Evaluation of ethnic disparities in detection of depression and anxiety in primary care during the maternal period: combined analysis of routine and cohort data.
Evaluation of ethnic disparities in detection of depression and anxiety in primary care during the maternal period: combined analysis of routine and cohort data.
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DOI：
10.1192/bjp.bp.114.158832
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发表时间：
2016-05
期刊：
影响因子：
--
通讯作者：
Wright J
中科院分区：
文献类型：
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作者：
Prady SL;Pickett KE;Petherick ES;Gilbody S;Croudace T;Mason D;Sheldon TA;Wright J
背景少数民族妇女常见精神障碍的检出率差异数据有限。目的描述孕产妇期初级保健中常见精神障碍的自然历史，描述女性的特征，并探讨常见精神障碍的种族差异，发现和可能遗漏的常见精神障碍。方法对布拉德福德8991名（39.4%）英国白人妇女的相关出生队列和初级保健资料进行二次分析。通过电子病历中的适应症来描述常见的精神障碍。潜在遗漏的常见精神障碍被定义为怀孕期间一般健康问卷（GHQ-28）评分升高，而医疗记录中没有相应的常见精神障碍标记。结果产前常见精神障碍患病率为9.5%，产后3年升至14.0%。多达一半的病例可能被遗漏。与英国白人女性相比，少数族裔女性有可能错过常见精神障碍的几率是白人女性的两倍，有可能筛查出常见精神障碍的几率是白人女性的一半。结论少数民族妇女孕期精神障碍检出率存在普遍差异。
Background There are limited data on detection disparities of common mental disorders in minority ethnic women. Aims Describe the natural history of common mental disorders in primary care in the maternal period, characterise women with, and explore ethnic disparities in, detected and potentially missed common mental disorders. Method Secondary analyses of linked birth cohort and primary care data involving 8991 (39.4% White British) women in Bradford. Common mental disorders were characterised through indications in the electronic medical record. Potentially missed common mental disorders were defined as an elevated General Health Questionnaire (GHQ-28) score during pregnancy with no corresponding common mental disorder markers in the medical record. Results Estimated prevalence of pre-birth common mental disorders was 9.5%, rising to 14.0% 3 years postnatally. Up to half of cases were potentially missed. Compared with White British women, minority ethnic women were twice as likely to have potentially missed common mental disorders and half as likely to have a marker of screening for common mental disorders. Conclusions Common mental disorder detection disparities exist for minority ethnic women in the maternal period.