Mental health and access to services among US women of reproductive age

Farr, Sherry L.; Bitsko, Rebecca H.; Hayes, Donald K.; Dietz, Patricia M.

doi:10.1016/j.ajog.2010.07.007

Cited by 78 publications

(60 citation statements)

References 35 publications

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“…For example, women have a high prevalence of depression and psychological distress, and their mental health status might be closely linked to their satisfaction in multiple life roles as a parent, spouse, and paid worker (Farr, Bitsko, Hayes, & Dietz, 2010;Kouvonen et al, 2005). As previously noted, the majority of women with mental illness or substance use disorders smoke; therefore, integrated approaches are required.…”

Section: Integrated Approaches To Mental Health Substance Use and Smentioning

confidence: 99%

Tobacco Cessation Interventions for Underserved Women

Hemsing

Greaves

Poole

2015

Journal of Social Work Practice in the Addictions

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Despite high rates of smoking among some subgroups of women, there is a lack of tailored interventions to address smoking cessation among women. We identify components of a women-centered approach to tobacco cessation by analyzing 3 bodies of literature: sex and gender influences in tobacco use and addiction; evidence-based tobacco cessation guidelines; and best practices in delivery of women-centered care. Programming for underserved women should be tailored, build confidence and increase motivation, integrate social justice issues and address inequities, and be holistic and comprehensive. Addressing the complexity of women's smoking and tailoring appropriately could help address smoking among subpopulations of women. KEYWORDS smoking cessation, tobacco dependence treatment, underserved women, women-centered careReceived February 3, 2015; revised April 9, 2015; accepted May 14, 2015. © Natalie Hemsing, Lorraine Greaves, and Nancy Poole. This is an Open Access article. Non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly attributed, cited, and is not altered, transformed, or built upon in any way, is permitted. The moral rights of the named author(s) have been asserted.Address (Husky, Paliwal, Mazure, & McKee, 2007). In a substance use treatment center for women in Vancouver, Canada, in 2003, 79% of residential participants and 71% of day program participants reported being current smokers (Malmo, 2007).Findings from several studies that examined gender differences in tobacco dependence and treatment suggest that some subpopulations of women might encounter more challenges in quitting than women in general or men. A study examining cessation rates and treatment response among 2,850 participants found that women, Blacks, and smokers with lower levels of education were less likely to successfully quit smoking, compared to men, Whites, and smokers with high levels of education (Piper et al., 2010). Husky and colleagues found that women with substance use disorders were significantly more likely to smoke than men (Husky et al., 2007). An evaluation of a tobacco cessation intervention for patients with serious mental illness showed a significant difference in treatment effectiveness by gender, with men achieving a higher cessation rate compared to women (69% vs. 31%) (Currie et al., 2008). RESPONSES IN TOBACCO CONTROLEvidence such as this raises important questions about effective smoking cessation treatment for women and girls, and subpopulations of women who are vulnerable to tobacco use. The prevalence of smoking among specific subgroups of women suggests that cessation approaches currently available are (Graham, 2009), and is also a means of managing difficult emotions and facilitating social cohesion (Greaves, 1996). Yet, tobacco cessation treatment interventions have failed to address the full context of women's smoking and social and economic determinants of women's health.Generally, tobacco control efforts have focused on comprehensive approaches aimed ...

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Section: Integrated Approaches To Mental Health Substance Use and Smentioning

confidence: 99%

Tobacco Cessation Interventions for Underserved Women

Hemsing

Greaves

Poole

2015

Journal of Social Work Practice in the Addictions

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“…A recent US study 30 of more than 75 000 non-pregnant women aged 18-44 years found that the prevalence of major depression was greater in women >35 years, unmarried, less educated, unable to work or unemployed or with low income than in women without such risk factors. Previous studies 10,11,23,31 show that women with greater socioeconomic deprivation are more likely to have perinatal mental illness than those with less socioeconomic deprivation after adjusting for other sociodemographic factors.…”

Section: Competing Interestsmentioning

confidence: 99%

Impact of socioeconomic deprivation on maternal perinatal mental illnesses presenting to UK general practice

