Multiple discrimination, discrimination types and postpartum depression among Arab and Jewish women

N. Daoud, N. Ali Salah, S. Ruth Sestito

Research output: Contribution to journalMeeting Abstract

Abstract

Background:
While discrimination is now understood as multi-dimensional,
most studies on discrimination and health measure one
dimension only (ethnicity). Our study examines associations
between ‘types of discrimination’ and ‘multiple discrimination,’ and postpartum depression (PPD), and compares these
between Arab and Jewish women in Israel.
Methods:
In 2014-15 we interviewed a stratified sample of 1128
postpartum women in a sample of 63 maternal and child
health clinics. Using logistic regressions and generalized
estimation equations we estimated the odds ratio (OR) and
95% confidence intervals (CI) of PPD for the associations with
‘types of discrimination’ (measured by 6 questions on
discrimination by age, gender, ethnic, class, skin color and
religiosity); and ‘multiple discrimination’ (measured by
accumulation of 0,1,2,3 or more experiences of the above
discrimination types).
Results:
Arab women were more likely to report experiencing different
types of discrimination and multiple discrimination than
Jewish women. In the fully adjusted model of PPD for the total
sample, only two types of discrimination persisted as
significant: skin color (OR,95%CI = 1.94, 1.10-3.41) and class
(2.00,1.18-3.40). Multiple discrimination was associated with
increased PPD in a dose-response manner; compared to
reporting no discrimination the OR(95%CI) of PPD for
experiencing 3 types of discrimination or more was 2.16(1.20-
3.89), two types = 2.03(1.03-3.99) and one type = 1.25(0.63-
2.50). Associations between multiple discrimination and PPD
were stronger among Jewish compared to Arab women, for
whom, in the final model, these association were nonsignificant.
Conclusions:
We found stronger associations between PPD and multiple
discrimination than with single discrimination types. Nonsignificant associations between multiple discrimination and
PPD among Arab compared to Jewish women might suggest
homogenic discrimination effects or resilience that warrants
future research.
Original languageEnglish GB
Pages (from-to)239-239
JournalEuropean Journal of Public Health
Volume28
Issue number4
StatePublished - 21 Nov 2018

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