J Obstet Gynecol Neonatal Nurs. 2023 Nov;52(6):481-490. doi: 10.1016/j.jogn.2023.08.002. Epub 2023 Aug 24.
To identify structural factors associated with the receipt of mental health care treatment among Black women in California during pregnancy and after childbirth.
Secondary analysis of data from the population-based Listening to Mothers in California survey.
The sample included 194 non-Latina Black women in the postpartum period.
We used descriptive statistics, including differences between means and logistic regression, to conduct a series of bivariate analyses.
Most respondents (84.4%, n = 163) reported symptoms of perinatal mood and anxiety disorders prenatally, and half (50% n = 97) reported symptoms of perinatal mood and anxiety disorders in the postpartum period. Only 12.3% to 14.6% of those who reported symptoms received mental health care treatment. Furthermore, 21.2% (n = 38) of respondents were not screened for postpartum depression. Respondents with private insurance coverage were more likely to report receipt of mental health care after childbirth (OR = 4.6; 95% confidence interval [1.5, 13.5]) compared to respondents with public insurance coverage.
Our results suggest a high prevalence of unmet mental health needs among non-Latina Black women who lived in California during the perinatal period. Practitioners in clinical settings may be more likely to make referrals to mental health care for women with private insurance coverage in the postpartum period.
确定与加利福尼亚州妊娠和产后期间黑人女性接受心理健康护理治疗相关的结构因素。
基于人群的加利福尼亚州倾听母亲调查数据的二次分析。
该样本包括产后期间的 194 名非拉丁裔黑人女性。
我们使用描述性统计数据，包括均值差异和逻辑回归，进行了一系列的双变量分析。
大多数受访者（84.4%，n=163）在产前报告了围产期情绪和焦虑障碍的症状，一半（50%，n=97）在产后报告了围产期情绪和焦虑障碍的症状。只有 12.3%至 14.6%的报告有症状的人接受了心理健康护理治疗。此外，21.2%（n=38）的受访者未接受产后抑郁筛查。与有公共保险的受访者相比，有私人保险的受访者更有可能在产后报告接受心理健康护理治疗（OR=4.6；95%置信区间[1.5，13.5]）。
我们的研究结果表明，在围产期期间居住在加利福尼亚州的非拉丁裔黑人女性存在较高的未满足的心理健康需求。在临床环境中，从业者可能更倾向于为产后有私人保险的女性转介心理健康护理。
