Modelling Maternal Depression: An Agent-Based Model to Examine the Complex Relationship between Relative Income and Depression.

Depression is a major public health concern among expectant mothers in Canada. Income inequality has been linked to depression, so interventions for reducing income inequality may reduce the prevalence of maternal depression. The current study aims to simulate the effects of government transfers and increases to minimum wage on depression in mothers. We used agent-based modelling techniques to identify the predicted effects of income inequality reducing programs on maternal depression. Model parameters were identified using the All Our Families cohort dataset and the existing literature. The mean age of our sample was 30 years. The sample was also predominantly white (78.6%) and had at least some post-secondary education (89.1%). When income was increased by just simulating an increase in minimum wage, the proportion of depressed mothers decreased by 2.9% ( p < 0.005). Likewise, simulating the Canada Child Benefit resulted in a 5.0% decrease in the prevalence of depression ( p < 0.001) and Ontario's Universal Basic Income pilot project resulted in a simulated 5.6% decrease in the prevalence of depression ( p < 0.001). We also assessed simulated changes to the mother's social networks. Progressive income policies and increasing social networks are predicted to decrease the probability of depression.