Civil Unrest in the Context of Chronic Community Violence

Impact on Maternal Depressive Symptoms

Dados Bibliográficos

ID11036016
AutoresDoris P Yimgang (0000-0002-3909-4839, Doris P. Yimgang, Yan Wang, Grace Paik, Erin R. Hager, and Maureen M. Black are with the Departments of Pediatrics, and Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore. Maureen M. Black is also with RTI International, Research Triangle Park, NC.), Yan Wang (0009-0009-9633-0023, Doris P. Yimgang, Yan Wang, Grace Paik, Erin R. Hager, and Maureen M. Black are with the Departments of Pediatrics, and Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore. Maureen M. Black is also with RTI International, Research Triangle Park, NC.), Grace Paik (Doris P. Yimgang, Yan Wang, Grace Paik, Erin R. Hager, and Maureen M. Black are with the Departments of Pediatrics, and Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore. Maureen M. Black is also with RTI International, Research Triangle Park, NC.), Erin R Hager (0000-0002-5499-2952, Doris P. Yimgang, Yan Wang, Grace Paik, Erin R. Hager, and Maureen M. Black are with the Departments of Pediatrics, and Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore. Maureen M. Black is also with RTI International, Research Triangle Park, NC.), Maureen M Black (0000-0002-6427-4639, Doris P. Yimgang, Yan Wang, Grace Paik, Erin R. Hager, and Maureen M. Black are with the Departments of Pediatrics, and Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore. Maureen M. Black is also with RTI International, Research Triangle Park, NC.)
Ano2017
Volume107
Fascículo9
Páginas1455-1462
Data de publicação2017-09-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2017.303876
PMID28727535
OpenAlexW2738475533
IdiomaEN
Citações recebidas18
Referências citadas27

Objectives. To examine changes in maternal–child health surrounding the April 2015 civil unrest in Baltimore, Maryland, following Freddie Gray’s death while in police custody. Methods. We conducted cross-sectional Children’s HealthWatch surveys January 2014 through December 2015 in pediatric emergency departments and primary care clinics on maternal–child health and June 2015 through October 2015 on daily and community routines. We used trend analysis and piecewise logistic regression to examine effects of time, residential proximity moderation, and mediation analysis to assess proximity and maternal–child health relations via maternal concerns. Results. Participants comprised 1095 mothers, 93% of whom were African American and 100% of whom had public or no insurance; 73% of participants’ children were younger than 24 months. Following the unrest, prevalence of maternal depressive symptoms increased significantly in proximal, but not distal, neighborhoods (b = 0.41; 95% confidence interval [CI] = 0.03, 0.79; P = .03). Maternal concerns were elevated in proximal neighborhoods and associated with depressive symptoms; mediation through maternal concern was not significant. Five months after the unrest, depressive symptoms returned to previous levels. Conclusions. Civil unrest has an acute effect on maternal depressive symptoms in neighborhoods proximal to unrest. Public Health Implications. To mitigate depressive symptoms associated with civil unrest, maintain stability of community routines, screen for maternal depressive symptoms, and provide parent–child nurturing programs

Context (archaeology) · Environmental health · Geography · Mediation · Moderation · Poison control · Political science · Psychiatry · Public health · Sociology · Unrest · Demography · Homicide, Infanticide, and Child Abuse · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Posttraumatic Stress Disorder Research · Psychology