Article Figures & Data
Tables
Characteristic (responses) Percentage or Average (SD) Male (n = 294) 57.1% Age (n = 293) 44.0 (7.3) Years since graduating residency (n = 288) 12.0 (7.8) Practice setting (n = 287) Group 82.9% Solo 7.3% Other 9.8% Statement (responses) Agree (%) General beliefs about postpartum depression 1. Therapy for postpartum depression is effective. (n = 294) 94.9 2. Postpartum depression affects the children of affected mothers. (n = 296) 97.6 3. Postpartum depression affects the spouses of affected women. (n = 296) 99.0 General beliefs about screening for postpartum depression 1. Postpartum depression is common enough to warrant screening. (n = 295) 87.5 2. Postpartum depression is a serious enough problem to warrant screening. (n = 295) 90.2 Beliefs about screening women at postpartum visits 1. Screening at every postpartum visit would take too much effort. (n = 292) 19.2 2. Screening at every postpartum visit would not be effective. (n = 293) 3.4 Beliefs about screening mothers at well-child visits 1. Screening at every well-child visit up to one year-of-age would take too much effort. (n = 295) 34.9 2. Screening at every well-child visit would not be effective. (n = 291) 7.2 - Table 3.
Frequency of Screening for Postpartum Depression by Family Physician Demographics, Practice Setting, and Training Characteristics
Population (Number of Respondents*) Often or Always Screen Women at Postpartum Visits P value† Often or Always Screen Mothers at Well-Child Visits P value Total (n = 298) 70.2% 46.0% Demographics Gender Women (n = 125, 126) 78.4% .011 54.8% .011 Men (n = 167, 166) 64.7% 39.8% Age <38 (n = 69) 81.2% .004 47.8% NS‡ 38–44 (n = 80) 78.8% 48.8% 45–49 (n = 66) 62.1% 47.0% >49 (n = 76) 59.2% 40.8% Practice setting Solo (n = 21) 57.1% NS 47.6% NS Group (n = 236, 237) 72.0% 46.0% Other (n = 28, 27) 67.9% 48.1% Training in PPD Medical School Yes (n = 200, 199) 72.0% NS 47.7% NS No (n = 91, 92) 67.0% 42.4% Residency Yes (n = 261) 74.7% <.001 48.3% .042 No (n = 31) 35.5% 29.0% CME conferences Yes (n = 194, 193) 74.2% NS 51.3% .015 No (n = 94, 99) 63.3% 36.4% Medical Literature Yes (n = 205) 75.1% .008 51.7% .004 No (n = 87) 59.8% 33.3% * If 2 numbers are shown, they represent postpartum visits and well-child visits, respectively.
† Significance determined using χ2 analysis.
‡ NS, not significant; PPD, postpartum depression; CME, continuing medical education.
Statement (responses*) Often or Always Screen Women at Postpartum Visits P value Often or Always Screen Mothers at Well-Child Visits P value General beliefs about postpartum depression 1. Postpartum depression affects the children of affected mothers. Agreed (n = 287) 70.4% NS† 46.7% NS† Did Not Agree (n = 7) 71.4% 28.6% 2. Postpartum depression affects the spouses of affected women. Agreed (n = 291) 70.8% NS† 46.4% NS† Did Not Agree (n = 3) 33.3% 33.3% 3. Therapy for postpartum depression is effective. Agreed (n = 277) 70.8% NS† 46.6% NS† Did Not Agree (n = 15) 66.7% 40.0% General beliefs about screening for postpartum depression 1. Postpartum depression is common enough to warrant screening. Agreed (n = 256) 77.7% <.001‡ 50.8% <.001‡ Did Not Agree (n = 37) 18.9% 13.5% 2. Postpartum depression is a serious enough problem to warrant screening. Agreed (n = 264) 73.9% <.001‡ 48.5% .013‡ Did Not Agree (n = 29) 37.9% 24.1% Beliefs about screening women at postpartum visits 1. Screening at every postpartum visit would take too much effort. Agreed (n = 56) 48.2% <.001‡ 21.4% <.001‡ Did Not Agree (n = 234) 76.1% 52.1% 2. Screening at every postpartum visit would not be effective. Agreed (n = 10,21) 50.0% NS† 20.0% NS† Did Not Agree (n = 281,268) 71.2% 47.0% Beliefs about screening mothers at well-child visits 1. Screening at every well-child visit up to one year-of-age would take too much effort. Agreed (n = 102,103) 60.8% .009‡ 26.2% <.001‡ Did Not Agree (n = 191,190) 75.4% 56.8% 2. Screening at every well-child visit would not be effective. Agreed (n = 21) 71.4% 23.8% .034‡ Did Not Agree (n = 268) 70.5% NS‡ 47.8% * If two numbers are shown, they represent postpartum visits and well-child visits, respectively.
† Statistical analysis based on Fisher’s exact test.
‡ Statistical analysis based on χ2 analysis.
- Table 5.
Multivariate Analysis: Odds of More Frequent Screening by Family Physicians with Different Demographic, Training Characteristics, and Beliefs
OR* 95% CI P Value† Screening for PPD always or often at postpartum gynecologic visits Sex (female) 2.2 1.1–4.2 .02 Residency training in PPD (yes) 8.1 3.3–20.0 <.000 Medical literature training in PPD (yes) 2.1 1.1–4.0 .022 PPD is common enough to warrant screening (agreed) 1.9 1.5–2.4 <.000 Screening for PPD at every postpartum visit would take too much effort (agreed) 0.8 0.7–1.0 .039 Screening mothers for PPD always or often at well-child visits Sex (female) 1.6 1.0–2.8 .065 Residency training in PPD (yes) 2.7 1.1–6.5 .030 Medical literature training in PPD (yes) 2.4 1.4–4.3 .002 PPD is common enough to warrant screening (agreed) 1.5 1.1–1.9 .003 Screening for PPD at every well-child visit would take too much effort (agreed) 0.7 0.6–0.8 <.000 * OR, odds ratio adjusted for other variables in the model; CI, confidence interval; PPD, postpartum depression.
† All variables with significance of P < .1 were left in each model.
