Examining racial/ethnic inequities in treatment participation among perinatal individuals with depression.
Journal: General hospital psychiatry
Volume: 88
Issue:
Year of Publication:
Affiliated Institutions:
Department of Psychiatry, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America. Electronic address: Esther.Boama-Nyarko@umassmed.edu.
Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America. Electronic address: Julie.Flahive@umassmed.edu.
Department of Psychiatry, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America. Electronic address: Martha.Zimmermann@umassmed.edu.
Department of Psychiatry, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America. Electronic address: Jeroan.Allison@umassmed.edu.
Department of Psychiatry, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America. Electronic address: Sharina.Person@umassmed.edu.
Department of Psychiatry, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America; Department of Obstetrics & Gynecology, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America; Department of Pediatrics, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America; Department of Obstetrics & Gynecology, UMass Memorial Health Care, Worcester, MA , United States of America. Electronic address: Tiffany.MooreSimas@umassmemorial.org.
Department of Psychiatry, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America; Department of Obstetrics & Gynecology, University of Massachusetts Chan Medical School, Lake Avenue, Worcester, MA , United States of America; Department of Psychiatry, UMass Memorial Health Care, Worcester, MA , United States of America. Electronic address: Nancy.Byatt@umassmemorial.org.
Abstract summary
A cluster randomized controlled trial (RCT) of two interventions for addressing perinatal depression treatment in obstetric settings was conducted. This secondary analysis compared treatment referral and participation among Minoritized perinatal individuals compared to their non-Hispanic white counterparts.Among perinatal individuals with depression symptoms, we examined rates of treatment 1) referral (i.e., offered medications or referred to mental health clinician), 2) initiation (i.e., attended ≥1 mental health visit or reported prescribed antidepressant medication), and 3) sustainment (i.e., attended >1 mental health visit per study month or prescribed antidepressant medication at time of study interviews). We compared non-Hispanic white (NHW) (n = 149) vs. Minoritized perinatal individuals (Black, Asian, Hispanic/Latina, Pacific Islander, Native American, Multiracial, and white Hispanic/Latina n = 157). We calculated adjusted odds ratios (aOR) for each outcome.Minoritized perinatal individuals across both interventions had significantly lower odds of treatment referral (aOR = 0.48;95% CI = 0.27-0.88) than their NHW counterparts. There were no statistically significant differences in the odds of treatment initiation (aOR = 0.64 95% CI:0.36-1.2) or sustainment (aOR = 0.54;95% CI = 0.28-1.1) by race/ethnicity.Perinatal mental healthcare inequities are associated with disparities in treatment referrals. Interventions focusing on referral disparities across race and ethnicity are needed.
Authors & Co-authors:
Boama-Nyarko
Flahive
Zimmermann
Allison
Person
Moore Simas
Byatt
Study Outcome
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