Background The relationship between ethnic density and psychiatric disorder in postnatal women in the UK is unclear. Aims To examine the effect of own and overall ethnic density on postnatal depression (PND) and personality dysfunction. Method Multilevel analysis of ethnically mixed community-level data gathered from a sample of 2262 mothers screened at 6 weeks postpartum for PND and personality dysfunction. Results Living in areas of higher own ethnic density was protective against screening positive for PND in White women ( z = ?3.18, P = 0.001), even after adjusting for area level deprivation, maternal age, relationship status, screening positive for personality dysfunction, parity and geographical clustering (odds ratio (OR) 0.98 (95% CI 0.96–0.99); P = 0.002), whereas the effect on personality dysfunction ( z = ?2.42, P = 0.016) was no longer present once the effect of PND was taken into account (OR = 0.99 (95% CI 0.90–1.0); P = 0.13). No overall ethnic density effect was found for women screening positive for PND or personality dysfunction. Conclusions In White women, living in areas of higher own ethnic density was protective against developing PND.
展开▼
机译：背景技术在英国，产后妇女的种族密度与精神疾病之间的关系尚不清楚。目的探讨自身和总体种族密度对产后抑郁症（PND）和人格障碍的影响。方法对产后6周筛查PND和人格障碍的2262名母亲进行抽样，对种族混合的社区水平数据进行多级分析。结果即使在调整了地区水平剥夺，产妇年龄，人际关系，人格障碍检查阳性后，生活在较高民族密度的地区，白人妇女PND筛查仍呈阳性（z = 3.18，P = 0.001）。奇偶性和地理聚类（比值比（OR）0.98（95％CI 0.96-0.99）; P = 0.002），而一旦PND影响，对人格功能障碍的影响（z =？2.42，P = 0.016）不再被考虑在内（OR = 0.99（95％CI 0.90–1.0）; P = 0.13）。对于筛查PND或人格障碍阳性的妇女，未发现总体种族密度影响。结论在白人妇女中，生活在较高民族密度的地区可以预防PND的发生。
展开▼
