More research is needed to understand the mechanisms behind this finding though, especially given that in the Black/African American subgroup, there was a marginally significant interaction in which prenatal mental healthcare utilization and unplanned pregnancy were associated with less severe prenatal depressive symptoms compared to those with prenatal mental healthcare utilization and planned pregnancy.
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Unplanned pregnancy and perinatal depression: secondary exploratory analyses from a racially and ethnically diverse, low-income sample of birthing people in the United States.
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Additionally, none of the interaction terms were significant (first-time parent status interaction: p = 0.391; education interaction: p = 0.365); however, the interaction between pregnancy planning and prenatal mental healthcare utilization was trending towards significance, in that those who endorsed planned pregnancies and prenatal mental healthcare utilization had more severe depressive symptoms compared to those with unplanned pregnancies and prenatal mental health utilization (β = −2.48, 95% CI [−5.01, 0.05], p = 0.055).