ArticleMaternal and child health journal2018
Material Hardship and Mental Health Symptoms Among a Predominantly Low Income Sample of Pregnant Women Seeking Prenatal Care.
Article in Maternal and child health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Can psychological interventions prevent or reduce risk for perinatal anxiety disorders? A systematic review and meta-analysis.General hospital psychiatryPooled it
- Infant hippocampal and amygdala volume in an observational follow-up from a randomized clinical trial for maternal prenatal depression.Nature communications · 2026Trial
- Depressive Symptoms Among Black Pregnant Women: The roles of Neighborhood Conditions and Avoidance Coping.Journal of racial and ethnic health disparities · 2026Article
- Perinatal mental health and its social determinants: qualitative findings from rural Telangana.BMC psychiatry · 2026Article
- Exploring perinatal depression and its influencing factors: a cross-sectional study among pregnant women and mothers of children under two years in Burera district, Rwanda.BMC pregnancy and childbirth · 2026Article
- Cancer diagnosed during pregnancy: a qualitative study of women's psychosocial experiences during treatment and survivorship.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- The Earned Income Tax Credit and short-term changes in financial strain and drug use.Health affairs scholar · 2026Article
- Risk-Stratified Screening for Perinatal Depression and Anxiety: Integrating Sexual Function, Self-Esteem, and Psychosocial Context.Diagnostics (Basel, Switzerland) · 2026Review
- Access to and engagement with healthcare services among women with Children's Social Care involvement during the perinatal period who subsequently died: a confidential enquiry.BMJ public health · 2026Article
- Living with a spouse or partner, material hardship, and mental distress among men and women during the COVID-19 pandemic in New York City.Frontiers in public health · 2026Article
- Association between out-of-pocket health expenditures and low birth weight in Eastern Ethiopia: a generalized structural equation modeling (GSEM).BMC public health · 2025Article
- Environmental Stressors, Anemia, and Depressive Symptoms in Pregnancy: Unpacking the Combined Risks.International journal of environmental research and public health · 2025Article
- Protocol for a randomized controlled trial of the Mommy&Me study: A multi-modal approach to address social determinants of health and mental health among low-income Black perinatal populations.Contemporary clinical trials communications · 2025Article
- Examining the role of social determinants of health in maternal mental health screening and treatment engagement during the perinatal period.Biology of sex differences · 2025Article
- Article
- Extent of Anxiety Among Married Women in Bangladesh and its Potential Predictors: A Nation-Wide Cross-Sectional Study.Depression and anxiety · 2025Article
- The Cumulative Burden of Social Risk Factors and 10-Year Change in Quality of Life.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Food Insecurity and Women's Choice of Reversible Contraceptives: Differential Effects by Maternal Age.International journal of environmental research and public health · 2024Article
- Evaluating the impact of the Community Helpers Program on adolescents 12-18 years old in Edmonton, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Profiles of perceived resources among low-income, rural mothers: Prospective associations with maternal and child outcomes.Family process · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Introduction Although poverty is an established correlate of poorer mental health for pregnant women, limited research has examined the mental health effects of material hardship (i.e., difficulties meeting basic needs such as for food, transportation, or stable housing) during pregnancy. Methods The current research examined rates of material hardship among pregnant women seeking prenatal care and the relationships of both income and material hardship with depression and anxiety during pregnancy. Pregnant women (N = 892) responded to self-report measures of mental health symptoms, annual household income, and current material hardship in the waiting areas of community-based obstetrics/gynecology practices serving primarily financially disadvantaged patients. Results About 56% of the sample reported some form of material hardship. About 19% of the sample reported elevated depression, and 17% reported elevated anxiety. Both depression and anxiety were uniquely associated with lower income and greater material hardship, even after controlling for age, race/ethnicity, relationship status, and number of children in the home. Furthermore, material hardship partially mediated the effect of income on mental health symptoms. Discussion The physical, emotional, and social effects of deprivation of basic daily needs may contribute to pregnant women's experiences of mental health symptoms. These results converge with the broader literature focused on the social determinants of physical and mental health. When symptoms of depression and anxiety reflect distress related to material hardship, addressing unmet social needs may be more effective than mental health treatment.
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