Evidence map›Paper›PMID 36226373›Full record

ArticlePsychiatric services (Washington, D.C.)2023

Racial-Ethnic Differences in Treatment Initiation for New Diagnoses of Perinatal Depression.

Lyndsay A Avalos, Nerissa Nance, Esti Iturralde, Sylvia E Badon, Charles P Quesenberry, Stacy Sterling, De-Kun Li, Tracy Flanagan

Open access · greenAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
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

8 authors at 1 institution in 1 country.

Lyndsay A AvalosDivision of Research, Kaiser Permanente Northern California (Avalos, Nance, Iturralde, Badon, Quesenberry, Sterling, Li), and Permanente Medical Group (Flanagan), Oakland.
Nerissa NanceDivision of Research, Kaiser Permanente Northern California (Avalos, Nance, Iturralde, Badon, Quesenberry, Sterling, Li), and Permanente Medical Group (Flanagan), Oakland.
Esti IturraldeDivision of Research, Kaiser Permanente Northern California (Avalos, Nance, Iturralde, Badon, Quesenberry, Sterling, Li), and Permanente Medical Group (Flanagan), Oakland.
Sylvia E BadonDivision of Research, Kaiser Permanente Northern California (Avalos, Nance, Iturralde, Badon, Quesenberry, Sterling, Li), and Permanente Medical Group (Flanagan), Oakland.
Charles P QuesenberryDivision of Research, Kaiser Permanente Northern California (Avalos, Nance, Iturralde, Badon, Quesenberry, Sterling, Li), and Permanente Medical Group (Flanagan), Oakland.
Stacy SterlingDivision of Research, Kaiser Permanente Northern California (Avalos, Nance, Iturralde, Badon, Quesenberry, Sterling, Li), and Permanente Medical Group (Flanagan), Oakland.
De-Kun LiDivision of Research, Kaiser Permanente Northern California (Avalos, Nance, Iturralde, Badon, Quesenberry, Sterling, Li), and Permanente Medical Group (Flanagan), Oakland.
Tracy FlanaganDivision of Research, Kaiser Permanente Northern California (Avalos, Nance, Iturralde, Badon, Quesenberry, Sterling, Li), and Permanente Medical Group (Flanagan), Oakland.
Kaiser Permanente · US

Funding

Comparing the Effects of Prenatal Depression and its Treatment on Developmental Outcomes of the OffspringR01HD101483 · NICHD · KAISER FOUNDATION RESEARCH INSTITUTE · PI AVALOS, LYNDSAY AMMON · 2020 to 2024
$3.3M
The Impact of Folate, Obesity and Genetics on Maternal DepressionK01MH103444 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI AVALOS, LYNDSAY AMMON · 2014 to 2016
$615k
Using a 24-Hour Movement Framework to Improve Pregnancy OutcomesK99HD100585 · NICHD · KAISER FOUNDATION RESEARCH INSTITUTE · PI BADON, SYLVIA E · 2020 to 2021
$280k
NICHD NIH HHS K99 HD100585NICHD NIH HHS R01 HD101483NIMH NIH HHS K01 MH103444
6 · The paper itself

Abstract

objectiveThe adverse consequences of untreated perinatal depression highlight the need to identify populations to target in order to increase treatment rates. The authors sought to evaluate treatment initiation for a new diagnosis of depression during pregnancy or postpartum and to describe racial-ethnic differences in initiation and type (psychotherapy, antidepressants) of treatment in a large health care system with universal perinatal depression screening.

methodsThis retrospective cohort study included women who delivered a live birth in the Kaiser Permanente Northern California system between October 2012 and May 2017. Black, Latina, Asian, and White women ages ≥15 years were eligible. New depression diagnoses were defined by using

resultsIn total, 13,637 women with a new depression diagnosis (prenatal: N=7,041, 51.6%; postpartum: N=6,596, 48.4%) were identified. Of the pregnant women, 31.4% initiated treatment, and of the postpartum women, 73.1% initiated treatment. Latina and Asian women were less likely than White women to initiate treatment postpartum. During pregnancy and postpartum, non-White women were more likely to initiate psychotherapy. White women were more likely to initiate antidepressant medication during pregnancy and postpartum or a combination of antidepressant medication and psychotherapy during the postpartum period.

conclusionsResearch is warranted to identify patient-, provider-, and system-level barriers that contribute to racial-ethnic disparities in perinatal mental health care.

Indexed as

DepressionDepression, PostpartumAdolescentAntidepressive AgentsDelivery of Health CareFemaleHumansPregnancyRetrospective StudiesAntidepressive AgentsDepressionHealth equityHealth servicesMental illnessMood disorderPostpartumPregnancy

Identifiers

PMID36226373
PMCPMC10084773
OpenAlexW4304845523

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.