Desired assistance versus care received for postpartum depression: access to care differences by race

Zittel-Palamara, Kimberley M.; Rockmaker, Julie R.; Schwabel, Kara M.; Weinstein, Wendy L.; Thompson, Sanna J.

doi:10.1007/s00737-008-0001-1

Cited by 19 publications

(16 citation statements)

References 56 publications

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“…Frequency of postpartum depression has been reported to vary by race and ethnicity, with Hispanics having the lowest prevalence and Native Americans the highest (29–31). The elevated risk among Hispanics in New York City but not elsewhere in New York State, suggests heterogeneity among Hispanic subgroups.…”

Section: Discussionmentioning

confidence: 99%

The Epidemiology of Hospitalized Postpartum Depression in New York State, 1995–2004

Savitz

Stein

et al. 2011

Annals of Epidemiology

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Purpose The purpose of this study is to describe the patterns of hospitalization for depression in the year following delivery in relation to social, demographic, and behavioral characteristics. Methods Data on fetal deliveries were linked to hospitalizations for depression over the subsequent year in order to describe the frequency and patterns of hospitalized postpartum depression among 2,355,886 deliveries in New York State from 1995 – 2004. We identified “definite postpartum depression” based on ICD codes indicative of “mental disorders specific to pregnancy,” and “possible postpartum depression” by ICD codes for hospitalization with any depressive disorders. Results In New York State, we identified 1,363 women (5.8 per 10,000) who were hospitalized with definite postpartum depression, and 6,041 women (25.6 per 10,000) with possible postpartum depression, with lower risks in the New York City area. Postpartum depression was more common in later years and among mothers who were older, Black, smokers, lacking private insurance, and with multiple gestations, and was rarer among Asians. For possible postpartum depression, socioeconomic gradients were enhanced. Conclusions Risk of hospitalized postpartum depression is strongly associated with socioeconomic deprivation and varies markedly by ethnicity, with direct implications for screening and health services, also providing suggestions for etiologic studies.

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Section: Discussionmentioning

confidence: 99%

The Epidemiology of Hospitalized Postpartum Depression in New York State, 1995–2004

Savitz

Stein

et al. 2011

Annals of Epidemiology

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“…This premise is supported by our findings that the effects of race were attenuated in some models following the entry of the demographic risk and family support variables. Despite these findings, it is important to recognize that nonwhite mothers may experience elevated rates of postpartum depression (Howell et al, 2005), and racial disparities exist in access to appropriate treatment for depression, particularly for African American and Hispanic mothers compared to Caucasian mothers (e.g., Zittel-Palamara, Rockmaker, Schwabel, Weinstein, & Thompson, 2008). Future research that includes both socioeconomic and racial/ethnic diversity is needed to further delineate the impact of race on depression in mothers of PT LBW infants, including their access to appropriate treatment.…”

Section: Discussionmentioning

confidence: 99%

Predictors of depressive symptom trajectories in mothers of preterm or low birth weight infants.

Poehlmann

Schwichtenberg

Bolt

et al. 2009

Journal of Family Psychology

120

119

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Predictors of maternal depression trajectories were examined longitudinally in families with an infant born preterm or low birthweight. A total of 181 mother-infant dyads enrolled in the study prior to the infant's NICU discharge. Maternal depressive symptoms were assessed at five timepoints, and contextual variables and infant risks were assessed at NICU discharge. Hierarchical linear models revealed that mothers who experienced more risk factors reported more depressive symptoms just prior to their infant's NICU discharge and showed less decline in depressive symptoms in the months immediately following the child's birth. Although cumulative risks predicted depression trajectories, this effect appeared driven by maternal and family sociodemographic risks rather than infant risks. Addition of family support as a covariate in the multilevel models with a subsample of families revealed that social support and depression covaried across time. However, most of the findings regarding the association between risk and depression remained consistent, whereas the effects of maternal race and multiple birth were slightly attenuated. Keywords cumulative risks; family support; low birthweight; maternal depression; pretermThe number of infants born preterm (< 37 weeks gestation) or low birthweight (< 2500 grams) has increased in the U.S. and other developed countries and more infants are surviving their Neonatal Intensive Care Unit (NICU) stays (Hamilton, Martin, & Ventura, 2007), resulting in a growing number of families facing the challenge of caring for vulnerable infants. Mothers of infants born preterm or low birthweight (PT LBW) are at risk for experiencing psychological distress and depression following the child's birth, and although these symptoms tend to decrease over time, some mothers remained depressed (e.g., Miles, Holditch-Davis, Schwartz, Corresponding author information: Julie Poehlmann, Ph.D., Associate Professor, Human Development & Family Studies, University of Wisconsin, 1500 Highland Ave, Madison, WI 53705, poehlmann@waisman.wisc.edu 608-263-4839. Publisher's Disclaimer: The following manuscript is the final accepted manuscript. It has not been subjected to the final copyediting, fact-checking, and proofreading required for formal publication. It is not the definitive, publisher-authenticated version. The American Psychological Association and its Council of Editors disclaim any responsibility or liabilities for errors or omissions of this manuscript version, any version derived from this manuscript by NIH, or other third parties. The published version is available at www.apa.org/journals/fam. & Scher, 2007). Because research with fullterms has found links between persistent maternal depression and less optimal child outcomes (e.g., Campbell, Matestic, von Stauffenberg, Mohan & Kirchner, 2007), it is essential to examine predictors of maternal depression trajectories over time in families with PT LBW infants. In addition, because family support has been associated with maternal mental health a...

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“…Along with the need for early PPD screening and identification, access to effective treatment methodologies must also be addressed. Zittel‐Palamara, Rockmaker, Schwabel, Weinstein, and Thompson () explored access to PPD care in women with a current or past history of PPD. Telephone interviewers asked the sample of mainly White (51.1%, n = 23) and African American (40%, n = 18) women, “What areas of PPD care do you believe to be important for you to feel better?” and “Did you have difficulty getting PPD care?” Study findings indicated a mismatch between the types of care women desired versus the actual care they received, specifically with regard to medication: 73% ( n = 33) indicated medication would help them feel better, but only 11 received any.…”

Section: Introductionmentioning

confidence: 99%

Identification of Postpartum Depression in an Online Community

Teaford

Goyal

McNeish

2015

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Desired assistance versus care received for postpartum depression: access to care differences by race

Cited by 19 publications

References 56 publications

The Epidemiology of Hospitalized Postpartum Depression in New York State, 1995–2004

The Epidemiology of Hospitalized Postpartum Depression in New York State, 1995–2004

Predictors of depressive symptom trajectories in mothers of preterm or low birth weight infants.

Identification of Postpartum Depression in an Online Community

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