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Title: Evaluation of ethnic disparities in detection of depression and anxiety in primary care during the maternal period: combined analysis of routine and cohort data
Authors: Prady, Stephanie L.
Pickett, Kate E.
Petherick, Emily S.
Gilbody, Simon
Croudace, Tim
Mason, Dan
Sheldon, Trevor A.
Wright, John
Issue Date: 2016
Publisher: © The Royal College of Psychiatrists
Citation: 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, DOI:10.1192/bjp.bp.114.158832
Abstract: 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.
Description: This is an Open Access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
Sponsor: 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)
Version: Published
DOI: 10.1192/bjp.bp.114.158832
URI: https://dspace.lboro.ac.uk/2134/20559
Publisher Link: http://dx.doi.org/10.1192/bjp.bp.114.158832
ISSN: 0007-1250
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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