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

TY - JOUR

T1 - Evaluation of ethnic disparities in detection of depression and anxiety in primary care during the maternal period

T2 - combined analysis of routine and cohort data

AU - Prady, Stephanie Louise

AU - Pickett, Kate

AU - Petherick, Emily

AU - Gilbody, Simon

AU - Croudace, Tim

AU - Mason, Dan

AU - Sheldon, Trevor Andrew

AU - Wright, John

N1 - © Royal College of Psychiatrists 2016. This content is made available by the publisher under a Creative Commons CC BY-NC-ND Licence.

PY - 2016/5/1

Y1 - 2016/5/1

N2 - Background: 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.

AB - Background: 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.

KW - Adult

KW - Anxiety/diagnosis

KW - Delayed Diagnosis/statistics & numerical data

KW - Depression/diagnosis

KW - Female

KW - Healthcare Disparities/ethnology

KW - Humans

KW - Pregnancy

KW - Pregnancy Complications/diagnosis

KW - Primary Health Care/statistics & numerical data

KW - United Kingdom/ethnology

KW - Young Adult

UR - http://www.scopus.com/inward/record.url?scp=84973521592&partnerID=8YFLogxK

U2 - 10.1192/bjp.bp.114.158832

DO - 10.1192/bjp.bp.114.158832

M3 - Article

C2 - 26795424

SN - 0007-1250

VL - 208

SP - 453

EP - 461

JO - The British journal of psychiatry : the journal of mental science

JF - The British journal of psychiatry : the journal of mental science

IS - 5

ER -