Evidence map›Paper›PMID 37077277›Full record

ArticleFrontiers in psychiatry2023

Exploring Black and South Asian women's experiences of help-seeking and engagement in perinatal mental health services in the UK.

Maev Conneely, Katy C Packer, Sarah Bicknell, Jelena Janković, Harpreet Kaur Sihre, Rosemarie McCabe, Alex Copello, Kiren Bains, Stefan Priebe, Amy Spruce and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Historically informed quality improvement: applying historical insights from Black women's maternity care to contemporary health service redesign.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
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  18. Culturally Sensitive Perinatal Mental Health Care: Experiences of Women From Minority Ethnic Groups.Health expectations : an international journal of public participation in health care and health policy · 2024
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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

11 authors at 8 institutions in 1 country.

Maev ConneelyUnit for Social and Community Psychiatry, WHO Collaborating Centre, Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.
Katy C PackerCamden and Islington NHS Foundation Trust, London, United Kingdom.
Sarah BicknellBirmingham and Solihull Mental Health Foundation Trust, Birmingham, United Kingdom.
Jelena JankovićBirmingham and Solihull Mental Health Foundation Trust, Birmingham, United Kingdom.
Harpreet Kaur SihreDepartment of Applied Health Research, University College London, London, United Kingdom.
Rosemarie McCabeSchool of Health and Psychological Sciences, City, University of London, London, United Kingdom.
Alex CopelloBirmingham and Solihull Mental Health Foundation Trust, Birmingham, United Kingdom.
Kiren BainsBirmingham and Solihull Mental Health Foundation Trust, Birmingham, United Kingdom.
Stefan PriebeUnit for Social and Community Psychiatry, WHO Collaborating Centre, Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.
Amy SpruceAction on Postpartum Psychosis, London, United Kingdom.
Nikolina JovanovićUnit for Social and Community Psychiatry, WHO Collaborating Centre, Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.
Mental Health Foundation · GBQueen Mary University of London · GBUniversity of Birmingham · GBAction for ME · GBCity, University of London · GBEast London NHS Foundation Trust · GBNorth East London NHS Foundation Trust · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: In the United Kingdom (UK), Black and South Asian women are less likely than White British women to access support from perinatal mental health services, despite experiencing similar, or higher, levels of distress. This inequality needs to be understood and remedied. The aim of this study was to answer two questions: how do Black and South Asian women experience (1) access to perinatal mental health services and (2) care received from perinatal mental health services? Method: Semi-structured interviews were conducted with Black and South Asian women ( Results: Participants described a complex interplay of factors that impacted on seeking, and receiving help, and benefiting from services. Four themes emerged that captured the highly varied experiences of individuals: (1) Self-identity, social expectations and different attributions of distress deter help-seeking; (2) Hidden and disorganized services impede getting support; (3) The role of curiosity, kindness and flexibility in making women feel heard, accepted and supported by clinicians; (4) A shared cultural background may support or hinder trust and rapport. Conclusion: Women described a wide range of experiences and a complex interplay of factors impacting access to, and experience of, services. Women described services as giving them strength and also leaving them disappointed and confused about where to get help. The main barriers to access were attributions related to mental distress, stigma, mistrust and lack of visibility of services, and organizational gaps in the referral process. These findings describe that many women feel heard, and supported by services, reporting that services provide a high quality of care that was inclusive of diverse experiences and understandings of mental health problems. Transparency around what PMHS are, and what support is available would improve the accessibility of PMHS.

Indexed as

ethnic minorityframework analysis (FWA)health inequalitymarginalized and vulnerable groupsminoritisationperinatal mental healthqualitative study

Identifiers

PMID37077277
PMCPMC10109459
OpenAlexW4362577281

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.