ArticleJournal of racial and ethnic health disparities2026
Depressive Symptoms Among Black Pregnant Women: The roles of Neighborhood Conditions and Avoidance Coping.
Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveBlack women who report higher levels of disorder and crime in their neighborhoods have higher levels of depressive symptoms during pregnancy. Our objective was to examine the mediating effect of avoidance coping on the association of neighborhood disorder and neighborhood crime with depressive symptoms during pregnancy among Black women.
designThe Biosocial Impact on Black Births (BIBB) study is a prospective study. SAMPLE: A sample of 599 Black pregnant women. MEASUREMENTS: Women completed questionnaires about disorder and crime in their neighborhoods, avoidance coping, and depressive symptoms.
resultsThe participants had a mean maternal age of 27 years and a mean gestational age of 18 weeks. Women who reported higher levels of neighborhood disorder and neighborhood crime also reported higher use of avoidance coping and higher levels of depressive symptoms. Higher use of avoidance coping related to higher levels of depressive symptoms. Analyses demonstrated that avoidance coping mediated the effects of neighborhood disorder and neighborhood crime on depressive symptoms among women in our study.
conclusionInterventions that alter coping styles to move women away from avoidance coping may mitigate the association between adverse neighborhood conditions and depressive symptoms during pregnancy.
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