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Number of Significant Life Events and Perinatal Depression in a Diverse Rural Population: A Brief Report of a Cross-Sectional Study
Full text linkBackground: Significant life events (SLEs) correlate with perinatal depression (PD) risk; however, little is known about this association in rural populations. Objectives: Using the Neuman systems model, we hypothesized that individuals with higher SLEs would have higher PD risk, and we evaluated this association with data collected from six of Utah’s diverse rural health districts. Design/Methods: This cross-sectional study included pregnant and postpartum individuals visiting six rural public health clinics who completed screening with the Edinburgh Postnatal Depression Scale (EPDS) and an 8-item SLE assessment in Spanish or English. Multinomial logistic regression assessed the association between SLEs (0, 1, and ⩾2) and PD risk status (EPDS ⩾9). Results: Data from 4245 screening surveys identified 2 primary racial groups: white (79.8%) and American Indian/Alaska Native (7.6%), with 20.2% of individuals identifying as Hispanic. Overall, 49.4% of individuals reported one SLE and 10.5% reported two or more SLEs. Significant predictors for PD risk included 1 SLE (OR=1.84, 95% CI [1.56, 2.15]) or ⩾2 SLEs (5.18, 95% CI [4.31, 6.23]), regardless of racial/ethnic background. Conclusion: Screening for PD risk in a rural population should include an assessment of SLEs, given the relationship between the two. Improving culturally appropriate local resources to support individuals and their families during the childbearing year should be considered, particularly for those experiencing SLEs
Connecting the Community: Transportation in the Life of Martha McMillan
Full text linkMartha McMillan, a woman living in Cedarville, Ohio, in the late 19th century, lived a bustling life alongside her family and neighbors. Throughout her diaries, she often describes places to which she and/or others travel. This paper highlights the importance of travel to the McMillan family, and the modes of transportation the McMillans and others living in Cedarville during this time period used. Foot, horse and buggy, horseback, and railroad were all prominent forms of transportation. I will discuss each of these alongside instances where they are relevant to Martha. I cite both Martha’s Diary and historical research. In understanding the inner workings of transportation for the McMillans, one can better understand how they lived