Evidence mapPaperPMID 39565621Full record

ArticleJAMA network open2024

Trends in Postpartum Depression by Race, Ethnicity, and Prepregnancy Body Mass Index.

Nehaa Khadka, Michael J Fassett, Yinka Oyelese, Nana A Mensah, Vicki Y Chiu, Meiyu Yeh, Morgan R Peltier, Darios Getahun

Abstract read
In one paragraph

Article in JAMA network open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Community Navigation: Iterative Development and Implementation of a Prenatal Psychosocial System of Care.Prevention science : the official journal of the Society for Prevention Research · 2026
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  15. Experiences of NICU healthcare workers serving a high-risk population in a border community in Hidalgo County, Texas.Journal of perinatology : official journal of the California Perinatal Association · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nehaa KhadkaDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena.
Michael J FassettObstetrics and Gynecology, Kaiser Permanente, Los Angeles, California.
Yinka OyeleseDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Nana A MensahDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena.
Vicki Y ChiuDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena.
Meiyu YehDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena.
Morgan R PeltierDepartment of Psychiatry and Behavioral Health, Jersey Shore University Medical Center, Neptune, New Jersey.
Darios GetahunDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Postpartum depression (PPD) poses significant risks to maternal and child health. Understanding temporal trends is crucial for evaluating prevalence and identifying populations at risk. Objective: To evaluate recent trends in PPD and assess how these trends are associated with race, ethnicity, and prepregnancy body mass index (BMI). Design, Setting, and Participants: A serial, cross-sectional analysis using data from the Kaiser Permanente Southern California (KPSC) electronic health records (EHRs), with live and stillbirths at 20 or more weeks of gestation who were KPSC members at the time of delivery between 2010 and 2021. Data were analyzed from July 2022 to August 2023. Exposures: Self-reported race, ethnicity, and recorded prepregnancy BMI. Main outcome measures: PPD cases were identified using validated diagnostic codes and prescription records within 12 months postpartum in the KPSC EHRs. Patients with an Edinburgh Postnatal Depression Scale score of 10 or more within 6 months postpartum were further evaluated by a mental health specialist for formal PPD diagnosis. Results: In this study of 442 308 pregnancies, the median (IQR) maternal age at delivery was 31 (27-34) years. The cohort was racially and ethnically diverse, with 62 860 individuals (14.2%) identifying as Asian/Pacific Islander, 231 837 (52.4%) as Hispanic, 33 207 (7.5%) as non-Hispanic Black, 108 201 (24.5%) as non-Hispanic White, 5903 (1.3%) as multiple or other, and 300 (0.1%) unknown. PPD prevalence doubled over the study period, increasing from 9.4% in 2010 to 19.0% in 2021. The largest increases were observed among Asian and Pacific Islander participants (280% increase) and non-Hispanic Black participants (140% increase). PPD rates increased across all BMI categories, particularly among individuals with obesity (class I) and morbid obesity (class II/III). Conclusions and Relevance: In this cross-sectional study, PPD diagnosis increased significantly across all racial and ethnic groups and BMI categories over the past decade. While rising PPD may reflect improved screening and diagnosis practices, the persistently high rates highlight the need to develop and implement interventions to prevent the condition while expanding efforts to mitigate the impact of PPD on maternal and child health.

Indexed as

Body Mass IndexDepression, PostpartumEthnicityAdultCaliforniaCross-Sectional StudiesFemaleHumansPregnancyPrevalenceRacial Groups

Identifiers

PMID39565621
PMCPMC11579791

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.