Mental health
Study finds concerning decline in mental health among US mothers
A new study has revealed a concerning decline in self-reported mental health among mothers in the United States between 2016 and 2023, as well as modest but measurable declines in self-reported physical health during the same period.
The large-scale analysis examined data from 198,417 mothers who participated in the National Survey of Children’s Health (NSCH), a nationally representative annual survey of households with children aged 0 to 17. Most participating mothers were over age 30, and over half had a privately insured or a non-Hispanic white child.
“Although high rates of maternal morbidity and mortality have been well documented, national data on the health status of mothers beyond pregnancy and the first year postpartum is lacking.” said Jamie Daw, assistant professor of Health Policy and Management at Columbia Mailman School.
The findings show that the percentage of mothers reporting excellent mental health dropped sharply from 38 per cent in 2016 to 26 per cent in 2023. Similarly, the proportion reporting excellent physical health declined from 28 per cent to 24 per cent.
Most notably, the percentage of mothers rating their mental health as fair or poor rose by 3.5 percentage points over the 8 year-period, representing a 63.6 per cent increase from the baseline prevalence of 5.5 per cent in 2016. Declines in maternal mental health originated prior to the Covid-19 pandemic and were observed in nearly every socioeconomic subgroup examined.
Among fathers, the percentage reporting excellent physical health declined as well – from 30 per cent to 26.4 per cent; the changes in mental health were less pronounced. However, fathers reported substantially better mental and physical health than mothers in all years of the study.
The authors also examined disparities in maternal mental and physical health and found that the prevalence of fair and poor mental and physical health was considerably higher among mothers of lower educational attainment, single mothers, and those whose children have Medicaid or are uninsured.
Daw and colleagues emphasise the intergenerational consequences of poor parental mental health, including increased risks for adverse birth outcomes, developmental delays, and mental health issues in children.
“Maternal mood disorders, in particular, can have long-term effects on children, directly by affecting development, and indirectly, by increasing the chance of exposure to co-occurring risks such as parental substance use and lower household resources,” Daw said.
“Our results highlight the rising tide of worsening mental health among parenting women as a key target for efforts to improve maternal and child health in the US.
“We found consistently worse health outcomes for mothers compared to fathers, suggesting that mothers may need additional consideration and attention in policies aimed at supporting parental health and especially mental health.
In all cases, our study underscores the need for more comprehensive research on the health and well-being of U.S. parents more broadly, and we urge support for more interventions that support prevention, diagnosis and treatment of mental health outcomes.”
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Scaling startups risk increasing gender gaps, study finds
Rapidly scaling startups often make rushed hiring choices that disadvantage women, a recent study has found.
The findings draw on more than 31,000 new ventures founded in Sweden between 2004 and 2018.
Researchers at the Stockholm School of Economics report that in male-led startups, scaling reduces the odds of hiring a woman by about 18 per cent, and the odds of appointing a woman to a managerial post by 22 per cent.
Mohamed Genedy is co-author and postdoctoral fellow at the House of Innovation, Stockholm School of Economics.
Genedy said: “During those moments of rapid growth, even well-intentioned leaders can fall back on familiar stereotypes when assessing who they believe is best suited for the role.”
The patterns emerge even in Sweden, regarded as a highly gender-equal national context.
Founders with human resources-related education counteract these challenges.
In ventures led by founders with HR training, the odds of hiring a woman increase by more than 30 per cent, and the odds of appointing a woman to a managerial role increase by 14 per cent for the same level of growth.
Genedy said: “When founders have experience with structured hiring practices, the gender gaps shrink, and in some cases even reverse.
“This shows that getting the basics of HR right early on really pays off.
“When things start moving fast, founders with HR knowledge are less likely to rely on biased instincts and more likely to hire from a broader talent pool.”
Prior experience in companies with established HR practices also helps, though to a lesser degree.
It raises the likelihood of hiring women as ventures scale, but does not significantly affect managerial appointments.
The study additionally shows these patterns are not driven by founder gender alone.
Even solo female-led ventures display similar tendencies when growing rapidly, though to a somewhat lesser degree.
In female-dominated industries, rapid growth increases the hiring of women for regular roles but still reduces the likelihood that women are appointed to managerial positions.
“When scaling accelerates, cognitive bias kicks in for everyone. Female founders are not immune to these patterns,” said Genedy.
Mental health
Study reveals why women more likely to develop PTSD
High brain oestrogen may raise women’s PTSD risk if severe stress strikes during high oestrogen phases, causing memory problems and stronger fear responses, new research has revealed.
The study found that exposure to several simultaneous stressors can lead to persistent memory problems, difficulty recalling events and stronger reactions to trauma reminders.
Tallie Baram is distinguished professor of paediatrics, anatomy and neurobiology, and neurology at UC Irvine’s School of Medicine, and led the research.
Baram said: “High oestrogen is essential for learning, memory and overall brain health.
“But when severe stress hits, the same mechanisms that normally help the brain adapt can backfire, locking in long-lasting memory problems.”
Oestrogen, which usually supports learning and memory, can increase vulnerability when levels are high in the hippocampus, a brain region central to memory formation and retrieval.
Researchers reported that female mice stressed during cycle phases with high oestrogen developed enduring memory loss and heightened fear of reminders, while lower levels were protective. Males, who also have high hippocampal oestrogen, were susceptible more mildly and through different receptor pathways.
High oestrogen loosens the packaging of DNA in brain cells, known as permissive chromatin.
This normally helps learning, but under extreme stress it can allow harmful, lasting changes in memory circuits.
Memory problems were driven by different oestrogen receptors in men and women, alpha in men and beta in women.
Blocking the relevant receptor prevented stress-related memory issues even when oestrogen stayed high. Vulnerability depended on hormone levels at the time of stress, not afterwards.
Co-author Elizabeth Heller is associate professor of pharmacology at the University of Pennsylvania Perelman School of Medicine.
She said: “A lot of what determines vulnerability is the state your brain is already in.
“If a traumatic event hits during a period when oestrogen is already unusually high, the biology can amplify the impact in lasting ways.
“This study shows that a state of high oestrogen in a specific brain region promotes vulnerability to stress in both male and female subjects.”
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