Structural Factors in Health Care Associated With the Mental Health Needs of Black Women in California During the Perinatal Period

James, Kortney Floyd; Klomhaus, Alexandra M.; Elliott, Thomas; Mensah, Michael; Jeffers, Kia Skrine; Choi, Kristen R.

doi:10.1016/j.jogn.2023.08.002

Journal of Obstetric, Gynecologic & Neonatal Nursing

2023

DOI: 10.1016/j.jogn.2023.08.002

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Structural Factors in Health Care Associated With the Mental Health Needs of Black Women in California During the Perinatal Period

Kortney Floyd James,

Alexandra M. Klomhaus,

Thomas Elliott

et al.

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2024

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Cited by 4 publications

References 41 publications

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“Saying ‘I'm not okay’ is extremely risky”: Postpartum mental health, delayed help‐seeking, and fears of the child welfare system among queer parents

Goldberg,

Frost

2024

Family Process

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Parent mental health challenges in the postpartum and early parenthood have profound implications for parent, child, and family well‐being. Little research has focused on postpartum mental health challenges and barriers to help‐seeking among queer birthing people, including members of this community who may be particularly vulnerable to mental health difficulties, such as queer cis women partnered with men, trans/nonbinary parents, and queer parents who are young, low‐income, and/or of color. This mixed‐methods study of queer parents (n = 99), all of whom were assigned female at birth (AFAB) and gave birth to a child within the past several years, explores parents' postpartum mental health difficulties and perceived barriers to seeking help. Using a structural stigma framework, this study found that participants reported high rates of postpartum mental health difficulties (89%) and reported various barriers to seeking support including fears of discrimination and being deemed “unfit” by providers, which might lead to child welfare system involvement. Young parents and low‐income parents were particularly fearful of child welfare system contact and potential child removal. Factors that encouraged help‐seeking (e.g., desire to be a good parent; partner pressure to seek help) and implications for family practitioners are discussed.

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“Saying ‘I'm not okay’ is extremely risky”: Postpartum mental health, delayed help‐seeking, and fears of the child welfare system among queer parents

Goldberg,

Frost

2024

Family Process

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A Qualitative Exploration of Black Women’s Strategies to Achieve Emotional Well‐Being From Symptoms of Perinatal Mood and Anxiety Disorders

James,

Bravo,

Jeffers

et al. 2024

Perspectives in Psychiatric Care

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Numerous U.S. states mandate perinatal mood and anxiety disorder (PMAD) screening for pregnant and postpartum individuals, yet despite these regulations, Black women have low screening rates even with regular perinatal care, resulting in undiagnosed and untreated symptoms. Factors contributing to this disparity include societal norms and concerns about potential repercussions, influenced by expectations of strength and historical mistreatment within healthcare settings. While clinical research typically focuses on barriers to Western mental health treatments, Black women have found emotional well‐being through alternative avenues. This phenomenological qualitative study explored how 12 Black cisgender women achieved emotional well‐being from PMAD symptoms and identified barriers and facilitators to wellness. Using semistructured interviews, five themes emerged as follows: (1) DIY Healing, including physical activity and spirituality; (2) Collective Healing through community support; (3) Clinical Pathways, highlighting mixed experiences with therapy; (4) Structural and Cultural Hurdles, such as systemic racism and bias in healthcare; and (5) Catalysts to Healing, emphasizing internal attributes. Findings suggest that Black women’s pathways to emotional well‐being are multifaceted and often extend beyond healthcare systems, underscoring the need for culturally responsive and holistic approaches to mental health support during the perinatal period.

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Integrating Mental Health In Perinatal Care: Perspectives Of Interprofessional Clinicians

Harrison

2024

Health Affairs

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Structural Factors in Health Care Associated With the Mental Health Needs of Black Women in California During the Perinatal Period

Cited by 4 publications

References 41 publications

“Saying ‘I'm not okay’ is extremely risky”: Postpartum mental health, delayed help‐seeking, and fears of the child welfare system among queer parents

“Saying ‘I'm not okay’ is extremely risky”: Postpartum mental health, delayed help‐seeking, and fears of the child welfare system among queer parents

A Qualitative Exploration of Black Women’s Strategies to Achieve Emotional Well‐Being From Symptoms of Perinatal Mood and Anxiety Disorders

Integrating Mental Health In Perinatal Care: Perspectives Of Interprofessional Clinicians

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