Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population
This study assessed the prevalence of antenatal psychiatric illness in low-income, ethnically diverse patients in an urban obstetric clinic and examined associations between positive psychiatric screens and inadequate utilization of prenatal care. Bilingual research assistants administered the Prima...
Gespeichert in:
Veröffentlicht in: | Archives of women's mental health 2006-03, Vol.9 (2), p.103-107 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 107 |
---|---|
container_issue | 2 |
container_start_page | 103 |
container_title | Archives of women's mental health |
container_volume | 9 |
creator | Kim, H G Mandell, M Crandall, C Kuskowski, M A Dieperink, B Buchberger, R L |
description | This study assessed the prevalence of antenatal psychiatric illness in low-income, ethnically diverse patients in an urban obstetric clinic and examined associations between positive psychiatric screens and inadequate utilization of prenatal care.
Bilingual research assistants administered the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire and the Mood Disorder Questionnaire to 154 English- and Spanish-speaking pregnant patients attending routine prenatal visits. We assessed associations between patient characteristics, current and past psychiatric diagnoses, and utilization of prenatal care.
Forty-five (29%) women screened positive for criteria for current psychiatric disorders with the highest rates for major or minor depression (26%) and anxiety disorders (10%). Inadequate prenatal care utilization was significantly associated with past psychiatric history and domestic abuse in the last year, but not with current psychiatric diagnosis, alcohol abuse, age, primiparity, marital status, receipt of government assistance, or unplanned pregnancy. Even after adjustment for possible confounding risk factors (e.g. past substance abuse, single marital status, unstable housing, education less than high school, and having other children), past psychiatric history was still significantly associated with inadequate prenatal care utilization and delayed initiation of care.
A high percentage of disadvantaged pregnant women meet screening criteria for psychiatric disorders when screened during routine prenatal visits. Screening for past psychiatric history in routine prenatal visits could identify patients at risk for inadequate utilization of prenatal care. |
doi_str_mv | 10.1007/s00737-005-0117-5 |
format | Article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_195061651</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A152420559</galeid><sourcerecordid>A152420559</sourcerecordid><originalsourceid>FETCH-LOGICAL-c391t-fa66ca0f5042c09da643c6518f598e2d2857fda609ac9d9d9ba1e8e02fde91733</originalsourceid><addsrcrecordid>eNpVkV1rHCEUhqW0NGnaH9CbIr0o9MLWM44z4-US-hEIFPpxLWedM1mDcSbqhO6_r5tdaIugcnze16MvY69BfgAp-4-5TqoXUmohAXqhn7BzaJUWALJ5-rhvBQzQnbEXOd_KChrTPmdn0KlBDqDOWdnEQhELBr7kvdt5LMk77kOIlDPHOHIc6X5Ft-fzxJd0gh0m4j5WgFPZRe8whD0f_QOlfDiIlITzpYq2udCj5zIva8Di5_iSPZswZHp1Wi_Yr8-ffl5-Fdffvlxdbq6FUwaKmLDrHMpJy7Zx0ozYtcp1GoZJm4GasRl0P9WqNOjMWMcWgQaSzTSSgV6pC_b26Luk-X6lXOztvKZYr7RgtOygmlXo_RG6wUDWRzfXH_ldbnDN2V79-G43oJu2kVqbyr77h90RhrLLc1gPj8r_g3AEXZpzTjTZJfk7THsL0h6ys8fsbI3EHrKzumrenLpdt3c0_lWcwlJ_AA4-lQI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>195061651</pqid></control><display><type>article</type><title>Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Kim, H G ; Mandell, M ; Crandall, C ; Kuskowski, M A ; Dieperink, B ; Buchberger, R L</creator><creatorcontrib>Kim, H G ; Mandell, M ; Crandall, C ; Kuskowski, M A ; Dieperink, B ; Buchberger, R L</creatorcontrib><description>This study assessed the prevalence of antenatal psychiatric illness in low-income, ethnically diverse patients in an urban obstetric clinic and examined associations between positive psychiatric screens and inadequate utilization of prenatal care.
