Evidence map›Paper›PMID 33677216›Full record

ArticleJournal of psychiatric research2021

Impact of the COVID-19 pandemic on mental health, access to care, and health disparities in the perinatal period.

Grace A Masters, Eugenia Asipenko, Aaron L Bergman, Sharina D Person, Linda Brenckle, Tiffany A Moore Simas, Jean Y Ko, Cheryl L Robbins, Nancy Byatt

Abstract read
In one paragraph

Article in Journal of psychiatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Experiences with discrimination during pregnancy in Canada and associations with depression and anxiety symptoms.Canadian journal of public health = Revue canadienne de sante publique · 2025
    Article
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  14. A Critical Race Theory Analysis of Mental Health Disparities Research.Journal of racial and ethnic health disparities · 2024
    Review
  15. Gendered Racism in Pregnancy and Stress among Women in the United States during the COVID-19 Pandemic.International perspectives in psychology : research, practice, consultation · 2024
    Article
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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

9 authors.

Grace A MastersUniversity of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA. Electronic address: grace.masters@umassmed.edu.
Eugenia AsipenkoUniversity of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA.
Aaron L BergmanUniversity of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA.
Sharina D PersonUniversity of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA.
Linda BrenckleUniversity of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA.
Tiffany A Moore SimasUniversity of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA.
Jean Y KoCenters for Disease Control and Prevention, Atlanta, GA, USA; U.S. Public Health Service Commissioned Corps, Rockville, MD, USA.
Cheryl L RobbinsCenters for Disease Control and Prevention, Atlanta, GA, USA.
Nancy ByattUniversity of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA.

Funding

Medical Scientist Training at UMMS Administrative SupplementT32GM107000 · NIGMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2013 to 2022
$4.9M
Rapid Access to Perinatal Psychiatric Care in Depression Program (RAPPID): An Innovative Stepped-Care Approach for Obstetrics and Gynecology ClinicsU01DP006093 · DP · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI BYATT, NANCY, MOORE SIMAS, TIFFANY ANNE · 2015 to 2019
$2.6M
Prevention And Control of Cancer: Training for Change in Individuals and SystemsT32CA172009 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEMON, STEPHENIE C., OCKENE, JUDITH K · 2019 to 2023
$1.5M
NCCDPHP CDC HHS U01 DP006093NCI NIH HHS T32 CA172009NIGMS NIH HHS T32 GM107000
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has affected mental health and created barriers to healthcare. In this study, we sought to elucidate the pandemic's effects on mental health and access to care for perinatal individuals.

methodsThis cross-sectional study of individuals in Massachusetts who were pregnant or up to three months postpartum with a history of depressive symptoms examined associations between demographics and psychiatric symptoms (via validated mental health screening instruments) and the COVID-19 pandemic's effects on mental health and access to care. Chi-square associations and multivariate regression models were used.

resultsOf 163 participants, 80.8% perceived increased symptoms of depression and 88.8% of anxiety due to the pandemic. Positive screens for depression, anxiety, and/or PTSD at time of interview, higher education, and income were associated with increased symptoms of depression and anxiety due to the pandemic. Positive screens for depression, anxiety, and/or PTSD were also associated with perceived changes in access to mental healthcare. Compared to non-Hispanic White participants, participants of color (Black, Asian, Multiracial, and/or Hispanic/Latinx) were more likely to report that the pandemic changed their mental healthcare access (aOR:3.25, 95%CI:1.23, 8.59). LIMITATIONS: Limitations included study generalizability, given that participants have a history of depressive symptoms, and cross-sectional design.

conclusionsThe pandemic has increased symptoms of perinatal depression and anxiety and impacted perceived access to care. Self-reported increases in depression and anxiety and changes to healthcare access varied by education, race/ethnicity, income, and positive screens. Understanding these differences is important to address perinatal mental health and provide equitable care.

Indexed as

PandemicsAdultAnxietyCOVID-19Cross-Sectional StudiesDepressionFemaleHealthcare DisparitiesHealth Services AccessibilityHumansMassachusettsMental HealthPerinatal CarePregnancyAccess to careAnxietyCOVID-19 pandemicDepressionPerinatal mental healthPost-traumatic stress disorder

Identifiers

PMID33677216
PMCPMC8084993

What OpenQuestion holds

Textmetadata
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.