Evidence map›Paper›PMID 39885595›Full record

ArticleReproductive health2025

Examining the associations between social support and postpartum depression symptoms among adolescent mothers in Nairobi, Kenya.

Luwam T Gebrekristos, Anthony Idowu Ajayi, Allison K Groves, Caroline W Kabiru

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Article in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Luwam T GebrekristosDepartment of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, 3215 Market St., Philadelphia, PA, USA. lg526@drexel.edu.
Anthony Idowu AjayiSexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Unit, African Population and Health Research Center, Nairobi, Kenya.
Allison K GrovesDepartment of Community Health and Prevention, Drexel University Dornsife School of Public Health, Philadelphia, PA, USA.
Caroline W KabiruSexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Unit, African Population and Health Research Center, Nairobi, Kenya.

Funding

Global Alliance for Training in Health Equity Research (GATHER)T37MD014251 · NIMHD · DREXEL UNIVERSITY · PI EZEH, ALEX, LOVASI, GINA S · 2019 to 2023
$1.4M
International Development Research Centre 109813-001NIMHD NIH HHS 5T37MD014251NIMHD NIH HHS T37 MD014251Styrelsen för Internationellt Utvecklingssamarbete 12103
6 · The paper itself

Abstract

backgroundGlobally, adolescent mothers are at increased risk for postpartum depression (PPD). In Kenya, 15% of adolescent girls become mothers before the age of 18. While social support can buffer a mother's risk of PPD, there are gaps in knowledge as to whether-and which types-of social support are protective for adolescent mothers in Kenya. Understanding the associations between support and postpartum depression symptoms among adolescent mothers can inform mental health interventions.

methodsCross-sectional data of adolescent mothers ≤ 1 year postpartum (aged 14-19 years old) in an informal settlement in Nairobi, Kenya (N = 193) were used in analyses. Participants with scores ≥ 10 on the Patient Health Questionnaire-9 were classified as having postpartum depressive symptoms. To fully examine the different ways that social support might matter for adolescent mothers, we examined several domains of social support: child's father support during pregnancy, parental support during pregnancy, parental support of girl's education, membership in a social club, having a good female friend and having a supportive female adult one can turn to for help. We used bivariate and adjusted modified Poisson regression with robust standard errors to examine the associations between support measures and depressive symptoms, controlling for relevant covariates.

resultsOne-quarter of participants experienced postpartum depressive symptoms (24.9%). Adolescent mothers who reported their mothers or their fathers as being very supportive of girls' education had a lower risk of depressive symptoms (ARR 0.35, 95% CI 0.20-0.61; ARR:0.34, 95% CI 0.13-0.90, respectively) than those whose mothers or fathers were less supportive. Adolescent mothers who had a good female friend to confide in had decreased risk of depressive symptoms (ARR 0.61; 95% CI 0.37-0.99).

conclusionsHaving a mother or father being very supportive of girls' education and having a good female friend reduced risk of depressive symptoms. With the unique challenges of early childbearing and high adolescent birth rates in Kenya, interventions which increase parental and peer support during pregnancy and the postpartum period could improve adolescent mothers' mental health.

Indexed as

Depression, PostpartumMothersPregnancy in AdolescenceSocial SupportAdolescentAdultCross-Sectional StudiesFemaleHumansKenyaPregnancyYoung AdultAdolescent mothersEducationMental healthPostpartum depressionSupport

Identifiers

PMID39885595
PMCPMC11783768

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.