Bilingual research assistants administered the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire and the Mood Disorder Questionnaire to 154 English- and Spanish-speaking pregnant patients attending routine prenatal visits. We assessed associations between patient characteristics, current and past psychiatric diagnoses, and utilization of prenatal care.
Forty-five (29%) women screened positive for criteria for current psychiatric disorders with the highest rates for major or minor depression (26%) and anxiety disorders (10%). Inadequate prenatal care utilization was significantly associated with past psychiatric history and domestic abuse in the last year, but not with current psychiatric diagnosis, alcohol abuse, age, primiparity, marital status, receipt of government assistance, or unplanned pregnancy. Even after adjustment for possible confounding risk factors (e.g. past substance abuse, single marital status, unstable housing, education less than high school, and having other children), past psychiatric history was still significantly associated with inadequate prenatal care utilization and delayed initiation of care.
A high percentage of disadvantaged pregnant women meet screening criteria for psychiatric disorders when screened during routine prenatal visits. Screening for past psychiatric history in routine prenatal visits could identify patients at risk for inadequate utilization of prenatal care.</description><identifier>ISSN: 1434-1816</identifier><identifier>EISSN: 1435-1102</identifier><identifier>DOI: 10.1007/s00737-005-0117-5</identifier><identifier>PMID: 16380813</identifier><language>eng</language><publisher>Austria: Springer</publisher><subject>Adult ; Care and treatment ; Diagnosis ; Ethnicity ; Female ; Health Status ; Hispanic Americans - statistics & numerical data ; Humans ; Inequality ; Mass Screening ; Maternal Welfare ; Medical screening ; Mental Disorders - diagnosis ; Mental Disorders - ethnology ; Mental Disorders - prevention & control ; Mental Health ; Mental illness ; Minnesota - epidemiology ; Obstetrics ; Pregnancy ; Pregnancy Complications - diagnosis ; Pregnancy Complications - ethnology ; Pregnancy Complications - prevention & control ; Pregnant women ; Prenatal care ; Prenatal Care - statistics & numerical data ; Psychological aspects ; Substance-Related Disorders - diagnosis ; Substance-Related Disorders - ethnology ; Surveys and Questionnaires ; Urban Population - statistics & numerical data</subject><ispartof>Archives of women's mental health, 2006-03, Vol.9 (2), p.103-107</ispartof><rights>COPYRIGHT 2006 Springer</rights><rights>Springer-Verlag/Wien 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-fa66ca0f5042c09da643c6518f598e2d2857fda609ac9d9d9ba1e8e02fde91733</citedby><cites>FETCH-LOGICAL-c391t-fa66ca0f5042c09da643c6518f598e2d2857fda609ac9d9d9ba1e8e02fde91733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16380813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, H G</creatorcontrib><creatorcontrib>Mandell, M</creatorcontrib><creatorcontrib>Crandall, C</creatorcontrib><creatorcontrib>Kuskowski, M A</creatorcontrib><creatorcontrib>Dieperink, B</creatorcontrib><creatorcontrib>Buchberger, R L</creatorcontrib><title>Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population</title><title>Archives of women's mental health</title><addtitle>Arch Womens Ment Health</addtitle><description>This study assessed the prevalence of antenatal psychiatric illness in low-income, ethnically diverse patients in an urban obstetric clinic and examined associations between positive psychiatric screens and inadequate utilization of prenatal care.
Bilingual research assistants administered the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire and the Mood Disorder Questionnaire to 154 English- and Spanish-speaking pregnant patients attending routine prenatal visits. We assessed associations between patient characteristics, current and past psychiatric diagnoses, and utilization of prenatal care.
Forty-five (29%) women screened positive for criteria for current psychiatric disorders with the highest rates for major or minor depression (26%) and anxiety disorders (10%). Inadequate prenatal care utilization was significantly associated with past psychiatric history and domestic abuse in the last year, but not with current psychiatric diagnosis, alcohol abuse, age, primiparity, marital status, receipt of government assistance, or unplanned pregnancy. Even after adjustment for possible confounding risk factors (e.g. past substance abuse, single marital status, unstable housing, education less than high school, and having other children), past psychiatric history was still significantly associated with inadequate prenatal care utilization and delayed initiation of care.
