Civil Unrest in the Context of Chronic Community Violence: Impact on Maternal Depressive Symptoms.

نویسندگان

  • Doris P Yimgang
  • Yan Wang
  • Grace Paik
  • Erin R Hager
  • Maureen M Black
چکیده

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.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Greed, Grievance, and Mobilization THE ONSET OF PROTEST, REBELLION, AND CIVIL WAR

Greed, grievances, and mobilization are generally offered as explanations for rebellion and civil war. The authors extend arguments about the precursors to nonviolent protest, violent rebellion, and civil war. These arguments motivate a series of hypotheses that are tested against data from the Minorities at Risk project. The results of the analysis suggest, first, that the factors that predict...

متن کامل

Nurse Leaders' Response to Civil Unrest in the Urban Core

Inequalities in society, culture, and finance have resulted in civil unrest, rioting, and intentional violence throughout our history. Nowhere is this currently more apparent than in the cities of Ferguson and Baltimore. It is not the civil unrest itself, but the resulting rioting and intentional violence that can create a disaster situation. This increases the care burden of health care provid...

متن کامل

Intimate partner violence and its association with maternal depressive symptoms 6–8 months after childbirth in rural Bangladesh

BACKGROUND The prevalence of intimate partner violence (IPV), a gross violation of human rights, ranges widely across the world with higher prevalence reported in low- and middle-income countries. Evidence related mainly to physical health shows that IPV has both direct and indirect impacts on women's health. Little is known about the impact of IPV on the mental health of women, particularly af...

متن کامل

Communal violence in Gujarat, India: impact of sexual violence and responsibilities of the health care system.

Situations of chronic conflict across the globe make it imperative to draw attention to its gendered health consequences, particularly the violation of women's reproductive and sexual rights. Since early 2002 in Gujarat, western India, the worst kind of state-sponsored violence against Muslims has been perpetrated, which continues to this day. This paper describes the history of that violence a...

متن کامل

Antenatal domestic violence, maternal mental health and subsequent child behaviour: a cohort study.

OBJECTIVE To investigate the long-term impact of antenatal domestic violence on maternal psychiatric morbidity and child behaviour. DESIGN Cohort study. SETTING Avon, UK. POPULATION OR SAMPLE A birth cohort of 13,617 children and mother dyads were followed to 42 months of age. METHODS Experiences of domestic violence and depressive symptoms were gathered at 18 weeks of gestation and up ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • American journal of public health

دوره 107 9  شماره 

صفحات  -

تاریخ انتشار 2017