Racial-Ethnic Differences in Treatment Initiation for New Diagnoses of Perinatal Depression
| Autor: | Lyndsay A, Avalos, Nerissa, Nance, Esti, Iturralde, Sylvia E, Badon, Charles P, Quesenberry, Stacy, Sterling, De-Kun, Li, Tracy, Flanagan |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Psychiatric Services. 74:341-348 |
| ISSN: | 1557-9700 1075-2730 |
| Popis: | The adverse consequences of untreated perinatal depression highlight the need to identify populations to target in order to increase treatment rates. The authors sought to evaluate treatment initiation for a new diagnosis of depression during pregnancy or postpartum and to describe racial-ethnic differences in initiation and type (psychotherapy, antidepressants) of treatment in a large health care system with universal perinatal depression screening.This retrospective cohort study included women who delivered a live birth in the Kaiser Permanente Northern California system between October 2012 and May 2017. Black, Latina, Asian, and White women ages ≥15 years were eligible. New depression diagnoses were defined by usingIn total, 13,637 women with a new depression diagnosis (prenatal: N=7,041, 51.6%; postpartum: N=6,596, 48.4%) were identified. Of the pregnant women, 31.4% initiated treatment, and of the postpartum women, 73.1% initiated treatment. Latina and Asian women were less likely than White women to initiate treatment postpartum. During pregnancy and postpartum, non-White women were more likely to initiate psychotherapy. White women were more likely to initiate antidepressant medication during pregnancy and postpartum or a combination of antidepressant medication and psychotherapy during the postpartum period.Research is warranted to identify patient-, provider-, and system-level barriers that contribute to racial-ethnic disparities in perinatal mental health care. |
| Databáze: | OpenAIRE |
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