Racial/ethnic differences in mental health treatment among a national sample of pregnant women with mental health and/or substance use disorders in the United States
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Objective To examine racial/ethnic differences in the receipt of mental health treatment among pregnant women with mental health (i.e., depression and serious psychological distress) and/or substance use disorders.Method Secondary analysis of data from the National Survey on Drug Use and Health was conducted. The sample consisted of 1232 pregnant women with mental health/substance use disorders.Results Black/African American (Adjusted Odds Ratio [AOR]: 0.36, 95% Confidence Interval [CI]: 0.17-0.75), other non-Hispanic (AOR: 0.24, 95% CI: 0.11-0.52), and Hispanic (AOR: 0.42, 95% CI: 0.22-0.81) pregnant women had significantly lower odds of mental health treatment receipt compared to Whites, even when controlling for age, education, marital status, number of children, employment status, income, health insurance, county urbanicity, self-rated health status, type of mental health condition, and time. There were no racial/ethnic differences by mental health and/or substance use disorders. Among pregnant women who perceived unmet mental health treatment need (N = 299), a greater proportion of White compared to Non-White pregnant women perceived cost as an obstacle to access treatment (62.1% vs. 35.6%, p = .001); however, the two groups did not differ in other perceived barriers to mental health treatment (i.e., opposition to treatment, stigma, time/transportation limitation, and not knowing where to go).Conclusions Strategies are needed to increase access to mental health treatment among racial/ethnic minority women who are pregnant and have mental health/substance use disorders. Further studies are required to understand racial/ethnic differences in the perceived barriers to mental health treatment.
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It is estimated that less than 50% of women who need mental healthcare get it, and the rate is even lower among women with fewer resources and of color.
“It is estimated that <50% of women who need it get care60 and the rate is even lower among women with fewer resources and of color.62”
From The transition to parenthood in obstetrics: enhancing prenatal care for 2-generation impact (2022) · cites this paper as [62]
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The transition to parenthood in obstetrics: enhancing prenatal care for 2-generation impact
Monk, C., Dimidjian, S., Galinsky, E., Gregory, K. D., Hoffman, M. C., Howell, E. A., Miller, E. S., Osborne, C., Rogers, C. E., Saxbe, D. E., et al. (2022) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2022.100678 · Cited by 19 · see citing works
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- Authors
- Salameh, T. N., Hall, L. A., Crawford, T. N., Staten, R. R., & Hall, M. T.
- Affiliations
- University of Louisville (US)
- Wright State University (US)
- Corresponding author
- Salameh, Taghreed N.
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2019-06
- Volume
- 121
- Pages
- 74-80
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2921622341
- Cited by
- 49
- References
- 40
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 16 · 2023: 7 · 2022: 6 · 2021: 3 · 2020: 1 · 2019: 1
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Journal of Bioresource Management (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- racial and ethnic disparities, pregnant women, maternal mental health, depression, serious psychological distress, substance use disorders, access to mental health care, barriers to treatment, cost barriers, unmet mental health needs, African American women, Hispanic women, racial and ethnic minorities
- MeSH terms
- Adolescent, Adult, Child, Depression, Ethnicity, Female, Humans, Income, Mental Health, Middle Aged, Pregnancy, Psychotherapy, United States, Odds Ratio, Marital Status, Substance-Related Disorders, Racial Groups, Young Adult
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