The Association between NICU Admission and Mental Health Diagnoses among Commercially Insured Postpartum Women in the US, 2010–2018
Maternal mental health (MH) conditions represent a leading cause of preventable maternal death in the US. Neonatal Intensive Care Unit (NICU) hospitalization influences MH symptoms among postpartum women, but a paucity of research uses national samples to explore this relationship. Using national ad...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/10/1550 |
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| author | Dana C. Beck Karen M. Tabb Anca Tilea Stephanie V. Hall Ashlee Vance Stephen W. Patrick Amy Schroeder Kara Zivin |
| author_facet | Dana C. Beck Karen M. Tabb Anca Tilea Stephanie V. Hall Ashlee Vance Stephen W. Patrick Amy Schroeder Kara Zivin |
| author_sort | Dana C. Beck |
| collection | DOAJ |
| description | Maternal mental health (MH) conditions represent a leading cause of preventable maternal death in the US. Neonatal Intensive Care Unit (NICU) hospitalization influences MH symptoms among postpartum women, but a paucity of research uses national samples to explore this relationship. Using national administrative data, we examined the rates of MH diagnoses of anxiety and/or depression among those with and without an infant admitted to a NICU between 2010 and 2018. Using generalized estimating equation models, we explored the relationship between NICU admission and MH diagnoses of anxiety and/or depression, secondarily examining the association of NICU length of stay and race/ethnicity with MH diagnoses of anxiety and/or depression post NICU admission. Women whose infants became hospitalized in the NICU for <2 weeks had 19% higher odds of maternal MH diagnoses (aOR: 1.19, 95% CI: 1.14%–1.24%) and those whose infants became hospitalized for >2 weeks had 37% higher odds of maternal MH diagnoses (aOR: 1.37 95% CI: 1.128%–1.47%) compared to those whose infants did not have a NICU hospitalization. In adjusted analyses, compared to white women, all other race/ethnicities had significantly lower odds of receiving a maternal MH condition diagnosis [Black (aOR = 0.76, 0.73–0.08), Hispanic (aOR = 0.69, 0.67–0.72), and Asian (aOR: 0.32, 0.30–0.34)], despite higher rates of NICU hospitalization. These findings suggest a need to target the NICU to improve maternal MH screening, services, and support while acknowledging the influence of social determinants, including race and ethnicity, on health outcomes. |
| first_indexed | 2024-03-09T20:27:02Z |
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| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T20:27:02Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-36db2f6ac7a943109a014e8deb8817fd2023-11-23T23:32:47ZengMDPI AGChildren2227-90672022-10-01910155010.3390/children9101550The Association between NICU Admission and Mental Health Diagnoses among Commercially Insured Postpartum Women in the US, 2010–2018Dana C. Beck0Karen M. Tabb1Anca Tilea2Stephanie V. Hall3Ashlee Vance4Stephen W. Patrick5Amy Schroeder6Kara Zivin7School of Nursing, University of California Los Angeles, Los Angeles, CA 90095, USASchool of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL 68101, USADepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USADepartment of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI 48109, USACenter for Health Policy and Health Services Research, Henry Ford Health, Detroit, MI 48202, USADepartment of Health Policy, Vanderbilt University Medical Center, Nashville, TN 37232, USADepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI 48109, USADepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USAMaternal mental health (MH) conditions represent a leading cause of preventable maternal death in the US. Neonatal Intensive Care Unit (NICU) hospitalization influences MH symptoms among postpartum women, but a paucity of research uses national samples to explore this relationship. Using national administrative data, we examined the rates of MH diagnoses of anxiety and/or depression among those with and without an infant admitted to a NICU between 2010 and 2018. Using generalized estimating equation models, we explored the relationship between NICU admission and MH diagnoses of anxiety and/or depression, secondarily examining the association of NICU length of stay and race/ethnicity with MH diagnoses of anxiety and/or depression post NICU admission. Women whose infants became hospitalized in the NICU for <2 weeks had 19% higher odds of maternal MH diagnoses (aOR: 1.19, 95% CI: 1.14%–1.24%) and those whose infants became hospitalized for >2 weeks had 37% higher odds of maternal MH diagnoses (aOR: 1.37 95% CI: 1.128%–1.47%) compared to those whose infants did not have a NICU hospitalization. In adjusted analyses, compared to white women, all other race/ethnicities had significantly lower odds of receiving a maternal MH condition diagnosis [Black (aOR = 0.76, 0.73–0.08), Hispanic (aOR = 0.69, 0.67–0.72), and Asian (aOR: 0.32, 0.30–0.34)], despite higher rates of NICU hospitalization. These findings suggest a need to target the NICU to improve maternal MH screening, services, and support while acknowledging the influence of social determinants, including race and ethnicity, on health outcomes.https://www.mdpi.com/2227-9067/9/10/1550postpartumdepressionanxietyNICUhealth disparitiesmaternal health |
| spellingShingle | Dana C. Beck Karen M. Tabb Anca Tilea Stephanie V. Hall Ashlee Vance Stephen W. Patrick Amy Schroeder Kara Zivin The Association between NICU Admission and Mental Health Diagnoses among Commercially Insured Postpartum Women in the US, 2010–2018 Children postpartum depression anxiety NICU health disparities maternal health |
| title | The Association between NICU Admission and Mental Health Diagnoses among Commercially Insured Postpartum Women in the US, 2010–2018 |
| title_full | The Association between NICU Admission and Mental Health Diagnoses among Commercially Insured Postpartum Women in the US, 2010–2018 |
| title_fullStr | The Association between NICU Admission and Mental Health Diagnoses among Commercially Insured Postpartum Women in the US, 2010–2018 |
| title_full_unstemmed | The Association between NICU Admission and Mental Health Diagnoses among Commercially Insured Postpartum Women in the US, 2010–2018 |
| title_short | The Association between NICU Admission and Mental Health Diagnoses among Commercially Insured Postpartum Women in the US, 2010–2018 |
| title_sort | association between nicu admission and mental health diagnoses among commercially insured postpartum women in the us 2010 2018 |
| topic | postpartum depression anxiety NICU health disparities maternal health |
| url | https://www.mdpi.com/2227-9067/9/10/1550 |
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