Download - Young Mothers Health Study
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Young Mothers Health Study
Dr. Ellen Lipman, P.I.Heather Whitty, Project Coordinator
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1. What we know about young mother mental health?
2. The Young Mothers Health Study protocols3. Results to date
Agenda
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Teen pregnancies account for 3.6% of pregnancies in Ontario and 4.7% in Hamilton
Young mothers are at risk of mental health problems (including depression, anxiety and substance dependence) and socioeconomic challenges
Children of young mothers are at risk of preterm birth and low birth weight, and display more behavioural problems, academic underachievement, substance abuse, involvement in crime and mental health problems later in life
1. What we know about young mother mental health?
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Young mothers (N=450) invited to complete questionnaires about mental health, health and mental health service utilization and demographic information
2. The Young Mothers Health Study
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• Target Sample (N=450)◦ 15-20 year old females◦ Pregnant with child (they
intend to carry to term) or recently gave birth to child (baby is no older than 24 months)
◦ Child does not have to be in care of mother
◦ Focus is Hamilton, but will accept moms from other nearby regions
◦ English speakers
Comparison Groups (N=~110 per group)◦ 15-20 year old non-
pregnant females◦ Pregnant with first child
or recently gave birth to first child AND over 21 years old
Who We Are Looking For
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Recruitment Centres Young Parents Network
◦ Grace Haven◦ St. Martin’s Manor◦ Angela’s Place
Hamilton Public Health Services◦ Nurse-Family Partnership◦ Canadian Prenatal Nutrition
Program◦ Healthy Babies, Healthy
Children Hamilton Midwives,
Community Midwives, Access Midwives
LEAP
Hamilton Health Sciences ◦ Adolescent Medicine
St. Joe’s Hospital◦ Women & Infants’ Program◦ Women’s Health Concerns
Clinic Shelter Health Network The Living Rock Catholic Children’s Aid
Society Hamilton Regional Indian
Centre Hamilton-Wentworth
District School Board
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Mothers are contacted 2-3 months after birth (for mothers recruited prenatally)
Mothers are contacted as soon as possible for mothers recruited postpartum
Interview takes about an hour Interviewer travels to participant at time
and place convenient to participant OR conducted through telephone interview
Data Collection
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$45 gift card to young mothers $20 gift card to mature mothers and young
women
Gifts of Appreciation
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Participants are assigned an identification code
No names will ever be published
Confidentiality
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No anticipated risks with this project Benefits include information about
resources, opportunity to “tell their story” Long-term benefits include development of
appropriate, accessible mental health services
Risks and Benefits
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Recruitment Participant Characteristics Selected Mental Health Problems Endorsed
by Participants Note: Study is currently in-progress,
therefore results are not final
3. Results to date
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Young Moms
N=140Mature Moms
N=52Young Women
N=32Age 15161718192021Mean (range)
34
263134411
18.5 (15-21)
N/AN/AN/AN/AN/AN/A4
27.8 (21-38)
3117
1460
18.4 (15-20)High School Graduates
NoYes% of HS Grads
9743
30.7%
1
5198.0%
1022
68.8%Highest education completeGrade 8
9101112Mean (range)
1113343943
Gr 10 (Gr 9-12)
0001
51Gr 12 (Gr 11-12)
0414
23Gr 12 (Gr 9-12)
Participant Characteristics
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Young MomsN=140
Mature MomsN=52
Young WomenN=32
Highest DegreeNo PostsecondaryTrade / DiplomaCommunity CollegeBachelor’sMaster’sPhDIn-progress diplomaIn-progress bachelor’s
131
1200042
111
15158101
12000000
20
Income, PersonalMean (range) Don’t knowMissing
11178
(0-62740)32
28811
(1060-85000)02
25560
(0-6963)10
Income, HouseholdMean (range) Don’t knowMissing
30030
(384-212740)462
65876.15
(13200-132428)92
140750
(10172-308500)143
Participant Characteristics cont.
