Preferences for Mental Health Screening Among Pregnant Women: A Cross-Sectional Study

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• 作者：Dawn E. Kingston ; PhD¹ ; ^{dawn.kingston@ualberta.ca" class="auth_mail" title="E-mail the corresponding author} ; Anne Biringer ; MD ; CCFP² ; ³ ; Sheila W. McDonald ; PhD⁴ ; Maureen I. Heaman ; PhD⁵ ; Gerri C. Lasiuk ; PhD⁶ ; Kathy M. Hegadoren ; PhD⁶ ; Sarah D. McDonald ; MD⁷ ; ⁸ ; Sander Veldhuyzen van Zanten ; MD ; PhD⁹ ; Wendy Sword ; PhD⁸ ; Joshua J. Kingston⁶ ; Karly M. Jarema⁶ ; Lydia Vermeyden ; MSc⁶ ; Marie-Paule Austin ; MD ; MBBS¹⁰
• 刊名：American Journal of Preventive Medicine
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：49
• 期：4
• 页码：e35-e43
• 全文大小：174 K

文摘

The process of mental health screening can influence disclosure, uptake of referral, and treatment; however, no studies have explored pregnant women’s views of methods of mental health screening. The objectives of this study are to determine pregnant women’s comfort and preferences regarding mental health screening.

Methods

Pregnant women were recruited (May–December 2013) for this cross-sectional descriptive survey from prenatal classes and maternity clinics in Alberta, Canada, if they were aged >16 years and spoke/read English. Descriptive statistics summarized acceptability of screening, and multivariable logistic regression identified factors associated with women’s comfort with screening methods. Analysis was conducted in January–December 2014.

Results

The participation rate was 92% (N=460/500). Overall, 97.6% of women reported that they were very (74.8%) or somewhat (22.8%) comfortable with mental health screening in pregnancy. Women were most comfortable with completing paper- (>90%) and computer-based (>82%) screening in a clinic or at home, with fewest reporting comfort with telephone-based screening (62%). The majority of women were very/somewhat comfortable with provider-initiated (97.4%) versus self-initiated (68.7%) approaches. Women’s ability to be honest with their provider about emotional health was most strongly associated with comfort with each method of screening.

Conclusions

The majority of pregnant women viewed prenatal mental health screening favorably and were comfortable with a variety of screening methods. These findings provide evidence of high acceptability of screening—a key criterion for implementation of universal screening—and suggest that providers can select from a variety of screening methods best suited for their clinical setting.