Case-Control
Cohort and Case-control studies are both what type of study?
Observational
5th most common reason for urgent postpartum presentation to the ED?
Mental health conditions
Construct a 2x2 table for first-time presenters vs. non-first time presenters for being diagnosed with anxiety disorder.
2262 3009 5271
1256 2201 3457
N= 8728
What is marginalization?
Treatment of a person, group, or concept as insignificant.
The difference between nested case-control and case-control studies?
The cases are those within the cohort who have developed the outcome of interest.
What is the typical onset period of postpartum mental health symptoms?
Within 1 year of giving birth.
Calculate the OR and interpret.
OR= 1.32
In first-time presenters, the odds of ED presentation for anxiety among postpartum women was 1.32 times the odds for non-first time presenters.
What was the major limitation of both studies concerning their definition of mental health care services?
They were unable to capture the use of private or community-based health care (i.e., psychologists).
Because our study was a nested case-control design, what did it share with the cohort study?
Database and/or participants.
What are two reasons postpartum mental health isn't generalized with other mental health studies?
Population is different.
Unique set of factors that encourage onset.
Difference in health care access between new moms and the general public.
Calculate the % relative effect and interpret.
%OR= 32%
Odds of presenting to the ED with anxiety disorder was 32% higher in first-time presenters compared to non-first time presenters.
Rates of postpartum depression are increased up to 2-fold for this group of women.
Immigrant women.