Racial and Ethnic Disparities in Postpartum Depression Care Among Low-Income Women
Racial and Ethnic Disparities in Postpartum Depression Care Among Low-Income Women
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DOI：
10.1176/ps.62.6.pss6206_0619
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发表时间：
2011-06-01
影响因子：
3.8
通讯作者：
Adams, Alyce S.
中科院分区：
文献类型：
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作者：
Kozhimannil, Katy Backes;Trinacty, Connie Mah;Adams, Alyce S.
目的：本研究的目的是在一个多种族的医疗补助接受者队列中，描述与产后抑郁症相关的精神卫生保健利用的种族-种族差异。研究方法：在一项回顾性队列研究中，从新泽西的医疗补助计划中获得了29,601名妇女（13,001名白人，13,416名黑人和3,184名拉丁裔）的行政索赔数据，这些妇女在2004年7月至2007年10月期间分娩。使用逻辑回归估计了分娩后6个月内开始抗抑郁药物治疗或门诊心理健康访视、随访（处方续药或第二次访视）和持续心理健康护理（120天内至少三次访视或三次填写抗抑郁药处方）的种族-种族差异。结果如下：9%（N=1,120）的白色妇女开始产后心理健康护理，而黑人妇女为4%（N=568），拉丁美洲妇女为5%（N=162）。通过控制临床因素的分析，分娩后开始治疗的几率显著（p
Objective: The goal of this study was to characterize racial-ethnic differences in mental health care utilization associated with postpartum depression in a multiethnic cohort of Medicaid recipients. Methods: In a retrospective cohort study, administrative claims data from New Jersey's Medicaid program were obtained for 29,601 women (13,001 whites, 13,416 blacks, and 3,184 Latinas) who delivered babies between July 2004 and October 2007. Racial-ethnic differences were estimated with logistic regression for initiation of antidepressant medication or outpatient mental health visits within six months of delivery, follow-up (a prescription refill or second visit), and continued mental health care (at least three visits or three filled antidepressant prescriptions within 120 days). Results: Nine percent (N=1,120) of white women initiated postpartum mental health care, compared with 4% (N=568) of black women and 5% (N=162) of Latinas. With analyses controlling for clinical factors, the odds of initiating treatment after delivery were significantly (p