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Racial and ethnic disparities in access to community-based perinatal mental health programs: results from a

Slawa Rokicki1,2, Mitu Patel3, Patricia D Suplee4

  • 1Department of Health Behavior, Society, and Policy, Rutgers School of Public Health, Piscataway, NJ, USA. slawa.rokicki@rutgers.edu.

BMC Public Health
|April 20, 2024
PubMed

Insights

Racial and ethnic minorities face significant disparities in accessing community perinatal mental health programs. Addressing barriers like stigma and lack of language options is crucial for equitable care.

Area of Science:

  • Public Health
  • Perinatal Mental Health
  • Health Equity

Background:

  • Perinatal mental health issues disproportionately impact racial and ethnic minority groups.
  • Community-based programs, like peer support, are vital for perinatal depression prevention and treatment.
  • Existing research lacks understanding of racial and ethnic disparities in accessing these community programs.

Purpose of the Study:

  • To investigate racial and ethnic disparities in the accessibility and utilization of community-based perinatal mental health programs.
  • To identify barriers faced by minority groups in accessing these services.
  • To inform strategies for improving equitable access.

Main Methods:

  • Cross-sectional study utilizing an online survey.
  • Survey distributed to administrators of perinatal mental health programs in New Jersey.
  • Data analyzed using descriptive statistics and mapping software.

Main Results:

  • Substantial racial and ethnic disparities observed in program availability and utilization.
  • Black, Hispanic, and Asian individuals represented less than 10% of participants and facilitators in most programs.
  • Geographic disparities in accessibility and language services were identified, with stigma and social determinants cited as key barriers.

Conclusions:

  • New evidence highlights significant racial and ethnic inequities in access to community perinatal mental health programs.
  • Addressing identified barriers and increasing program diversity are critical for reducing these disparities.
  • Capacity building for community programs is essential to identify and close equity gaps.
Abstract

Keywords:
Access to careCommunity-based interventionsMaternal healthPeer support groupsPerinatal depressionRacial disparities

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