A Population-Based Study of Postpartum Mental Health Service Use by Immigrant Women in Ontario, Canada
| Autor: | Cindy-Lee Dennis, Neesha Hussain-Shamsy, Kinwah Fung, Simone N. Vigod, Anjum Sultana |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Mental Health Services medicine.medical_specialty media_common.quotation_subject Immigration Emigrants and Immigrants Mental health service Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Young adult Psychiatry Original Research media_common Ontario business.industry Mental Disorders Puerperal Disorders 030227 psychiatry Hospitalization Population based study Psychiatry and Mental health Family medicine Female business Developed country Ontario canada |
| Zdroj: | The Canadian Journal of Psychiatry. 61:705-713 |
| ISSN: | 1497-0015 0706-7437 |
| DOI: | 10.1177/0706743716645285 |
| Popis: | Objective: Postpartum mental disorders are twice as common among immigrant women compared to nonimmigrant women in developed countries. Immigrant women may experience barriers to access and use of postpartum mental health services, but little is known about their service use on a population level. We described postpartum mental health service use of immigrant mothers living in Ontario, Canada, comparing to a referent group of mothers who were either born in Canada or had lived in Ontario or another Canadian province since 1985. Method: Among all women in Ontario, Canada, delivering a live infant from 2008 to 2012 ( n = 450,622), we described mental health service use within 1 year postpartum, including mental health physician visits, psychiatric emergency department visits, and psychiatric hospitalization. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) comparing immigrant women to the referent group were adjusted for maternal age, parity, income, rurality, mental health services in prior 2 years, and maternal and newborn health. Results: Immigrant women ( n = 123,231; 27%) were less likely to use mental health services than women in the referent group (14.1% vs. 21.4%; aOR, 0.59; 95% CI, 0.58 to 0.61), including for physician-based (13.9% vs. 21.1%; aOR, 0.59; 95% CI, 0.58 to 0.61) and emergency department (0.6% vs. 1.3%; aOR, 0.63; 95% CI, 0.57 to 0.68) services. Hospitalization risk was lower among immigrants (0.20% vs. 0.33%) but became similar after covariate adjustment (aOR, 0.92; 95% CI, 0.79 to 1.06). Conclusions: Underuse of postpartum mental health services may be contributing to the high burden of postpartum mental disorders among immigrant women. |
| Databáze: | OpenAIRE |
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