School of Medicine, University of Missouri, 1 Hospital Dr., MA306, 65211, Columbia, MO, USA.
School of Social Work, University of Missouri, 709 Clark Hall, 65211, Columbia, MO, USA.
J Prev (2022). 2022 Jun;43(3):317-325. doi: 10.1007/s10935-022-00673-4. Epub 2022 Mar 29.
Young adults experiencing homelessness (YAEH) with pregnancy history are at higher depression risk. Receiving social support is protective for depression in pregnancy. This study differentiates social support sources associated with depression by pregnancy history among YAEH.Using a subsample of data collected from YAEH in seven US cities that were collected through REALYST, we conducted stratified logistic regression models (by pregnancy history) to identify support sources associated with depression. Logistic regression analysis including the interaction term (i.e., pregnancy history x support sources) using the full sample was then conducted.A higher proportion with pregnancy history reported depression compared to those without. Support from home-based peers was significantly associated with reduced depression risks among YAEH with pregnancy history, but not among youth without. Home-based supports were less frequently indicated by homeless female youth with pregnancy experience.Home-based social support is protective against major depression for YAEH with pregnancy experience. Findings of this study suggest that interventions addressing depression among YAEH should take their pregnancy history and social support sources into consideration. Specifically, for YAEH with pregnancy history, facilitating supportive social ties with home-based peers may be promising in reducing their depression risks.
有怀孕史的无家可归青年（YAEH）患抑郁症的风险更高。获得社会支持对孕妇的抑郁有保护作用。本研究通过 YAEH 在七个美国城市通过 REALYST 收集的数据子样本，根据 YAEH 的怀孕史，区分了与抑郁相关的社会支持来源。然后使用全样本进行包括交互项（即怀孕史 x 支持来源）的逻辑回归分析。与没有怀孕史的人相比，有更高比例的人报告说有抑郁史。与没有怀孕史的人相比，来自家庭为基础的同龄人的支持与有怀孕史的 YAEH 降低抑郁风险显著相关，但与没有怀孕史的人无关。有怀孕经历的流浪女青年较少提到家庭支持。家庭为基础的社会支持对有怀孕史的 YAEH 预防重度抑郁症有保护作用。这项研究的结果表明，针对 YAEH 中抑郁问题的干预措施应考虑到他们的怀孕史和社会支持来源。具体来说，对于有怀孕史的 YAEH，促进与家庭为基础的同龄人建立支持性关系可能有助于降低他们的抑郁风险。
