Evidence map›Paper›PMID 21632730›Full record

ArticlePsychiatric services (Washington, D.C.)2011

Racial and ethnic disparities in postpartum depression care among low-income women.

Katy Backes Kozhimannil, Connie Mah Trinacty, Alisa B Busch, Haiden A Huskamp, Alyce S Adams

Open access · greenAbstract readComparative Study
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 142 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 8 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 8 syntheses or guidelines pooled it, 266 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. The role of clinician assistants in addressing perinatal depression.Journal of psychosomatic obstetrics and gynaecology · 2022
    Trial
  12. Trial
  13. Trial
  14. Trial
  15. Article
  16. The Impact of Federally Funded Home Visiting Programs on Parental Mental Health: a Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2026
    Review
  17. Diversity, equity, and inclusion considerations for anti-racist, equity-focused NICU family mental health.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  18. Review
  19. Review
  20. Observational

82 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Katy Backes KozhimannilDepartment of Population Medicine, Harvard Medical School, and Harvard Pilgrim Health Care Institute, Boston, MA, USA. kbk@umn.edu
Connie Mah Trinacty
Alisa B Busch
Haiden A Huskamp
Alyce S Adams
Harvard Pilgrim Health Care · USHarvard University · USKaiser Permanente · USUniversity of Minnesota · US

Funding

Quality of Care for Bipolar DisorderK01MH071714 · NIMH · HARVARD MEDICAL SCHOOL · PI BUSCH, ALISA B · 2006 to 2010
$886k
Disparities in Diabetes Care: Health Plan Focus and Physician ResponsivenessK01HS018072 · AHRQ · KAISER FOUNDATION RESEARCH INSTITUTE · PI TRINACTY, CONNIE MAH · 2009 to 2013
$767k
AHRQ HHS K01 HS018072AHRQ HHS K01HS018072NIMH NIH HHS K01 MH071714NIMH NIH HHS K01MH071714
6 · The paper itself

Abstract

objectiveThe 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.

methodsIn 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).

resultsNine 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<.001) lower for blacks (adjusted odds ratio [AOR]=.43) and Latinas (AOR=.59) compared with whites. Among those who initiated treatment, blacks and Latinas were less likely than whites to receive follow-up treatment (blacks, AOR=.66, p<.001; Latinas, AOR=.67, p<.05) or continued care (blacks, AOR=.81, p=.069; Latinas, AOR=.67, p<.05). Among those who initiated antidepressant treatment, black women and Latinas were less likely than whites to refill a prescription.

conclusionsThere were significant racial-ethnic differences in depression-related mental health care after delivery. Suboptimal treatment was prevalent among all low-income women in the study. However, racial and ethnic disparities in the initiation and continuation of postpartum depression care were particularly troubling and warrant clinical and policy attention.

Indexed as

AdolescentAdultAftercareAntidepressive AgentsBlack or African AmericanBlack PeopleCohort StudiesCommunity Mental Health ServicesDepression, PostpartumDrug MonitoringDrug UtilizationFemaleHealthcare DisparitiesHispanic or LatinoHumansMedicaidAntidepressive Agents

Identifiers

PMID21632730
PMCPMC3733216
OpenAlexW2170603819

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.