survival analyses were performed. A total of 736,988 women were classified as native Danes, first- or second-generation immigrants. The main outcome measure was incident psychiatric in- or outpatient contacts during pregnancy or 0-12 months postpartum. First- and second-generation immigrant mothers had a higher overall risk of psychiatric contacts during both pregnancy and postpartum compared to native Danish mothers. Additionally, in native Danes as well as first- and second-generation immigrant new mothers, the highest risk of psychiatric in- or outpatient contact with a mental disorder was 0-29 days postpartum (RR, 3.09 (95% CI, 2.75-3.48); 2.91 (95% CI, 2.20-3.86); 4.55 (95% CI, 3.33-6.24), respectively), after which the risk decreased with time since childbirth. The increased risk of mental disorders shortly after childbirth applied to native Danish mothers as well as first- and second-generation immigrant mothers. Moreover, overall immigrants conferred a higher risk of psychiatric contact throughout the entire perinatal period.
AB - We aimed to explore if first- and second-generation immigrants have similar risks of mental disorder in pregnancy and postpartum as native Danes have. A population-based cohort study merging data from two Danish population registers was conducted, and survival analyses were performed. A total of 736,988 women were classified as native Danes, first- or second-generation immigrants. The main outcome measure was incident psychiatric in- or outpatient contacts during pregnancy or 0-12 months postpartum. First- and second-generation immigrant mothers had a higher overall risk of psychiatric contacts during both pregnancy and postpartum compared to native Danish mothers. Additionally, in native Danes as well as first- and second-generation immigrant new mothers, the highest risk of psychiatric in- or outpatient contact with a mental disorder was 0-29 days postpartum (RR, 3.09 (95% CI, 2.75-3.48); 2.91 (95% CI, 2.20-3.86); 4.55 (95% CI, 3.33-6.24), respectively), after which the risk decreased with time since childbirth. The increased risk of mental disorders shortly after childbirth applied to native Danish mothers as well as first- and second-generation immigrant mothers. Moreover, overall immigrants conferred a higher risk of psychiatric contact throughout the entire perinatal period.
KW - Epidemiology
KW - Immigrants
KW - Perinatal psychiatry
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U2 - 10.1007/s00737-009-0131-0
DO - 10.1007/s00737-009-0131-0
M3 - Article
C2 - 20076979
AN - SCOPUS:77955852294
SN - 1434-1816
VL - 13
SP - 319
EP - 326
JO - Archives of Women's Mental Health
JF - Archives of Women's Mental Health
IS - 4
ER -