ArticleBirth (Berkeley, Calif.)2022
Racial inequities in the course of treating perinatal mental health challenges: Results from listening to mothers in California.
Article in Birth (Berkeley, Calif.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Can psychological interventions prevent or reduce risk for perinatal anxiety disorders? A systematic review and meta-analysis.General hospital psychiatryPooled it
- Collaborative Care Model for Perinatal Wellness Support Services - Population-Level Upstream Systems Change (COMPASS+): A Hybrid Type 2 Cluster Randomized Trial.Contemporary clinical trials · 2026Trial
- Improving Postpartum Mental Health and Healthy Lifestyle Behaviors in Women of Color Who Are Pregnant and Experiencing Depression, Anxiety, and Stress Through Group Prenatal Care: A Randomized Controlled Trial.Journal of midwifery & women's healthTrial
- Guidance on providing telebehavioral health care for perinatal populations: An assessment of resources and gaps.Archives of women's mental health · 2026Article
- "Shifting the Culture and the Way That We Practice": Perinatal Clinicians' Cognitive, Behavioral, and Team-Level Changes Following Equity-Focused Interventions.Birth (Berkeley, Calif.) · 2026Article
- Scaling the collaborative care model in obstetrics: Multilevel determinants to guide implementation.Pregnancy (Hoboken, N.J.) · 2026Article
- Diversity, equity, and inclusion considerations for anti-racist, equity-focused NICU family mental health.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Perceived Everyday Discrimination and Ethnic Disparities in Postpartum Depression: A Longitudinal Study of Asian Canadians.Journal of racial and ethnic health disparities · 2026Article
- Decolonizing infant mental health: Black maternal mental health decision-making.Infant mental health journal · 2026Article
- Racial Disparities in Long COVID: Why Black Americans are Likely Underrepresented in Long COVID Estimates.Journal of racial and ethnic health disparities · 2026Review
- Patterns of respectful care and mistreatment during childbirth in relation to perinatal mental health: a secondary analysis of listening to mothers in California.Archives of women's mental health · 2026Article
- "And in some cases, we're the best option:" A qualitative study of community-based doula support for black perinatal mental health.American journal of community 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
- Article
- Development and Preliminary Validation of a Screening Tool for Race-Related Psychological Stress in Black Pregnant Women.Journal of racial and ethnic health disparities · 2025Article
- Factors influencing receipt of mental health services for Black women living in Los Angeles County during the perinatal period.BMC pregnancy and childbirth · 2025Article
- Computer adaptive testing strategies for the Edinburgh Postnatal Depression Scale (EPDS).Archives of women's mental health · 2025Article
- Improving inpatient postpartum depression screening: results from a quality improvement initiative.Archives of women's mental health · 2025Article
- Unveiling complexities: Examining the role of traumatic loss in shaping the interplay between black maternal mental health and maternal bonding.Infant mental health journal · 2025Article
- Predictive Validity of Screening Tools and Role of Self-Esteem and Coping in Postpartum Depression Risk.Diagnostics (Basel, Switzerland) · 2025Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConcern with depression during the perinatal period has resulted in multiple states enacting legislation to require universal screening of mothers for postpartum depression. Despite this concern, rates of women receiving mental health counseling during pregnancy and postpartum remain low. This study examines factors, especially inequities in race/ethnicity, associated with receiving perinatal mental health counseling.
methodsThis study draws on data from the Listening to Mothers in California survey of 2539 women, based on a representative sample of birth certificate files of women who gave birth in 2016. The survey included a series of mental health questions, based on the 4-item Patient Health Questionnaire (PHQ-4), and questions on the receipt of counseling, whether a practitioner asked respondents about their mental health, and whether the respondent was taking medications for anxiety or depression.
resultsWe found non-Latina Black women to experience both higher rates of prenatal depressive symptoms and significantly lower use of postpartum counseling services and medications than non-Latina White women. Among women with depressive symptoms, those asked by a practitioner about their mental health status reported a 46% rate of counseling compared with 20% who were not asked, and in a multivariable analysis, those asked were almost six times more likely (aOR 5.96; 95% CI 1.6-21.7) to report counseling. DISCUSSION: These findings lend evidence to those advocating for state laws requiring universal screening for depressive symptoms to reduce inequities and help address the underuse of counseling services among all women with depressive symptoms, particularly women of color.
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