دورية أكاديمية
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Perinatal Mood and Anxiety Disorder and Reproductive Justice: Examining Unmet Needs for Mental Health and Social Services in a National Cohort.

التفاصيل البيبلوغرافية
العنوان: Perinatal Mood and Anxiety Disorder and Reproductive Justice: Examining Unmet Needs for Mental Health and Social Services in a National Cohort.
المؤلفون: Taiwo TK; Birth Place Lab, Division of Midwifery, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.; Bastyr University Department of Midwifery, Kenmore, Washington, USA., Goode K; Birth Place Lab, Division of Midwifery, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.; SUNY Old Westbury, Old Westbury, New York, USA.; National Association of Certified Professional Midwives, Keene, New Hampshire, USA., Niles PM; Birth Place Lab, Division of Midwifery, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.; Rtory Meyers College of Nursing, New York University, New York, New York, USA., Stoll K; Birth Place Lab, Division of Midwifery, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada., Malhotra N; Birth Place Lab, Division of Midwifery, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada., Vedam S; Birth Place Lab, Division of Midwifery, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
المصدر: Health equity [Health Equity] 2024 Jan 04; Vol. 8 (1), pp. 3-13. Date of Electronic Publication: 2024 Jan 04 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 101708316 Publication Model: eCollection Cited Medium: Internet ISSN: 2473-1242 (Electronic) Linking ISSN: 24731242 NLM ISO Abbreviation: Health Equity Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: New Rochelle, NY : Mary Ann Liebert, Inc., [2017]-
مستخلص: Introduction: Perinatal Mood and Anxiety Disorders (PMADs) are the most common complications during the perinatal period. There is limited understanding of the gaps between need and provision of comprehensive health services for childbearing people, especially among racialized populations.
Methods: The Giving Voice to Mothers Study (GVtM; n =2700), led by a multistakeholder, Steering Council, captured experiences of engaging with perinatal services, including access, respectful care, and health systems' responsiveness across the United States. A patient-designed survey included variables to assess relationships between race, care provider type (midwife or doctor), and needs for psychosocial health services. We calculated summary statistics and tested for significant differences across racialized groups, subsequently reporting odds ratios (ORs) for each group.
Results: Among all respondents, 11% ( n =274) reported unmet needs for social and mental health services. Indigenous women were three times as likely to have unmet needs for treatment for depression (OR [95% confidence interval, CI]: 3.1 [1.5-6.5]) or mental health counseling (OR [95% CI]: 2.8 [1.5-5.4]), followed by Black women (OR [95% CI]: 1.8 [1.2-2.8] and 2.4 [1.7-3.4]). Odds of postpartum screening for PMAD were significantly lower for Latina women (OR [95% CI]=0.6 [0.4-0.8]). Those with midwife providers were significantly more likely to report screening for anxiety or depression (OR [95% CI]=1.81 [1.45-2.23]) than those with physician providers.
Discussion: We found significant unmet need for mental health screening and treatment in the United States. Our results confirm racial disparities in referrals to social services and highlight differences across provider types. We discuss barriers to the integration of assessments and interventions for PMAD into routine perinatal services.
Implications: We propose incentivizing reimbursement schema for screening and treatment programs; for community-based organizations that provide mental health and social services; and for culture-centered midwife-led perinatal and birth centers. Addressing these gaps is essential to reproductive justice.
Competing Interests: No competing financial interests exist.
(© Tanya Khemet Taiwo et al., 2024; Published by Mary Ann Liebert, Inc.)
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فهرسة مساهمة: Keywords: disparities; maternal mental health; perinatal mood disorders; person-centered care; pregnancy; reproductive justice
تواريخ الأحداث: Date Created: 20240122 Latest Revision: 20240130
رمز التحديث: 20240130
مُعرف محوري في PubMed: PMC10797170
DOI: 10.1089/heq.2022.0207
PMID: 38250299
قاعدة البيانات: MEDLINE
الوصف
تدمد:2473-1242
DOI:10.1089/heq.2022.0207