Husband involvement in antenatal care moderates the link between vitamin D status and depressive symptoms in pregnant women
Abstract Aims The association between a pregnant mother’s vitamin D status and depressive symptoms has yielded inconsistent results. It is possible that other factors play a role in this association, as depression can have multiple causes. Recognizing the significance of the husband’s participation...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Epidemiology and Psychiatric Sciences |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2045796025000022/type/journal_article |
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| author | Rosa S. Wong Keith T. S. Tung Hing Wai Tsang Jennifer K. Y. Ko Wing-cheong Leung Patrick Ip |
| author_facet | Rosa S. Wong Keith T. S. Tung Hing Wai Tsang Jennifer K. Y. Ko Wing-cheong Leung Patrick Ip |
| author_sort | Rosa S. Wong |
| collection | DOAJ |
| description | Abstract
Aims
The association between a pregnant mother’s vitamin D status and depressive symptoms has yielded inconsistent results. It is possible that other factors play a role in this association, as depression can have multiple causes. Recognizing the significance of the husband’s participation in antenatal care, this study aimed to examine whether the husband’s involvement moderates the link between the mother’s vitamin D status and depressive symptoms during pregnancy.
Methods
A total of 2983 Chinese married pregnant women, in their 25–35 weeks of pregnancy, completed questionnaires to assess their levels of depressive symptoms and the involvement of their husbands in their antenatal care appointments. Additionally, their serum levels of vitamin D were measured.
Results
After adjusting for maternal age, parity, and socio-economic status, the husband’s involvement in antenatal care moderated the association between maternal vitamin D status and depressive symptoms during pregnancy (β = 2.03, p = 0.035). Specifically, when their husbands were not regularly present for antenatal care appointments, mothers with suboptimal vitamin D levels experienced more depressive symptoms than those with optimal levels. However, there were no noticeable differences in depressive symptoms between vitamin D groups for mothers whose husbands attended all antenatal care appointments.
Conclusions
Pregnant women who have suboptimal vitamin D levels and lack support from their spouses are most vulnerable to experiencing depression. It is crucial to holistically assess the social and physiological needs of expectant mothers to reduce their risk of antenatal depression.
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| format | Article |
| id | doaj-art-b3e931a0d06647899e3f0d95cf6bddef |
| institution | Kabale University |
| issn | 2045-7960 2045-7979 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Epidemiology and Psychiatric Sciences |
| spelling | doaj-art-b3e931a0d06647899e3f0d95cf6bddef2025-02-12T07:44:42ZengCambridge University PressEpidemiology and Psychiatric Sciences2045-79602045-79792025-01-013410.1017/S2045796025000022Husband involvement in antenatal care moderates the link between vitamin D status and depressive symptoms in pregnant womenRosa S. Wong0https://orcid.org/0000-0003-4745-1899Keith T. S. Tung1Hing Wai Tsang2Jennifer K. Y. Ko3Wing-cheong Leung4Patrick Ip5https://orcid.org/0000-0002-6797-6898Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong SAR, ChinaDepartment of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, ChinaDepartment of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, ChinaDepartment of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong SAR, ChinaDepartment of Obstetrics and Gynaecology, Kwong Wah Hospital, Hong Kong SAR, ChinaDepartment of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, ChinaAbstract Aims The association between a pregnant mother’s vitamin D status and depressive symptoms has yielded inconsistent results. It is possible that other factors play a role in this association, as depression can have multiple causes. Recognizing the significance of the husband’s participation in antenatal care, this study aimed to examine whether the husband’s involvement moderates the link between the mother’s vitamin D status and depressive symptoms during pregnancy. Methods A total of 2983 Chinese married pregnant women, in their 25–35 weeks of pregnancy, completed questionnaires to assess their levels of depressive symptoms and the involvement of their husbands in their antenatal care appointments. Additionally, their serum levels of vitamin D were measured. Results After adjusting for maternal age, parity, and socio-economic status, the husband’s involvement in antenatal care moderated the association between maternal vitamin D status and depressive symptoms during pregnancy (β = 2.03, p = 0.035). Specifically, when their husbands were not regularly present for antenatal care appointments, mothers with suboptimal vitamin D levels experienced more depressive symptoms than those with optimal levels. However, there were no noticeable differences in depressive symptoms between vitamin D groups for mothers whose husbands attended all antenatal care appointments. Conclusions Pregnant women who have suboptimal vitamin D levels and lack support from their spouses are most vulnerable to experiencing depression. It is crucial to holistically assess the social and physiological needs of expectant mothers to reduce their risk of antenatal depression. https://www.cambridge.org/core/product/identifier/S2045796025000022/type/journal_articlehusband involvement in antenatal carepregnancyserum 25(OH)D concentrationsocial supportvitamin D status |
| spellingShingle | Rosa S. Wong Keith T. S. Tung Hing Wai Tsang Jennifer K. Y. Ko Wing-cheong Leung Patrick Ip Husband involvement in antenatal care moderates the link between vitamin D status and depressive symptoms in pregnant women Epidemiology and Psychiatric Sciences husband involvement in antenatal care pregnancy serum 25(OH)D concentration social support vitamin D status |
| title | Husband involvement in antenatal care moderates the link between vitamin D status and depressive symptoms in pregnant women |
| title_full | Husband involvement in antenatal care moderates the link between vitamin D status and depressive symptoms in pregnant women |
| title_fullStr | Husband involvement in antenatal care moderates the link between vitamin D status and depressive symptoms in pregnant women |
| title_full_unstemmed | Husband involvement in antenatal care moderates the link between vitamin D status and depressive symptoms in pregnant women |
| title_short | Husband involvement in antenatal care moderates the link between vitamin D status and depressive symptoms in pregnant women |
| title_sort | husband involvement in antenatal care moderates the link between vitamin d status and depressive symptoms in pregnant women |
| topic | husband involvement in antenatal care pregnancy serum 25(OH)D concentration social support vitamin D status |
| url | https://www.cambridge.org/core/product/identifier/S2045796025000022/type/journal_article |
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