Evidence map›Paper›PMID 37156281›Full record

ArticleJournal of affective disorders2023

Racial and ethnic differences in perinatal depression and anxiety.

Ayesha C Sujan, Nerissa Nance, Charles Quesenberry, Kathryn Ridout, Mibhali Bhalala, Lyndsay A Avalos

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
11.6field-weighted citation impact, top 1% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Ayesha C SujanDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA; Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: Ayesha.C.Sujan@kp.org.
Nerissa NanceDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Charles QuesenberryDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Kathryn RidoutThe Permanente Medical Group, Kaiser Permanente Northern California, CA, USA.
Mibhali BhalalaThe Permanente Medical Group, Kaiser Permanente Northern California, CA, USA.
Lyndsay A AvalosDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
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
NICHD NIH HHS R01 HD101483
6 · The paper itself

Abstract

backgroundFindings on racial and ethnic differences in perinatal depression/anxiety are mixed.

methodsWe assessed racial and ethnic differences in depression, anxiety, and comorbid depression/anxiety diagnoses in the year before, during, and the year after pregnancy (n = 116,449) and depression severity during (n = 72,475) and in the year after (n = 71,243) pregnancy among patients in a large, integrated healthcare delivery system.

resultsCompared to Non-Hispanic White individuals, Asian individuals had lower risk of perinatal depression and anxiety (e.g., depression during pregnancy relative risk [RR] = 0.35, 95 % confidence interval [CI]:0.33-0.38) and postpartum moderate/severe (RR = 0.63, 95 % CI:0.60-0.67) and severe (RR = 0.66, 95 CI:0.61-0.71) depression but higher risk of moderate/severe depression during pregnancy (RR = 1.18, 95 % CI:1.11-1.25). Non-Hispanic Black individuals had higher risk of perinatal depression, comorbid depression/anxiety, and moderate/severe and severe depression (e.g., depression diagnoses during pregnancy RR = 1.35, 95 % CI:1.26-1.44). Hispanic individuals had lower risk of depression during pregnancy and perinatal anxiety (e.g., depression during pregnancy RR = 0.86, 95 % CI:0.82-0.90) but higher risk of postpartum depression (RR = 1.14, 95 % CI:1.09-1.20) and moderate/severe and severe depression during and after pregnancy (e.g., severe depression during pregnancy RR = 1.59, 95 % CI:1.45-1.75). LIMITATIONS: Information on depression severity was unavailable for some pregnancies. Findings may not generalize to individuals without insurance or outside of Northern California.

conclusionsNon-Hispanic Black individuals of reproductive age should be targeted with prevention and intervention efforts aimed at reducing and treating depression and anxiety. Asian and Hispanic individuals of reproductive age should be targeted with campaigns to destigmatize mental health disorders and demystify treatments and systematically screened for depression/anxiety.

Indexed as

AnxietyDepressionPregnant PeopleRacial GroupsAsianBlack or African AmericanFemaleHispanic or LatinoHumansPregnancyWhiteAnxietyDepressionHealth disparitiesMood disorderPerinatalPostpartumPregnancy

Identifiers

PMID37156281
PMCPMC10234114
OpenAlexW4372311950

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.