A high percentage of disadvantaged pregnant women meet screening criteria for psychiatric disorders when screened during routine prenatal visits. Screening for past psychiatric history in routine prenatal visits could identify patients at risk for inadequate utilization of prenatal care.</description><subject>Adult</subject><subject>Care and treatment</subject><subject>Diagnosis</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health Status</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>Humans</subject><subject>Inequality</subject><subject>Mass Screening</subject><subject>Maternal Welfare</subject><subject>Medical screening</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - ethnology</subject><subject>Mental Disorders - prevention & control</subject><subject>Mental Health</subject><subject>Mental illness</subject><subject>Minnesota - epidemiology</subject><subject>Obstetrics</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy Complications - ethnology</subject><subject>Pregnancy Complications - prevention & control</subject><subject>Pregnant women</subject><subject>Prenatal care</subject><subject>Prenatal Care - statistics & numerical data</subject><subject>Psychological aspects</subject><subject>Substance-Related Disorders - diagnosis</subject><subject>Substance-Related Disorders - ethnology</subject><subject>Surveys and Questionnaires</subject><subject>Urban Population - statistics & numerical data</subject><issn>1434-1816</issn><issn>1435-1102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNpVkV1rHCEUhqW0NGnaH9CbIr0o9MLWM44z4-US-hEIFPpxLWedM1mDcSbqhO6_r5tdaIugcnze16MvY69BfgAp-4-5TqoXUmohAXqhn7BzaJUWALJ5-rhvBQzQnbEXOd_KChrTPmdn0KlBDqDOWdnEQhELBr7kvdt5LMk77kOIlDPHOHIc6X5Ft-fzxJd0gh0m4j5WgFPZRe8whD0f_QOlfDiIlITzpYq2udCj5zIva8Di5_iSPZswZHp1Wi_Yr8-ffl5-Fdffvlxdbq6FUwaKmLDrHMpJy7Zx0ozYtcp1GoZJm4GasRl0P9WqNOjMWMcWgQaSzTSSgV6pC_b26Luk-X6lXOztvKZYr7RgtOygmlXo_RG6wUDWRzfXH_ldbnDN2V79-G43oJu2kVqbyr77h90RhrLLc1gPj8r_g3AEXZpzTjTZJfk7THsL0h6ys8fsbI3EHrKzumrenLpdt3c0_lWcwlJ_AA4-lQI</recordid><startdate>20060301</startdate><enddate>20060301</enddate><creator>Kim, H G</creator><creator>Mandell, M</creator><creator>Crandall, C</creator><creator>Kuskowski, M A</creator><creator>Dieperink, B</creator><creator>Buchberger, R L</creator><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7R6</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>888</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope></search><sort><creationdate>20060301</creationdate><title>Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population</title><author>Kim, H G ; Mandell, M ; Crandall, C ; Kuskowski, M A ; Dieperink, B ; Buchberger, R L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-fa66ca0f5042c09da643c6518f598e2d2857fda609ac9d9d9ba1e8e02fde91733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Care and treatment</topic><topic>Diagnosis</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Health Status</topic><topic>Hispanic Americans - statistics & numerical data</topic><topic>Humans</topic><topic>Inequality</topic><topic>Mass Screening</topic><topic>Maternal Welfare</topic><topic>Medical screening</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - ethnology</topic><topic>Mental Disorders - prevention & control</topic><topic>Mental Health</topic><topic>Mental illness</topic><topic>Minnesota - epidemiology</topic><topic>Obstetrics</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy Complications - ethnology</topic><topic>Pregnancy Complications - prevention & control</topic><topic>Pregnant women</topic><topic>Prenatal care</topic><topic>Prenatal Care - statistics & numerical data</topic><topic>Psychological aspects</topic><topic>Substance-Related Disorders - diagnosis</topic><topic>Substance-Related Disorders - ethnology</topic><topic>Surveys and Questionnaires</topic><topic>Urban Population - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, H G</creatorcontrib><creatorcontrib>Mandell, M</creatorcontrib><creatorcontrib>Crandall, C</creatorcontrib><creatorcontrib>Kuskowski, M A</creatorcontrib><creatorcontrib>Dieperink, B</creatorcontrib><creatorcontrib>Buchberger, R L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>GenderWatch</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>GenderWatch (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Diversity Collection</collection><jtitle>Archives of women's mental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, H G</au><au>Mandell, M</au><au>Crandall, C</au><au>Kuskowski, M A</au><au>Dieperink, B</au><au>Buchberger, R L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population</atitle><jtitle>Archives of women's mental health</jtitle><addtitle>Arch Womens Ment Health</addtitle><date>2006-03-01</date><risdate>2006</risdate><volume>9</volume><issue>2</issue><spage>103</spage><epage>107</epage><pages>103-107</pages><issn>1434-1816</issn><eissn>1435-1102</eissn><abstract>This study assessed the prevalence of antenatal psychiatric illness in low-income, ethnically diverse patients in an urban obstetric clinic and examined associations between positive psychiatric screens and inadequate utilization of prenatal care.
