ArticleBMC medicine2020
Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities-a population-based study.
Article in BMC medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed.
- Adapting behavioral activation for perinatal depression and anxiety in response to the COVID-19 pandemic and racial injustice.Journal of affective disorders · 2022Trial
- Eye movement desensitization and reprocessing treatment for birth trauma: a scoping review.European journal of psychotraumatology · 2026Article
- Maternal ethnicity, severe perinatal mental illness and involuntary admission: mother and baby unit service evaluation.BJPsych bulletin · 2026Article
- Acceptability of Circle of Security-Parenting groups in NHS community perinatal mental health services in England: parent and practitioner perspectives.BMC psychology · 2026Article
- Mental Health Care Disparities Among US Pregnant Individuals in 2020-2021: A Cross-Sectional Study.Journal of racial and ethnic health disparities · 2026Article
- Barriers to accessing perinatal mental health services in ethnically diverse women in the UK.BMC psychiatry · 2026Article
- Widening access to perinatal mental health group interventions: learning from a trial of the Circle of Security-Parenting programme in England.Frontiers in psychology · 2026Article
- Bridging gaps in perinatal mental health services for socioeconomically disadvantaged women.Frontiers in global women's health · 2026Article
- Article
- Barriers to accessing perinatal mental health services and suggestions for improvement: qualitative study of women of Black and south Asian backgrounds.BJPsych bulletin · 2025Article
- Perinatal mental illness in Ontario (2007-2021): A population-based repeated cross-sectional surveillance study.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Ethnicity and involuntary hospitalisation: a study of intersectional effects.Social psychiatry and psychiatric epidemiology · 2025Article
- A qualitative investigation of the factors influencing eating disorder symptomology during the postpartum period.Journal of eating disorders · 2025Article
- Prevalence and incidence of moderate and severe mental illness in the second postpartum year in England (1995-2020): a national retrospective cohort study using primary care data.The Lancet regional health. Europe · 2025Article
- Improving the maternity experience for Black, African, Caribbean and mixed-Black families in an integrated care system: a multigroup community and interprofessional co-production prioritisation exercise using nominal group technique.BMJ quality & safety · 2025Article
- Family members' experiences of supporting black and South Asian women with perinatal mental illness: a qualitative study in the UK.BMC psychology · 2025Article
- Understanding occupational therapy perinatal mental health practice in mothers from ethnic minorities: A qualitative study of practitioner perceived barriers and enablers.The British journal of occupational therapy · 2025Article
- Exploring research and healthcare priorities in maternal health: A qualitative ethnographic study with mothers from ethnic minority backgrounds in the UK.European journal of midwifery · 2025Article
- Eye movement desensitisation and reprocessing for childbirth-related post-traumatic stress symptoms: effectiveness, duration and completion.Frontiers in global women's health · 2025Article
- Prevalence and influencing factors of perinatal depression across different stages of pregnancy and postpartum: a cross-sectional study in China.Frontiers in public health · 2025Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundBarriers to accessing mental health care during pregnancy and the first postnatal year (perinatal period) seem to be greater for ethnic minority women; however, there is no reliable large-scale data about their actual use of mental health services during this period. Our study aims to explore access rates to secondary mental health services, including involuntary admissions to psychiatric inpatient care and patterns of engagement for ethnic minority women aged 18+ who gave birth in 2017 in England, UK.
methodsTwo datasets from the National Commissioning Data Repository, the Acute Inpatient Dataset and Mental Health Services Dataset, were linked. Datasets covering the full perinatal period for each woman were included. Rates were standardised by age and deprivation.
resultsOut of 615,092 women who gave birth in England in 2017, 22,073 (3.5%) started a contact with mental health services during the perinatal period. In total, 713 (3.2%) were admitted to inpatient care, and 282 (39.5%) involuntarily. Ethnicity data was available for 98% of the sample. Black African, Asian and White Other women had significantly lower access to community mental health services and higher percentages of involuntary admissions than White British women. Black African, Asian and White Other women had a higher number of attended community contacts and fewer non-attendances/cancellations of appointments than White British women.
conclusionAccess to mental health services during the perinatal period varies significantly between women from different ethnic groups. Access to community mental health services should be facilitated for Black African, Asian and White Other women during the perinatal period, which may reduce rates of involuntary hospital admissions for these groups. The pattern of engagement with community services for women from these ethnicities indicates that access appears to be a problem rather than utilisation.
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