Diagnosed behavioral health conditions during the perinatal period among a commercially insured population by race/ethnicity, 2008–2020
ObjectiveWe sought to examine trends in diagnosed behavioral health (BH) conditions [mental health (MH) disorders or substance use disorders (SUD)] among pregnant and postpartum individuals between 2008–2020. We then explored the relationship between BH conditions and race/ethnicity, acknowledging r...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1345442/full |
| _version_ | 1797271387504640000 |
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| author | Dana C. Beck Karen Tabb Anca Tilea Ashlee J. Vance Stephanie Hall Amy Schroeder Kara Zivin Kara Zivin Kara Zivin |
| author_facet | Dana C. Beck Karen Tabb Anca Tilea Ashlee J. Vance Stephanie Hall Amy Schroeder Kara Zivin Kara Zivin Kara Zivin |
| author_sort | Dana C. Beck |
| collection | DOAJ |
| description | ObjectiveWe sought to examine trends in diagnosed behavioral health (BH) conditions [mental health (MH) disorders or substance use disorders (SUD)] among pregnant and postpartum individuals between 2008–2020. We then explored the relationship between BH conditions and race/ethnicity, acknowledging race/ethnicity as a social construct that influences health disparities.MethodsThis study included delivering individuals, aged 15–44 years, and continuously enrolled in a single commercial health insurance plan for 1 year before and 1 year following delivery between 2008–2020. We used BH conditions as our outcome based on relevant ICD 9/10 codes documented during pregnancy or the postpartum year.ResultsIn adjusted analyses, white individuals experienced the highest rates of BH conditions, followed by Black, Hispanic, and Asian individuals, respectively. Asian individuals had the largest increase in BH rates, increasing 292%. White individuals had the smallest increase of 192%. The trend remained unchanged even after adjusting for age and Bateman comorbidity score, the trend remained unchanged.ConclusionsThe prevalence of diagnosed BH conditions among individuals in the perinatal and postpartum periods increased over time. As national efforts continue to work toward improving perinatal BH, solutions must incorporate the needs of diverse populations to avert preventable morbidity and mortality. |
| first_indexed | 2024-03-07T14:02:57Z |
| format | Article |
| id | doaj.art-57c0fbee9e5c40b0bcb2ff5554f04b0e |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-07T14:02:57Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-57c0fbee9e5c40b0bcb2ff5554f04b0e2024-03-07T04:54:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-03-011210.3389/fpubh.2024.13454421345442Diagnosed behavioral health conditions during the perinatal period among a commercially insured population by race/ethnicity, 2008–2020Dana C. Beck0Karen Tabb1Anca Tilea2Ashlee J. Vance3Stephanie Hall4Amy Schroeder5Kara Zivin6Kara Zivin7Kara Zivin8School of Nursing, University of California, Los Angeles, Los Angeles, CA, United StatesSchool of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL, United StatesDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United StatesCenter for Health Policy and Health Services Research, Henry Ford Health, Detroit, MI, United StatesDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, United StatesDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, United StatesDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United StatesDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, United StatesCenter for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, United StatesObjectiveWe sought to examine trends in diagnosed behavioral health (BH) conditions [mental health (MH) disorders or substance use disorders (SUD)] among pregnant and postpartum individuals between 2008–2020. We then explored the relationship between BH conditions and race/ethnicity, acknowledging race/ethnicity as a social construct that influences health disparities.MethodsThis study included delivering individuals, aged 15–44 years, and continuously enrolled in a single commercial health insurance plan for 1 year before and 1 year following delivery between 2008–2020. We used BH conditions as our outcome based on relevant ICD 9/10 codes documented during pregnancy or the postpartum year.ResultsIn adjusted analyses, white individuals experienced the highest rates of BH conditions, followed by Black, Hispanic, and Asian individuals, respectively. Asian individuals had the largest increase in BH rates, increasing 292%. White individuals had the smallest increase of 192%. The trend remained unchanged even after adjusting for age and Bateman comorbidity score, the trend remained unchanged.ConclusionsThe prevalence of diagnosed BH conditions among individuals in the perinatal and postpartum periods increased over time. As national efforts continue to work toward improving perinatal BH, solutions must incorporate the needs of diverse populations to avert preventable morbidity and mortality.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1345442/fullperinatal mental healthbehavioral healthracial disparitiesrates of mental health problemsmaternal mental healthSUD |
| spellingShingle | Dana C. Beck Karen Tabb Anca Tilea Ashlee J. Vance Stephanie Hall Amy Schroeder Kara Zivin Kara Zivin Kara Zivin Diagnosed behavioral health conditions during the perinatal period among a commercially insured population by race/ethnicity, 2008–2020 Frontiers in Public Health perinatal mental health behavioral health racial disparities rates of mental health problems maternal mental health SUD |
| title | Diagnosed behavioral health conditions during the perinatal period among a commercially insured population by race/ethnicity, 2008–2020 |
| title_full | Diagnosed behavioral health conditions during the perinatal period among a commercially insured population by race/ethnicity, 2008–2020 |
| title_fullStr | Diagnosed behavioral health conditions during the perinatal period among a commercially insured population by race/ethnicity, 2008–2020 |
| title_full_unstemmed | Diagnosed behavioral health conditions during the perinatal period among a commercially insured population by race/ethnicity, 2008–2020 |
| title_short | Diagnosed behavioral health conditions during the perinatal period among a commercially insured population by race/ethnicity, 2008–2020 |
| title_sort | diagnosed behavioral health conditions during the perinatal period among a commercially insured population by race ethnicity 2008 2020 |
| topic | perinatal mental health behavioral health racial disparities rates of mental health problems maternal mental health SUD |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1345442/full |
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