Prediction of postpartum weight in low-income mexican-origin women from childhood experiences of abuse and family conflict

Linda Luecken, Shannon L. Jewell, David Mackinnon

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Objectives The postpartum period represents a crucial transition period in which weight gain or loss can affect lifetime obesity risk. This study examined the prevalence of obesity and the influence of childhood abuse and family conflict on postpartum weight among low-income Mexican-origin women. Depressive symptoms and partner support were evaluated as mediators. Methods At a prenatal assessment, low-income Mexican-origin women (N = 322; mean [SD] age, 27.8 [6.5]) reported on childhood abuse and family conflict. Weight was measured 7 times between 6 weeks and 2 years postpartum and calculated as body mass index. Regression and growth models were used to estimate the impact of childhood abuse, childhood family conflict, partner support, and depressive symptoms on weight and weight change. Results Higher family conflict predicted higher weight across the first (β =.12; p =.037) and second (β =.16; p =.012) postpartum years. Family conflict (β =.17; p =.018) and low partner support (β = -.16; p =.028) also predicted increasing weight in the first year. Partner support partially mediated the effect of childhood abuse on weight change in the first year (p =.031). Depressive symptomatology mediated the effects of childhood abuse and family conflict on weight status in the second year (abuse: p =.005; conflict: p =.023). Conclusions For low-income Mexican-origin women with a history of childhood abuse or high family conflict, depression and low partner support may be important targets for obesity prevention efforts in the postpartum period.

Original languageEnglish (US)
Pages (from-to)1104-1113
Number of pages10
JournalPsychosomatic Medicine
Volume78
Issue number9
DOIs
StatePublished - Nov 1 2016

Keywords

  • Mexican
  • childhood abuse
  • conflict
  • depression
  • postpartum
  • weight

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

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