> Additionally, prevalence was significantly higher in women from low and middle income countries compared to women from high income countries (OR 1.8, 95% CI 1.4–2.2). The overall pooled prevalence was 11.9% of women during the perinatal period (95% CI 11.4–12.5).
I suppose I don't know which countries are more or less alienated from their extended families, but the US is surely more than averagely sprawled since it's so large and so suburbanized.