evaluation_of_ethnic_disparities_in_detection_of_depression_and_anxiety_in_primary_care_during_the_maternal_period_combined_analysis_of_routine_and_cohort_data.pdf (177.99 kB)
Evaluation of ethnic disparities in detection of depression and anxiety in primary care during the maternal period: Combined analysis of routine and cohort data
journal contribution
posted on 2016-03-11, 14:39 authored by Stephanie L. Prady, Kate E. Pickett, Emily PetherickEmily Petherick, Simon Gilbody, Tim Croudace, Dan Mason, Trevor A. Sheldon, John WrightBackground
There are limited data on detection disparities of common mental disorders in minority ethnic women.
Aims
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.
Method
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.
Results
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.
Conclusions
Common mental disorder detection disparities exist for minority ethnic women in the maternal period.
Funding
This article presents independent research funded by the Medical Research Council, award reference MR/JO13501/, and the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Yorkshire and Humber (NIHR CLAHRC YH).
History
School
- Sport, Exercise and Health Sciences
Published in
The British Journal of PsychiatryVolume
208Issue
5Pages
453 - 461Citation
PRADY, S.L. ... et al, 2016. 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, 208 (5), pp.453-461.Publisher
Cambridge University PressVersion
- VoR (Version of Record)
Rights holder
© The Royal College of PsychiatristsPublisher statement
This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/Acceptance date
2015-05-18Publication date
2016-05-31Notes
This is an Open Access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.ISSN
0007-1250eISSN
1472-1465Publisher version
Language
- en