Evaluation of ethnic disparities in detection of depression and anxiety in primary care during the maternal period: combined analysis of routine and cohort data

The British Journal of Psychiatry : the Journal of Mental Science
Stephanie L PradyJ Wright

Abstract

There are limited data on detection disparities of common mental disorders in minority ethnic women. Describe the natural history of common mental disorders in primary care in the maternal period, characterise women with, and explore ethnic disparities in, detected and potentially missed common mental disorders. Secondary analyses of linked birth cohort and primary care data involving 8991 (39.4% White British) women in Bradford. Common mental disorders were characterised through indications in the electronic medical record. Potentially missed common mental disorders were defined as an elevated General Health Questionnaire (GHQ-28) score during pregnancy with no corresponding common mental disorder markers in the medical record. Estimated prevalence of pre-birth common mental disorders was 9.5%, rising to 14.0% 3 years postnatally. Up to half of cases were potentially missed. Compared with White British women, minority ethnic women were twice as likely to have potentially missed common mental disorders and half as likely to have a marker of screening for common mental disorders. Common mental disorder detection disparities exist for minority ethnic women in the maternal period.

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Citations

Sep 30, 2015·European Child & Adolescent Psychiatry·Stephanie L PradyJohn Wright
Sep 30, 2016·Archives of Women's Mental Health·Dörthe BrüggmannDavid A Groneberg
May 10, 2017·Obstetrics and Gynecology·Ashley P McCurdyMargie H Davenport
Oct 27, 2017·Archives of Women's Mental Health·L Lorén-GuerreroM A Romero-Cardiel
Aug 15, 2017·The International Journal of Social Psychiatry·Irene E CorbaniMariano Bassi
Feb 13, 2018·The British Journal of Psychiatry : the Journal of Mental Science·Louise Michele HowardAndrew Pickles
Apr 12, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Shahid IslamJosie Dickerson
Apr 3, 2019·Journal of Advanced Nursing·Maria NoonanOwen Doody
Mar 10, 2017·Journal of Epidemiology and Community Health·Madeleine PowerKate E Pickett
Jan 16, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Alexandre Faisal-CuryAlicia Matijasevich

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