ArticleBMC pregnancy and childbirth2023
Barriers and facilitators for referring women with positive perinatal depression screening results in China: a qualitative study.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 17 citations in OpenAlex.
- Experiential Classes Plus Digital Logging in Antenatal Care for Pregnant Women in China: Mixed Methods Study.Journal of participatory medicine · 2026Article
- Between stigma and support: a qualitative inquiry into help-seeking behaviour for postpartum depression care in Kerala, India.BMC pregnancy and childbirth · 2026Article
- Awareness, Attitudes, and Help-Seeking Intention Towards Perinatal Depression Among Women from Different Ethnic Groups in Western Rural China.International journal of women's health · 2026Article
- Factors Influencing Psychological Help-Seeking Intention for Women with Perinatal Depression and Their Spouses: A Scoping Review.Psychology research and behavior management · 2026Review
- Article
- Factors influencing adherence to psychological intervention referrals among women who screened positive for postpartum depression in Shenzhen, China (2016-2020).Scientific reports · 2025Article
- Factors associated with knowledge, beliefs, and practices related to perinatal depression screening among rural maternal and child health workers: a multi-center cross-sectional study.BMC pregnancy and childbirth · 2025Observational
- Preferences for group psychological interventions on perinatal depression in China: a discrete choice experiment.Archives of public health = Archives belges de sante publique · 2025Article
- Mental health service utilization among pregnant and postpartum women: status, determinants, and insights from a mixed-methods study.BMC public health · 2025Article
- The lived experience of postpartum depression and psychosis in women: a bottom-up review co-written by experts by experience and academics.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Factors influencing the intention of women with perinatal depression and their spouses to seek professional psychological help: a cross-sectional latent profile analysis.Frontiers in public health · 2025Article
- A longitudinal study of a mHealth app and regional policies on the uptake of postpartum depression referral after positive screening in Shenzhen.BMC pregnancy and childbirth · 2024Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundTimely screening and referral can improve the outcomes of perinatal depression (PND). However, uptake rates of referral after PND screening are low in China and the reasons are unclear. The aim of this article is to explore the barriers and facilitators for referring women with positive results of PND screening in the Chinese primary maternal health care system.
methodsQualitative data were collected from four primary health centers located in four different provinces of China. Each of the four investigators conducted 30 days of participant observations in the primary health centers from May to August 2020. Data were collected via participant observations and semi-structured in-depth interviews with new mothers who had positive results of PND screening, their family members, and primary health providers. Two investigators analyzed qualitative data independently. A thematic analysis was conducted, and data were framed using the social ecological model.
resultsA total of 870 hours of observation and 46 interviews were carried out. Five themes were identified: individual (new mothers' knowledge of PND, perceived need to seek help), interpersonal (new mothers' attitudes towards providers, family support), institutional (providers' perception of PND, lack of training, time constraints), community (accessibility to mental health services, practical factors), and public policy (policy requirements, stigma).
conclusionsThe likelihood of new mothers accepting PND referral is related to factors in five areas. Intervention strategies can be developed around these themes and may include educating new mothers and their families about PND, training primary health providers to improve their awareness of condition and indication for referral, building mental health support in routine postpartum home visits, and providing support through mobile technology.
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