Evidence map›Paper›PMID 40164852›Full record

ArticleArchives of women's mental health2025

The impact of maternal depression and anxiety on well-baby visit attendance: a retrospective cohort study of 6,699 PRAMS participants from 2016-2021.

Mikaela Miller, Emily A Troyer, Hilary M Gould, Stephanie Martinez, Suzi Hong, Steve Koh, Jordan N Kohn

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Article in Archives of women's mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Mikaela MillerDepartment of Psychiatry, University of California San Diego, La Jolla, CA, 92093, USA. mim003@health.ucsd.edu.
Emily A TroyerDepartment of Psychiatry, University of California San Diego, La Jolla, CA, 92093, USA.
Hilary M GouldDepartment of Psychiatry, University of California San Diego, La Jolla, CA, 92093, USA.
Stephanie MartinezDepartment of Psychiatry, University of California San Diego, La Jolla, CA, 92093, USA.
Suzi HongHerbert Wertheim School of Public Health and Human Longevity Sciences, University of California San Diego, La Jolla, CA, 92093, USA.
Steve KohDepartment of Psychiatry, University of California San Diego, La Jolla, CA, 92093, USA.
Jordan N KohnDepartment of Psychiatry, University of California San Diego, La Jolla, CA, 92093, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this study was to determine the independent effects of maternal mental health difficulties (MHD) during the preconception, prenatal, and postnatal periods on well-baby visit (WBV) attendance in a population-wide sample through retrospective analysis of Pregnancy Risk Assessment Monitoring System (PRAMS) data.

methodsThis secondary analysis utilized data from the 2016 - 2021 New Jersey PRAMS, yielding 6,699 participants (mean age = 30.8 years). Survey-weighted means, confidence intervals, and percentages were used to describe sociodemographic, mental health, and WBV variables across all participants. Logistic regression with complex survey weights and multiple imputation of missing data was implemented to test associations between sociodemographic factors, maternal MHDs, and WBV attendance.

resultsThe weighted prevalence of missing the 1-week checkup or having never attended a WBV during the first six months postpartum was 4.3% (95% CI: 3.8% - 5.0%; n = 260) and 1.4% (1.1% - 2.0%; n = 98), respectively. Preconception depression (n = 553; 7.7%, 7.0% - 8.0%), prenatal depression (n = 481; 6.5%, 5.9% - 7.0%;), preconception anxiety (n = 1,007; 15.2%, 14.2% - 16.0%), and prenatal anxiety (n = 570; 8.44%, 7.7% - 9.0%) were not associated with 1-week checkup attendance. However, women with preconception depression were more than twice as likely to have never attended a WBV (OR = 2.43, 1.01 - 5.82). Multiple social determinants and demographic variables were associated with greater odds of missing WBVs, including middle household income, receiving government-issued health insurance or being uninsured, Hispanic ethnicity, and Spanish as a primary language.

conclusionsPreconception depression, middle household income, receiving government-issued health insurance, being uninsured, Hispanic ethnicity, and Spanish as a primary language may decrease attendance of WBVs, and the mediating role of preconception depression in infant health outcomes warrants further investigation.

Indexed as

AnxietyDepressionMothersPregnancy ComplicationsPrenatal CareAdultFemaleHumansNew JerseyPregnancyRetrospective StudiesYoung AdultPerinatal mental health difficultiesPRAMS; well-baby visitsSocial determinants

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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.