Racial and ethnic disparities in access to community-based perinatal mental health programs: results from a cross-sectional survey DOI Creative Commons
Slawa Rokicki,

Mitu Patel,

Patricia Dunphy Suplee

et al.

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: April 20, 2024

Abstract Background Perinatal mental health is a major public problem that disproportionately affects people from racial and ethnic minority groups. Community-based perinatal programs, such as peer support groups, are essential tools for the prevention treatment of depression. Yet, little known about disparities in accessibility utilization community-based programs. Methods We conducted cross-sectional study using an online survey with program administrators representing services programs throughout New Jersey. Descriptive analysis mapping software was used to analyze data. Results Thirty-three completed survey. showed substantial availability In majority Black, Hispanic, Asian individuals made up less than 10% total annual participants facilitators. There were also geographic language across counties. Program identified stigma, lack family, fear disclosure challenges, social determinants, language-concordant options limited awareness community significant barriers participation minorities. Strategies address included adding options, improving outreach, increasing diversity Conclusions This provides new evidence on access Efforts build resources capacities identify equity gaps, increase staff, critical reducing inequities health.

Language: Английский

Perinatal Depression Associated With Increased Pediatric Emergency Department Use And Charges In The First Year Of Life DOI Creative Commons
Slawa Rokicki

Health Affairs, Journal Year: 2024, Volume and Issue: 43(4), P. 477 - 485

Published: April 1, 2024

In New Jersey, universal screening for perinatal depression at the time of delivery has resulted in a 95 percent rate. The widespread availability data allowed me to investigate association between severity and infant emergency department (ED) use charges first year life. I used birth records linked hospital discharge period 2016–19. Compared with infants who had mothers no symptoms, mild or moderate/severe depressive symptoms significantly higher overall nonemergent ED use, but not emergent use. positive associations were particularly striking Medicaid, which pays disproportionate share pediatric care United States. This study contributes evidence base linking Opportunities may exist within Medicaid optimize referrals depression, potential cost-saving benefits reducing visits.

Language: Английский

Citations

3
Racial and ethnic disparities in access to community-based perinatal mental health programs: results from a cross-sectional survey DOI Creative Commons
Slawa Rokicki,

Mitu Patel,

Patricia Dunphy Suplee

et al.

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: April 20, 2024

Abstract Background Perinatal mental health is a major public problem that disproportionately affects people from racial and ethnic minority groups. Community-based perinatal programs, such as peer support groups, are essential tools for the prevention treatment of depression. Yet, little known about disparities in accessibility utilization community-based programs. Methods We conducted cross-sectional study using an online survey with program administrators representing services programs throughout New Jersey. Descriptive analysis mapping software was used to analyze data. Results Thirty-three completed survey. showed substantial availability In majority Black, Hispanic, Asian individuals made up less than 10% total annual participants facilitators. There were also geographic language across counties. Program identified stigma, lack family, fear disclosure challenges, social determinants, language-concordant options limited awareness community significant barriers participation minorities. Strategies address included adding options, improving outreach, increasing diversity Conclusions This provides new evidence on access Efforts build resources capacities identify equity gaps, increase staff, critical reducing inequities health.

Language: Английский

Citations

3