Medical Mistrust in Perinatal Mental Health
- PMID: 35849741
- DOI: 10.1097/HRP.0000000000000345
Medical Mistrust in Perinatal Mental Health
Abstract
Despite the advancement of telemedicine and recent innovations in treatment, minoritized women continue to bear a disproportionate burden of pregnancy-related psychiatric conditions and complications, which the pandemic has further exacerbated. Research demonstrates that medical mistrust and systemic racism play central roles in the underutilization of services by racially and ethnically diverse women during pregnancy and postpartum. To effectively address these disparities, it is imperative to understand the drivers of medical mistrust in perinatal health care systems. This Perspectives article describes the historical context of medical mistrust in psychiatric and obstetric health systems and offers solutions to mitigate mistrust and the impact of systemic racism on perinatal care.
Copyright © 2022 President and Fellows of Harvard College.
References
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- Tangel V, White RS, Nachamie AS, Pick JS. Racial and ethnic disparities in maternal outcomes and the disadvantage of peripartum Black women: a multistate analysis, 2007–2014. Am J Perinatol 2019;36:835–48.
-
- Masters GA, Asipenko E, Bergman AL, et al. Impact of the COVID-19 pandemic on mental health, access to care, and health disparities in the perinatal period. J Psychiatr Res 2021;137:126–30.
-
- Brown KM, Robinson GE, Nadelson CC, et al. Psychological impact of COVID-19 on minority women. J Nerv Ment Dis 2021;209:695–6.
-
- Sullivan MW, Kanbergs AN, Burdette ER, et al. Acceptability of virtual prenatal care: thinking beyond the pandemic. J Matern Fetal Neonatal Med 2021;23:1–4.
-
- Conteh N, Smith C, Davis C, et al. Racial disparities in perinatal mental health care during COVID-19. Curr Psychiatry 2022;21:9–14.
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