Examining the Relationship Between Screening for Postpartum Depression and Associated Child Health Service Utilization and Costs: A Study Using the All Our Families Cohort and Administrative Data.
Introduction: Despite a recognized association between maternal postpartum depression (PPD) and adverse child health outcomes, evidence examining the relationship between PPD symptoms and associated child health service utilization and costs remains unclear. In addition, there is a paucity of eviden...
| Published in: | Maternal & Child Health Journal Vol. 28; no. 3; pp. 567 - 578 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
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Springer Nature
Mar2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175846866&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175846866 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Mar2024 vid: 28 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 175846866 173486928 175846866 175846866 10.1007/s10995-023-03831-0 175846866 ppf: 567 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Examining the Relationship Between Screening for Postpartum Depression and Associated Child Health Service Utilization and Costs: A Study Using the All Our Families Cohort and Administrative Data. aug: au: Premji, Shainur McNeil, Deborah Ann Santana, Maria Jose Spackman, Eldon affil: https://ror.org/03yjb2x39 Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada sug: subj: Depression, Postpartum Complications Mothers Psychosocial Factors Child Health Services Utilization Health Resource Utilization Economics Child Health Services Economics Health Care Costs Evaluation Human Female Male Infant, Newborn Infant Child, Preschool Adult Alberta Secondary Analysis Age Factors Descriptive Statistics Confidence Intervals Cost Effectiveness Analysis Bivariate Statistics Data Analysis Software Income Birth Weight Length of Stay Outpatient Service Utilization Pregnancy Complications Pregnancy Jaundice, Neonatal Infant, Premature Respiratory Failure Neonatal Assessment Respiratory Tract Infections Funding Source Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years Adult: 19-44 years Female Male ab: Introduction: Despite a recognized association between maternal postpartum depression (PPD) and adverse child health outcomes, evidence examining the relationship between PPD symptoms and associated child health service utilization and costs remains unclear. In addition, there is a paucity of evidence describing the relationship between early identification of maternal PPD and associated health service utilization and costs for children. This study aims to address this gap by describing the secondary associations of screening for maternal PPD and annual health service utilization and costs for children over their first five years of life. Methods: Mothers and children enrolled in the prospective All Our Families cohort were linked to provincial administrative data in Alberta, Canada. Multivariable generalized linear models were used to estimate the average annual inpatient, outpatient, physician, and total health service utilization and costs from a public health system perspective for children of mothers screened high risk for PPD, low/moderate risk for PPD, or unscreened. Results: Total mean costs were greatest for children during their first year of life than other years. Those whose mothers were not screened had significantly lower costs compared to those whose mothers were screened low/moderate risk, despite equivalent health service utilization. Discussion: Findings from this study describe the secondary associations of screening for maternal PPD using a public health system perspective. More research is required to fully understand variations in health costs for children across maternal PPD screening categories. Significance: This study describes the relationship between maternal PPD screening status and annual child health service utilization and costs over the first five years of age. Findings from this administrative data study will support decision-makers in understanding the secondary effects associated with maternal PPD screening and inform future cost-effectiveness analyses of PPD screening interventions using a maternal-child health perspective. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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