Bilingual research assistants administered the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire and the Mood Disorder Questionnaire to 154 English- and Spanish-speaking pregnant patients attending routine prenatal visits. We assessed associations between patient characteristics, current and past psychiatric diagnoses, and utilization of prenatal care.
Forty-five (29%) women screened positive for criteria for current psychiatric disorders with the highest rates for major or minor depression (26%) and anxiety disorders (10%). Inadequate prenatal care utilization was significantly associated with past psychiatric history and domestic abuse in the last year, but not with current psychiatric diagnosis, alcohol abuse, age, primiparity, marital status, receipt of government assistance, or unplanned pregnancy. Even after adjustment for possible confounding risk factors (e.g. past substance abuse, single marital status, unstable housing, education less than high school, and having other children), past psychiatric history was still significantly associated with inadequate prenatal care utilization and delayed initiation of care.
A high percentage of disadvantaged pregnant women meet screening criteria for psychiatric disorders when screened during routine prenatal visits. Screening for past psychiatric history in routine prenatal visits could identify patients at risk for inadequate utilization of prenatal care.</abstract><cop>Austria</cop><pub>Springer</pub><pmid>16380813</pmid><doi>10.1007/s00737-005-0117-5</doi><tpages>5</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1434-1816 |
ispartof | Archives of women's mental health, 2006-03, Vol.9 (2), p.103-107 |
issn | 1434-1816 1435-1102 |
language | eng |
recordid | cdi_proquest_journals_195061651 |
source | MEDLINE; SpringerNature Journals |
subjects | Adult Care and treatment Diagnosis Ethnicity Female Health Status Hispanic Americans - statistics & numerical data Humans Inequality Mass Screening Maternal Welfare Medical screening Mental Disorders - diagnosis Mental Disorders - ethnology Mental Disorders - prevention & control Mental Health Mental illness Minnesota - epidemiology Obstetrics Pregnancy Pregnancy Complications - diagnosis Pregnancy Complications - ethnology Pregnancy Complications - prevention & control Pregnant women Prenatal care Prenatal Care - statistics & numerical data Psychological aspects Substance-Related Disorders - diagnosis Substance-Related Disorders - ethnology Surveys and Questionnaires Urban Population - statistics & numerical data |
title | Antenatal psychiatric illness and adequacy of prenatal care in an ethnically diverse inner-city obstetric population |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T17%3A25%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Antenatal%20psychiatric%20illness%20and%20adequacy%20of%20prenatal%20care%20in%20an%20ethnically%20diverse%20inner-city%20obstetric%20population&rft.jtitle=Archives%20of%20women's%20mental%20health&rft.au=Kim,%20H%20G&rft.date=2006-03-01&rft.volume=9&rft.issue=2&rft.spage=103&rft.epage=107&rft.pages=103-107&rft.issn=1434-1816&rft.eissn=1435-1102&rft_id=info:doi/10.1007/s00737-005-0117-5&rft_dat=%3Cgale_proqu%3EA152420559%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=195061651&rft_id=info:pmid/16380813&rft_galeid=A152420559&rfr_iscdi=true |