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Young Moms
(n=140) n(%)
Mature Moms(n=52)
n(%)
Young Women(n=32)
n(%) Major depressive episode, current
31 (22.1) 4 (7.7) 6 (18.8)
Major depressive episode, past
73 (52.1) 18 (34.6) 12 (37.5)
Manic episode, current 11 (7.9) 1 (1.9) 1 (3.1)Manic episode, past 23 (16.4) 8 (15.4) 1 (3.1) Hypomanic episode, past 44 (31.4) 12 (23.1) 12 (37.5)
Generalized Anxiety Disorder, current
15 (10.7) 1 (1.9)* 2 (6.3)*data missing (n=1)
Selected Mental Health Problems Endorsed by Participants
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Young Moms
(n=140) n(%)
Mature Moms(n=52)
n(%)
Young Women(n=32)
n(%)
Panic disorder without Agoraphobia, current
1 (0.7) 1 (1.9) 1 (3.1)
Panic disorder with Agoraphobia, current
14 (10.0) 1 (1.9) 2 (6.3)
Agoraphobia, without history panic disorder current
69 (49.3) 8 (15.4) 6 (18.8)
Separation Anxiety Disorder, current
19 (13.6) 0 1 (3.1)
Social Phobia, current 30 (21.4) 5 (9.6) 6 (18.8)
Specific Phobia, current 48 (34.3) 11 (21.2) 6 (18.8) OCD, current 34 (24.3) 9 (17.3) 6 (18.8) PTSD, current 31 (22.1) 0 3 (9.4)
Selected Mental Health Problems Endorsed by Participants cont.
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Young Moms
(n=140) n(%)
Mature Moms(n=52)
n(%)
Young Women(n=32)
n(%)
Alcohol Dependence, current 15 (10.7) 2 (3.8) 6 (18.8)Alcohol Abuse, current 8 (5.7) 0 0 Substance Dependence, current 17 (12.1) 2 (3.8) 5 (15.6)Substance Abuse, current 9 (6.4) 1 (1.9) 0 Tourette’s Disorder/motor current/vocal
0 0 0
Psychotic Disorder, lifetime 12 (8.6) 1 (1.9)* 0Psychotic Disorder, current 8 (5.7) 0* 1 (3.1)*data missing (n=1)
Selected Mental Health Problems Endorsed by Participants cont.
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Young Moms
(n=140) n(%)
Mature Moms(n=52)
n(%)
Young Women(n=32)
n(%) ADHD Combined, current 15 (10.7) 1 (1.9) 0ADHD Inattentive, current 6 (4.3) 1 (1.9) 0ADHD Hyperactive/Impulsive, current
8 (5.7) 0 1 (3.1)
Conduct Disorder, current 20 (14.3) 0 1 (3.1) Oppositional Defiant Disorder 25 (17.9) 5 (9.6) 2 (6.3)
Average total disorders (range) 4.9 (0-15) 2.2 (0-10) 2.8 (0-9)Average current disorders (range)
3.4 (0-12) 1.1 (0-7) 1.8 (0-7)
Selected Mental Health Problems Endorsed by Participants cont
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Young mothers participating in the study endorse multiple psychiatric disorders, and a range of disorders; comparison women endorse fewer disorders
Young mothers participating in the study are disadvantaged in terms of education and income
Discussion
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1. Select young women (N=30) will be invited to participate in qualitative interviews to explore and understand their mental health service use
2. Select young women (N=50) will be invited to complete questionnaires about parenting and child development
3. Interview service providers and policy makers about the perceived service needs and adequacy of services for young mothers.
Future Substudies
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We need more young moms to interview! Provide information about our study
◦ Display flyer in high traffic areas of your facility◦ Talk about the study, answer questions◦ Hand out study brochure
Use the Consent to be Contacted form ◦ Project coordinator will initiate contact with if you
collect participant contact information and fax form◦ Removes the onus of initiating contact from mother,
who can be busy and may overlook the brochure
How You Can Help
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Dr. Ellen LipmanPrimary Investigator905-521-2100 ext. [email protected]
Heather WhittyProject Coordinator905-521-2100ext. 74349Text: 905-869-4349Fax: [email protected]
Contact Information
Questions?