Maternal health needs and interest in screening for depression and health behaviors during pediatric visits.


Journal Article

INTRODUCTION: Our aims were to assess postpartum health care barriers; health status (including depression and health behaviors); missed opportunities to discuss maternal health at health visits; acceptability of maternal screening in pediatric settings; and association of these variables with income level and race/ethnicity. METHOD: A mail survey was used with names randomly drawn from birth files and balanced for race/ethnicity and income level. RESULTS: The adjusted response rate was 27.6%, with 41% reporting one or more health care barrier(s), 22% screening positive for depression, and 30% screening positive for alcohol abuse. Women of lower income were eight times more likely than those of higher income to have health care barriers (adjusted odds ratio = 8.15; 95% confidence interval: 3.60, 18.44). Missed discussions of postpartum depression or behavioral health during pediatric or other health care visits ranged from 26% to 79%. Acceptability of discussing topics, including depression, smoking, and alcohol use at pediatric care visits generally exceeded 85%. DISCUSSION: Postpartum women experienced income-associated barriers to health care and generally had favorable views about maternal screening in pediatric settings.

Full Text

Duke Authors

Cited Authors

  • Walker, LO; Im, E-O; Tyler, DO

Published Date

  • July 2013

Published In

Volume / Issue

  • 27 / 4

Start / End Page

  • 267 - 277

PubMed ID

  • 22240267

Pubmed Central ID

  • 22240267

Electronic International Standard Serial Number (EISSN)

  • 1532-656X

International Standard Serial Number (ISSN)

  • 0891-5245

Digital Object Identifier (DOI)

  • 10.1016/j.pedhc.2011.11.008


  • eng