Compared with White Europeans, South Asian and Black Caribbean participants were significantly more likely to have depressive symptoms odds ratio 1. Most first-generation migration occurred in the s and 60s, such that the majority are now of pensionable age. Conclusions Higher prevalence of depressive symptoms observed among South Asian people were attenuated after adjustment for physical health, whereas the Black Caribbean increased prevalence was most explained by socioeconomic disadvantage. More that two in every five midwives in Scotland is now in their fifties or sixties. The physical wear and tear on the body, of doing what can be a very physical job, can take its toll. But typically, older women will require more care during pregnancy, and that means more midwives are needed Older midwives are, of course, hugely valuable. Richards Find articles by M. If we actually drove down this shortage, the NHS would be better placed to offer older midwives roles that meant they could stay in the health service for longer, delaying the impact of their retirement time bomb.
Depression, ethnic group differences, explanatory factors, prevalence Introduction Depression is one of the leading causes of morbidity, healthcare use and loss of productivity worldwide WHO, We need action to eliminate the shortage in England, as well as concerted action UK-wide to address the imbalance between older and younger midwives. A new report by the Royal College of Midwives, where I'm chief executive, has found that the number of women over the age of 40 giving birth has risen from 14, in to 29, last year. All these things are made harder by the current midwife shortage in Britain. Over the last four years the number of midwives aged under 50 fell by , while the number aged 50 or older rose from to 1, Shifts can last as long as 13 hours, and midwives work on average around three hours beyond their contractual requirement each week to cover for demand. Abstract Background Despite elevated risk profiles for depression among South Asian and Black Caribbean people in the UK, prevalences of late-life depressive symptoms across the UK's three major ethnic groups have not been well characterized. Variations in chronic disease prevalence have been identified Smith et al. Despite marked ethnic group differences in risk factors for depression, including socioeconomic adversity, experience of discrimination, health behaviours, disability and chronic disease Nazroo, ; Karlsen et al. But we also need to make sure older midwives can stay working for as long as they can and for as long as they want. Its greater prevalence in older age is thought to be associated in part with chronic disease co-morbidity Blazer et al. We hypothesized that excess chronic disease and socioeconomic disadvantage might explain elevated depressive symptoms in both ethnic minority groups compared with White Europeans. Back then, fewer than one in five midwives were in their fifties or sixties. Women have every right to give birth later in life. Before they leave they must be replaced, and this needs to happen in good time. This article has been cited by other articles in PMC. The shortage of midwives — 2, in England — can make it hard for maternity units to be flexible about how midwives are deployed. We can only do this by protecting those midwives in training. We need to make sure that the NHS actually recruits midwives once they have qualified. More that two in every five midwives in Scotland is now in their fifties or sixties. This method of self-assigned ethnicity is in keeping with the UK census categorization http: Ethnicity was interviewer-recorded based on parental origin and appearance and subsequently confirmed by participants. By last year it was almost one in three. People of South Asian and Black Caribbean origin form the largest and longest established ethnic minority populations in the UK. We also sought to investigate the extent to which exposure to other recognized risk factors for depression might potentially account for any prevalence differences observed. If we actually drove down this shortage, the NHS would be better placed to offer older midwives roles that meant they could stay in the health service for longer, delaying the impact of their retirement time bomb. Some students drop out through financial hardship, so we need to ensure they get proper support and are not weighed down by debt.
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