Evidence map›Paper›PMID 42247088›Full record

ArticleJournal of racial and ethnic health disparities2026

Perceived Everyday Discrimination and Ethnic Disparities in Postpartum Depression: A Longitudinal Study of Asian Canadians.

Katherine Silang, Sarah R Horn, Andrew Szeto, Deinera Exner-Cortens, Gerald F Giesbrecht, Catherine Lebel, Kyle Dewsnapp, Lianne Tomfohr-Madsen

Abstract read
PubMed Publisher
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Katherine SilangDepartment of Psychology, University of Calgary, Calgary, AB, Canada. katherine.silang@ucalgary.ca.ORCID http://orcid.org/0000-0002-4660-7583
Sarah R HornDepartment of Educational and Counselling Psychology, and Special Education, University of British Columbia, Vancouver, BC, Canada.
Andrew SzetoDepartment of Psychology, University of Calgary, Calgary, AB, Canada.
Deinera Exner-CortensDepartment of Psychology, University of Calgary, Calgary, AB, Canada.
Gerald F GiesbrechtDepartment of Psychology, University of Calgary, Calgary, AB, Canada.
Catherine LebelAlberta Children's Hospital Research Institute (ACHRI), Calgary, AB, Canada.
Kyle DewsnappDepartment of Measurement, Evaluation, and Research Methodology, University of British Columbia, Vancouver, BC, Canada.
Lianne Tomfohr-MadsenDepartment of Psychology, University of Calgary, Calgary, AB, Canada.

Funding

Canada Research Chairs Canada Research ChairsCIHR Canadian Institutes of Health ResearchSocial Sciences and Humanities Research Council Social Sciences and Humanities Research Council
6 · The paper itself

Abstract

backgroundAsians may face elevated risk for postpartum depression (PPD), though findings are mixed. Perceived discrimination, a known mediator of health outcomes, remains understudied in this group.

objectiveTo examine (1) the likelihood of probable PPD using culturally informed Edinburgh Postnatal Depression Scale (EPDS) cut-offs among Asian and non-Hispanic White (NHW) participants and (2) whether perceived everyday discrimination mediated the association between ethnicity and probable PPD. A secondary aim compared postpartum mental health treatment-seeking between groups.

methodsThis secondary analysis used data from the Pregnancy during the Pandemic (PdP) study, a longitudinal study that followed Canadians throughout pregnancy and the postpartum (2020-2021). Asian (n = 170) and NHW (n = 170) participants were matched on demographics (N = 340). Online surveys assessed demographics (< 35 weeks' gestation), perceived discrimination (pregnancy to 9 months postpartum), depressive symptoms, and treatment-seeking (12 months postpartum). Data were analyzed using logistic regression and path analysis. Sensitivity analyses examined the impact of alternative EPDS threshold specifications.

resultsAsian participants were more likely to meet criteria for probable PPD when using a culturally informed threshold (EPDS ≥ 9 vs. ≥ 13 for NHW). However, this difference was not observed under alternative or uniform threshold specifications. A significant indirect effect was identified, such that Asian participants reported higher perceived everyday discrimination, which was associated with increased likelihood of PPD symptoms. No group differences were observed in mental health treatment-seeking.

conclusionObserved differences in probable PPD between Asian and NHW participants were dependent on EPDS threshold specification, underscoring the sensitivity of prevalence estimates to cut-off selection. While culturally informed thresholds may improve detection, optimal EPDS cut-offs for Asian populations remain uncertain. These findings highlight the importance of culturally responsive screening approaches and the role of perceived discrimination in postpartum mental health.

Indexed as

AsianDepressive symptomsEthnicityMental health treatment-seekingPerceived discriminationPostpartum

Identifiers

PMID42247088

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.