Racial differences in immediate postpartum depression and suicidal ideation among women in a Midwestern delivery hospital

Tabb, Karen M.; Hsieh, Wan-Jung; Gavin, Amelia R.; Eigbike, Mercy; Faisal-Cury, Alexandre; Hajaraih, Syahidatul Khafizah Mohd; Huang, Wenhao David; Laurent, Heidemarie K.; Carter, Darius; Nidey, Nichole; Ryckman, Kelli K.; Zivin, Kara

doi:10.1016/j.jadr.2020.100008

Cited by 16 publications

(10 citation statements)

References 36 publications

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“…Across the perinatal period, minoritized women experience more severe symptoms of depression than their White counterparts 10 . For instance, Black and Hispanic pregnant women express suicidal ideation twice as frequently as White pregnant women 14–17 . During the postpartum, factors associated with suicide attempts include experiencing anti-Black and anti-Indigenous racism and being of lower-income status 18,19 .…”

Section: Racial Differences In the Presentation Of Perinatal Psychiat...mentioning

confidence: 99%

“…10 For instance, Black and Hispanic pregnant women express suicidal ideation twice as frequently as White pregnant women. [14][15][16][17] During the postpartum, factors associated with suicide attempts include experiencing anti-Black and anti-Indigenous racism and being of lower-income status. 18,19 Minoritized women also may present with more somatic constellations of symptoms associated with depression that may be underrecognized.…”

Section: Racial Differences In the Presentation Of Perinatal Psychiat...mentioning

confidence: 99%

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Medical Mistrust in Perinatal Mental Health

Conteh

Gagliardi

McGahee

et al. 2022

Harv Rev Psychiatry

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Despite the advancement of telemedicine and recent innovations in treatment, minoritized women continue to bear a disproportionate burden of pregnancy-related psychiatric conditions and complications, which the pandemic has further exacerbated. Research demonstrates that medical mistrust and systemic racism play central roles in the underutilization of services by racially and ethnically diverse women during pregnancy and postpartum. To effectively address these disparities, it is imperative to understand the drivers of medical mistrust in perinatal health care systems. This Perspectives article describes the historical context of medical mistrust in psychiatric and obstetric health systems and offers solutions to mitigate mistrust and the impact of systemic racism on perinatal care.

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Section: Racial Differences In the Presentation Of Perinatal Psychiat...mentioning

confidence: 99%

Section: Racial Differences In the Presentation Of Perinatal Psychiat...mentioning

confidence: 99%

Medical Mistrust in Perinatal Mental Health

Conteh

Gagliardi

McGahee

et al. 2022

Harv Rev Psychiatry

View full text Add to dashboard Cite

show abstract

“…Women who selfreport as "other race" are almost 3 times more likely than white women to report suicidal ideation in the postpartum period. 26 In the immediate postpartum period, Asian women are 9 times more likely to report suicidal ideation than their white counterparts. Hispanic and Black women are 2 times more likely to report suicidal ideation than white women.…”

Section: Bipoc and Suicidal Ideationsmentioning

confidence: 99%

Maternal Suicide in the U.S.: Opportunities for Improved Data Collection and Health Care System Change Issue Brief

2022

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“…Mothers with perinatal depression often report symptoms including depressed mood; loss of interest or pleasure in daily activities; changes in weight, appetite and sleep; poor concentration; feelings of hopelessness; and suicidal ideations (ACOG, 2018; Dagher et al, 2021; Langan & Goodbred, 2016). Non‐Hispanic Black women are twice as likely to experience symptoms of depression and suicidal ideations during the perinatal period than White women (Howell et al, 2005; Tabb et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Experiences of racism and perinatal depression: Findings from the pregnancy risk assessment monitoring system, 2018

Bower

Geller

Jeffers

et al. 2023

Journal of Advanced Nursing

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Aim:To estimate the association between feeling upset by experiences of racism and self-reported depression during pregnancy among non-Hispanic Black women using a large population-based sample from the United States. Design:We conducted a secondary analysis of nationally representative crosssectional survey data with retrospective measures. Methods: Analysis of Phase 8 (2018) data from the Pregnancy Risk AssessmentMonitoring System survey included 7328 non-Hispanic Black respondents with a recent live birth from 11 states and New York City. Multivariable logistic regression models were used to estimate the association between self-report of feeling upset due to experience of racism during the year prior to delivery and self-reported depression during pregnancy, controlling for potential confounders. Results:The prevalence of feeling upset due to experiences of racism was 11.4% and the prevalence of depression during pregnancy was 11.4%. Respondents who reported feeling upset due to the experience of racism had over two-fold higher odds (OR 2.37, 95% CI 1.67, 3.37) of experiencing depression during pregnancy compared to respondents who did not report feeling upset due to the experience of racism, adjusted for maternal age, educational attainment, marital status, pre-pregnancy insurance type, region, and pre-pregnancy depression. Conclusion:Respondents who felt upset due to the experience of racism in the year prior to delivery experienced significantly higher odds of depression during pregnancy, and thus are at an increased risk for adverse maternal outcomes. Impact: Stress from racism and racial discrimination during the perinatal period may contribute to maternal morbidity, including perinatal depression, among Black women. No Patient or Public Contribution: The data in this study were collected by the Centers for Disease Control and Prevention for the Pregnancy Risk Assessment Monitoring System. To our knowledge, the conduct of the study did not include patient or public contribution. Neither did the analysis, interpretation, nor manuscript preparation include patient or public contribution because we did not have funding to support the study or their involvement.| 1983 BOWER et al.

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Racial differences in immediate postpartum depression and suicidal ideation among women in a Midwestern delivery hospital

Cited by 16 publications

References 36 publications

Medical Mistrust in Perinatal Mental Health

Medical Mistrust in Perinatal Mental Health

Maternal Suicide in the U.S.: Opportunities for Improved Data Collection and Health Care System Change Issue Brief

Experiences of racism and perinatal depression: Findings from the pregnancy risk assessment monitoring system, 2018

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