Social Determinants Among Pregnant Clients With Perinatal Depression, Anxiety, Or Serious Mental Illness.

Autor:	Blebu B; Bridgette Blebu (bridgette.blebu@lundquist.org), Harbor-UCLA Medical Center, Torrance, California., Jackson A; Ashaki Jackson, Los Angeles County Department of Health Services, Torrance, California., Reina A; Astrid Reina, University of California Los Angeles, Los Angeles, California., Dossett EC; Emily C. Dossett, University of Southern California, Los Angeles, California., Saleeby E; Erin Saleeby, Los Angeles County Department of Health Services.
Jazyk:	angličtina
Zdroj:	Health affairs (Project Hope) [Health Aff (Millwood)] 2024 Apr; Vol. 43 (4), pp. 532-539.
DOI:	10.1377/hlthaff.2023.01456
Abstrakt:	To characterize co-occurring social determinants of health for clients experiencing perinatal anxiety and depression (perinatal mood and anxiety disorders) or serious mental illness (SMI) in a diverse population receiving prenatal care in a safety-net health system, we conducted a latent class analysis, using data from a social determinants screener in pregnancy for the health system's clients during 2017-20. The sample included clients with positive screens for depression or anxiety or SMI diagnoses. Prenatal clients with a positive screen for perinatal mood and anxiety disorders or SMI comprised 13-30 percent of classes, characterized by more than two co-occurring social determinants (for example, co-occurring socioeconomic and interpersonal factors). The study findings highlight the salience of social determinants among prenatal patients experiencing perinatal mood and anxiety disorder and SMI and suggest the necessity of consistent screening for both social determinants and perinatal mental health. Policies to address social determinants within and beyond health care settings are critical.
Databáze:	MEDLINE
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