Ban

Gibson²,

West³

et al. 2012

Br J Gen Pract

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BackgroundAlthough maternal perinatal mental illnesses commonly present to and are primarily treated in general practice, few population-based estimates of this burden exist, and the most affected socioeconomic groups of pregnant women remain unclear. AimTo provide estimates of maternal depression, anxiety and serious mental illness (SMI) in UK general practice and quantify impacts of socioeconomic deprivation. Design and settingCross-sectional analysis of prospectively recorded general practice records from a UK-wide database. MethodA pregnancy ending in live birth was randomly selected for every woman of childbearing age, [1994][1995][1996][1997][1998][1999][2000][2001][2002][2003][2004][2005][2006][2007][2008][2009]. Prevalence and diagnostic overlap of mental illnesses were calculated using a combination of medical diagnoses and psychotropic drug prescriptions. Socioeconomic deprivation was assessed using multivariate logistic regression, adjusting for calendar period and pregnancy history. ResultsAmong 116 457 women, 5.1% presented with antenatal depression and 13.3% with postnatal depression. Equivalent figures for anxiety were 2.6% and 3.7% and for SMI 1/1000 and 2/1000 women. Socioeconomic deprivation increased the risk of all mental illnesses, although this was more marked in older women. Those age 35-45 years in the most deprived group had 2.63 times the odds of antenatal depression (95% confidence interval [CI] = 2.22 to 3.13) compared with the least deprived; in women aged 15-25 years the increased odds associated with deprivation was more modest (odds ratio = 1.35, 95% CI = 1.07 to 1.70). Similar patterns were found for anxiety and SMI. ConclusionStrong socioeconomic inequalities in perinatal mental illness persist with increasing maternal age. Targeting detection and effective interventions to high-risk women may reduce inequity and avoid substantial psychiatric morbidity.Keywords general practice; mental disorder; mothers; socioeconomic status.e671 British Journal of General Practice, October 2012 without direct diagnostic indication for the prescription, likely reflecting the diagnostic pathway (for example, prescriptions of psychotropic drugs as part of diagnostic procedure) and routine clinical practice (for example, a doctor with knowledge of their patient's clinical history will not need to record a new diagnosis of depression with each prescription for effective clinical care). Furthermore, individuals may receive more than one type of diagnosis, concurrently or at different times during their life. Therefore a comprehensive approach to define and distinguish between different types of mental illness in women's records was adopted by using a combination of medical diagnoses and psychotropic drug prescriptions. The prevalence of clinicallydiagnosed perinatal mental illness with or without treatment during the 9 months before pregnancy, during pregnancy (antenatal period) and during the 9 months after pregnancy (postnatal period) was estimated. Periods of 9-months were used as they we...

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“…Maternal depression, which is estimated to afflict 14 % of women of reproductive age [12], has been implicated as a potential risk factor for childhood overweight and obesity [22]. The relationship of maternal depression and childhood overweight/obesity has been hypothesized to be associated with parenting practices [16], as depressed mothers may have difficulty sustaining exclusive breastfeeding [1], recognizing child satiety cues [18,19], providing healthful food choices [18,24], and modeling physical activity behaviors relative to non-depressed mothers [23].…”

Section: Introductionmentioning

confidence: 99%

Maternal Depression and Childhood Overweight in the CHAMACOS Study of Mexican-American Children

Audelo

Kogut

Harley

et al. 2016

Matern Child Health J

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Objective Although previous studies have examined the impact of maternal depression on child overweight and obesity, little is known about the relationship in Latino families, who suffer from high risks of depression and obesity. We prospectively investigated the association between depressive symptoms in women with young children and child overweight and obesity (overweight/obesity) at age 7 years among Latino families. Methods Participants included 332 singletons with anthropometric measures obtained at 7 years from the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS) study, a birth cohort study. Maternal depression was assessed using the Center for Epidemiologic Studies-Depression (CES-D) scale when the children were 1, 3.5, and 7 years. Overweight and obesity was measured by body mass index (kg/m 2 ) at age 7 years. Results 63 % of women had CES-D scores consistent with depression in at least one of the 3 given assessments. Compared to children whose mothers were never depressed, children whose mothers were depressed at all three assessments had 2.4 times the adjusted odds of overweight/ obesity at age 7 years (95 % CI 1.1-5.6). However, a single positive maternal depression screen was not associated with child overweight/obesity and there was no difference in the odds of overweight/obesity by the age of the child when maternal depression occurred. Conclusion Chronic maternal depression during a child's early life was associated with child overweight/obesity at 7 years. Addressing maternal depression is a critical component of comprehensive obesity prevention and treatment strategies for Latino children.

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Mental health and access to services among US women of reproductive age

Cited by 78 publications

References 35 publications

Tobacco Cessation Interventions for Underserved Women

Tobacco Cessation Interventions for Underserved Women

Impact of socioeconomic deprivation on maternal perinatal mental illnesses presenting to UK general practice

Maternal Depression and Childhood Overweight in the CHAMACOS Study of Mexican-American Children

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