Evidence map›Paper›PMID 41094368›Full record

ArticleBMC pregnancy and childbirth2025

Factors influencing receipt of mental health services for Black women living in Los Angeles County during the perinatal period.

Kortney Floyd James, Keren Chen, Sasha Sharon Hindra, Monicque Landell, Kristen R Choi, Dana C Beck

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Article in BMC pregnancy and childbirth, 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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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kortney Floyd JamesDepartment General Internal Medicines, David Geffen School of Medicine , University of California Los Angeles, National Clinician Scholars Program, 1100 Glendon Ave, Suite 900, Los Angeles, CA, 90024, USA. kfloydjames@gmail.com.
Keren ChenDepartment of Medicine Statistics Core, David Geffen School of Medicine, University of California, Los Angeles, 855 Tiverton Dr, Los Angeles, CA, 90024, USA.
Sasha Sharon HindraSue & Bill Gross School of Nursing, University of California, Irvine, 854 Health Sciences Rd, Irvine, CA, 92697, USA.
Monicque LandellFranklin & Marshall College, 637 College Avenue, Lancaster, PA, 17603, USA.
Kristen R ChoiSchool of Nursing Los Angeles, University of California, Los Angeles, 700 Tiverton Dr, Los Angeles, CA, 90095, USA.
Dana C BeckSchool of Nursing Los Angeles, University of California, Los Angeles, 700 Tiverton Dr, Los Angeles, CA, 90095, USA.

Funding

NIH/National Center for Advancing Translational Science (NCATS) CTSI Grant Number UL1TR001881
6 · The paper itself

Abstract

backgroundAlthough California is regarded as a leader in reproductive freedoms and healthcare within the United States, Black women experience persistent inequities in perinatal mental healthcare. Despite healthcare system involvement, a significant proportion of Black women experiencing symptoms of perinatal mood and anxiety disorders (PMADs) go untreated. The purpose of this study was to 1) characterize clinician screening practices for PMADs; 2) describe the extent of perinatal mental health needs; and 3) identify factors within health systems that influence receipt of mental health services among Black women who lived in Los Angeles County, California throughout the perinatal period.

methodsSecondary analysis of cross-sectional data from the Black Mothers' Mental Wellness Study. The sample consisted of 110 Black women who self-reported either experiencing PMAD symptoms or being recently diagnosed with a PMAD.

resultsMost of the sample received a clinical assessment for depression during pregnancy (78.2%, n=86) or after childbirth (70.0%, n=77). Among those who received a depression assessment, a nurse most often performed the screening. Among the 102 participants who experienced or were diagnosed with a PMAD throughout the perinatal period, 80 (78.4%) received mental health services, including counseling/therapy, support groups, or prescribed medication. Black women who received education about postpartum depression during pregnancy or after childbirth (OR=5.1, CI=-1.64-11.85) had almost 5 times higher odds of receiving mental health treatment than those who had not.

conclusionsThe findings from this analysis emphasize a gap in standard obstetric practice, which may result in undetected and untreated PMAD symptoms. Findings also highlighted the role of nurses in obstetric care, as well as the importance of anticipatory guidance regarding PMADs for Black women in Los Angeles County.

Indexed as

Anxiety DisordersBlack or African AmericanDepression, PostpartumMental Health ServicesMood DisordersPerinatal CarePregnancy ComplicationsAdultCross-Sectional StudiesFemaleHealthcare DisparitiesHumansLos AngelesPregnancyYoung AdultAccess to careBlack womenHealthcare systemsMental healthNursingObstetric care

Identifiers

PMID41094368
PMCPMC12522370

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