The objective of the study was to estimate associations between the index of concentration at the extremes (ICE) -a proxy for anti-Black structural racism- and hospital-reported perinatal mental disorders (PMD). Findings reveal a complex association between racialized economic segregation and hospital-reported PMD. Living in structurally deprived neighborhoods might reflect underdiagnosis for minoritized populations or confer protection, while white counterparts can more readily access mental healthcare elsewhere. Further research may help inform place-based interventions aimed at improving perinatal mental health outcomes.
https://pubmed.ncbi.nlm.nih.gov/40544755/
References
Adkins-Jackson et al., Measuring structural racism: a guide for epidemiologists and other health researchers
Am. J. Epidemiol., 191 (4) (2022), pp. 539-547.M. Alegría, K.M. Molina, C.N. Chen. Neighborhood characteristics and differential risk for depressive and anxiety disorders across racial/ethnic groups in the United States. Depress. Anxiety, 31 (1) (2014), pp. 27-37
M. Groos, M.E. Wallace, R.R. Hardeman, K.P. Theall. Measuring inequity: a systematic review of methods used to quantify structural racism. J. Health Dispar. Res. Pract., 11 (2018), p. 13
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