Original Investigation

Socioeconomic Status and Postpartum Depression Risk After the Decision, Based on State Trigger Laws

JAMA Network Open 10.1001/jamanetworkopen.2025.57337

February 03, 2026 at 11:00 AM EST

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Are state abortion bans enacted after the decision associated with increased rates of postpartum depression (PPD) among Medicaid enrollees, based on socioeconomic status (SES)?This cohort study including 102 597 individuals pre- and 61 113 individuals post- found that women with low SES who lived in states with abortion bans experienced a significant 9.0% relative increase in PPD diagnoses after vs those in states without bans. No differences in rates of PPD after were observed among women in trigger vs nontrigger states living in middle- or high-SES areas.This study found that post- abortion bans were disproportionately associated with an increased PPD risk among individuals in low-SES communities, amplifying existing health disparities.

Corresponding Author: Onur Baser, MA, MS, PhD, School of Public Health, City University of New York, 55 W 125th St, New York, NY 10027 (onur.baser@sph.cuny.edu).

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