Racial And Ethnic Inequities In Postpartum Depressive Symptoms, Diagnosis, And Care In 7 US Jurisdictions

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DOI: 10.1377/hlthaff.2023.01434 Publication Date: 2024-04-01T19:56:25Z
ABSTRACT
Understanding whether racial and ethnic inequities exist along the postpartum mental health care continuum is vital because inequitable identification of depression can lead to referral receipt care. We aimed expand on existing cross-sectional single-state data documenting potential disparities in Using early (from two six months) late twelve fourteen survey from seven US jurisdictions, we documented patterns depressive symptoms, perinatal mood anxiety disorder (PMAD) diagnosis, overall by identity. Of 4,542 people who delivered live births 2020, 11.8 percent reported symptoms. Among sample with these only 25.4 receiving a PMAD 52.8 some form There were no significant differences diagnosis race ethnicity. Respondents identifying as Asian; Native Hawaiian or Pacific Islander; Southwest Asian, Middle Eastern, North African; Hispanic; non-Hispanic Black significantly less likely than White respondents receive care, demonstrating stark management Policies mandating reimbursing universal screening, facilitating connection reducing insurance coverage gaps, enhancing clinician training culturally responsive may promote equitable
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