1. Objectifs

Intentions :
«[O]ur study objectives were (1) to quantify the extent to which psychosocial distress during pregnancy was clustered at the neighborhood level, (2) to examine the extent to which the neighborhood-level clustering was explained by neighborhood material or social deprivation, and (3) to investigate whether associations of neighborhood deprivation persisted after adjusting for multiple individual-level characteristics.» (p. 1143)

2. Méthode

Échantillon/Matériau :
«In brief, the cohort consists of 5 337 pregnant women recruited from four large maternity hospitals affiliated with McGill University and l’Université de Montréal.» (p. 1143)

Instruments :
Questionnaire

Type de traitement des données :
Analyse statistique

3. Résumé

«In conclusion, neighborhood material deprivation explained more of the modest between-neighborhood clustering in maternal psychological distress among pregnant women than did social deprivation. However, neither neighborhood material nor social deprivation was associated with levels of psychological distress once individual level socioeconomic characteristics were accounted for. Given that individuals do not randomly choose where they live, our results highlight the importance of accounting for individual-level socioeconomic characteristics in studies that examine neighborhood effects on mental health among pregnant women. Inadequate adjustment for maternal individual characteristics may result in spurious associations between neighborhood deprivation and maternal mental health during pregnancy due to residual confounding and inaccurate conclusions that maternal psychosocial distress may mediate adverse neighborhood effects on pregnancy outcomes.» (p. 1149)