Background: Prior research has examined the association between low-income status and maternal depression; however, important questions remain in terms of trends in the prevalence of major depressive episodes (MDE) and treatment seeking among mothers in the United States. The objective of the present study is to examine trends in MDE among low-income mothers and explore perceived barriers to mental health treatment seeking. Methods: Using data from the National Survey on Drug Use and Health (NSDUH; 2005–2015), we examined the prevalence of past-year MDE among mothers living in poverty (0–99% federal poverty line [FPL]; n = 23,264) and near-poverty (100–200% FPL; n = 21,655). Consistent with the Center for Disease Control and Prevention (CDC) guidelines, we conducted survey-adjusted logistic regression analyses to examine the significance of survey year in relation to MDE while controlling for key social demographic correlates. Results: The overall decreasing MDE trend was found only among mothers in near-poverty, not mothers in poverty. Only for mothers in poverty, financial (AOR = 0.70, 95% CI = 0.52–0.95) and information barriers (AOR = 0.53, 95% CI = 0.39–0.73) were associated with mental health service use. Limitations: Self-reports of depressive symptoms and service receipt may have led to over or underreporting due to recall or social desirability bias. Additionally, NSDUH data are cross-sectional and thereby limit our ability to make causal inferences. Conclusions: Greater attention should be paid to the prevention/treatment of depression among mothers in poverty. Efforts may include expanding financial assistance for mental health service use and educational campaigns to increase awareness of services available.
Bibliographical noteFunding Information:
This research was supported in part by grant number R25 DA030310 from the National Institute on Drug Abuse at the National Institutes of Health and by the National Center for Advancing Translational Sciences , National Institutes of Health, through BU-CTSI grant number KL2 TR001411 . Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH.
© 2018 Elsevier B.V.
All Science Journal Classification (ASJC) codes
- Clinical Psychology
- Psychiatry and Mental health