TABLE 2.
Risk ratios of mental healthcare utilization by race and ethnicity, <37 weeks
| Variables | No mental healthcare utilization within 1 y postpartum | Mental health-related ED visit w/in 3 mo postpartum | Mental health-related ED visit w/in 1 y postpartum | Mental health-related hospitalization within 3 mo postpartum | Mental health-related hospitalization within 1 y postpartum | |
|---|---|---|---|---|---|---|
| Sample | 202,245 | 1089 | 1982 | 365 | 836 | |
| Race and ethnicity | ||||||
| Hispanic | n (%) | 103,504(51.1) | 479 (44.0) | 909 (45.9) | 145(38.7) | 337 (40.3) |
| Model 1 RR (95% CI) | 0.6 (0.6–0.7)a | 0.7 (0.7—0.8)a | 0.6 (0.4—0.7)a | 0.6 (0.5—0.7)a | ||
| Model 2 RR (95% CI) | 0.7 (0.6–0.9)a | 0.8 (0.7—0.9)a | 0.7 (0.5—0.9)a | 0.7 (0.6—0.8)a | ||
| Model 3 RR (95% CI) | 0.9 (0.7–1.0) | 0.9 (0.8—1.0) | 0.8 (0.6—1.1) | 0.8 (0.7—1.0)a | ||
| Black | n (%) | 14,524(7.2) | 179 (16.4) | 309 (15.6) | 69 (18.9) | 151 (18.1) |
| Model 1 RR (95% CI) | 1.7 (1.4—2.0)a | 1.8 (1.5—2.0)a | 1.9 (1.4—2.6)a | 1.9 (1.5—2.3)a | ||
| Model 2 RR (95% CI) | 1.2 (1.0—1.5)a | 1.3 (1.1 —1.5)a | 1.4 (1.0—1.9) | 1.3 (1.1—1.6)a | ||
| Model 3 RR (95% CI) | 1.2 (1.0—1.5)a | 1.2 (1.0—1.5)a | 1.4 (1.0—1.9) | 1.3 (1.1—1.6)a | ||
| Asian | n (%) | 28,615(14.1) | 37 (3.4) | 73 (3.7) | 16(4.4) | 28 (3.4) |
| Model 1 RR (95% CI) | 0.2 (0.1 —0.3)a | 0.2 (0.2—0.3)a | 0.2 (0.1 —0.4)a | 0.2 (0.1 —0.3)a | ||
| Model 2 RR (95% CI) | 0.3 (0.2—0.4)a | 0.3 (0.3—0.4)a | 0.4 (0.2—0.7)a | 0.3 (0.2—0.4)a | ||
| Model 3 RR (95% CI) | 0.4 (0.3—0.6)a | 0.4 (0.3—0.5)a | 0.6 (0.3—1.0)a | 0.4 (0.2—0.6)a | ||
| Other | n (%) | 11,022 (5.4) | 72 (6.6) | 152(7.7) | 26(7.1) | 72 (8.6) |
| Model 1 RR (95% CI) | 0.9 (0.7—1.2) | 1.1 (1.0—1.4) | 1.0 (0.6—1.5) | 1.2 (0.9—1.5) | ||
| Model 2 RR (95% CI) | 0.8 (0.6—1.0)a | 1.0 (0.8—1.2) | 0.8 (0.5—1.2) | 1.0 (0.8—1.3) | ||
| Model 3 RR (95% CI) | 0.8 (0.6—1.0) | 1.0 (0.8—1.2) | 0.8 (0.5—1.3) | 1.0 (0.8—1.3) | ||
| White non-Hispanic (reference) | n (%) | 44,789 (22.1) | 322 (29.6) | 539 (27.2) | 109 (29.9) | 248 (29.7) |
Model 1: unadjusted.
Model 2 adjusted for: Maternal age a term, parity, previous preterm birth, BMI, smoking during pregnancy, drug/alcohol abuse during. pregnancy, hypertension, diabetes, adequate prenatal care, gestational age (continuous), birthweight for GA, infant death, payer for delivery.
Model 3 adjusted for: prior mental health diagnosis in addition to model 2 variables.
BMI, body mass index; Cl, confidence interval; ED, emergency department; GA, gestational age; RR, relative risk..
a
Statistical significance P<.05..
Karvonen. Disparities in emergency mental healthcare use after preterm birth. Am J Obstet Gynecol MFM 2021.