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Perinatal Behavioral Health, the COVID-19 Pandemic, and a Social Determinants of Health Framework
The United States has greater prevalence of mental illness and substance use disorders than other developed countries, and pregnant women are disproportionately affected. The current global COVID-19 pandemic, through the exacerbation of psychological distress, unevenly affects the vulnerable populat...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256336/ https://www.ncbi.nlm.nih.gov/pubmed/34146480 http://dx.doi.org/10.1016/j.jogn.2021.04.012 |
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author | Ruyak, Sharon L. Kivlighan, Katie T. |
author_facet | Ruyak, Sharon L. Kivlighan, Katie T. |
author_sort | Ruyak, Sharon L. |
collection | PubMed |
description | The United States has greater prevalence of mental illness and substance use disorders than other developed countries, and pregnant women are disproportionately affected. The current global COVID-19 pandemic, through the exacerbation of psychological distress, unevenly affects the vulnerable population of pregnant women. Social distancing measures and widespread closures of businesses secondary to COVID-19 are likely to continue for the foreseeable future and to further magnify psychosocial risk factors. We propose the use of a social determinants of health framework to integrate behavioral health considerations into prenatal care and to guide the implementation of universal and comprehensive psychosocial assessment in pregnancy. As the most numerous and well-trusted health care professionals, nurses are ideally positioned to influence program and policy decisions at the community and regional levels and to advocate for the full integration of psychosocial screening and behavioral health into prenatal and postpartum care as core components. |
format | Online Article Text |
id | pubmed-8256336 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-82563362021-07-06 Perinatal Behavioral Health, the COVID-19 Pandemic, and a Social Determinants of Health Framework Ruyak, Sharon L. Kivlighan, Katie T. J Obstet Gynecol Neonatal Nurs Critical Commentary The United States has greater prevalence of mental illness and substance use disorders than other developed countries, and pregnant women are disproportionately affected. The current global COVID-19 pandemic, through the exacerbation of psychological distress, unevenly affects the vulnerable population of pregnant women. Social distancing measures and widespread closures of businesses secondary to COVID-19 are likely to continue for the foreseeable future and to further magnify psychosocial risk factors. We propose the use of a social determinants of health framework to integrate behavioral health considerations into prenatal care and to guide the implementation of universal and comprehensive psychosocial assessment in pregnancy. As the most numerous and well-trusted health care professionals, nurses are ideally positioned to influence program and policy decisions at the community and regional levels and to advocate for the full integration of psychosocial screening and behavioral health into prenatal and postpartum care as core components. Elsevier 2021-09 2021-06-16 /pmc/articles/PMC8256336/ /pubmed/34146480 http://dx.doi.org/10.1016/j.jogn.2021.04.012 Text en . Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Critical Commentary Ruyak, Sharon L. Kivlighan, Katie T. Perinatal Behavioral Health, the COVID-19 Pandemic, and a Social Determinants of Health Framework |
title | Perinatal Behavioral Health, the COVID-19 Pandemic, and a Social Determinants of Health Framework |
title_full | Perinatal Behavioral Health, the COVID-19 Pandemic, and a Social Determinants of Health Framework |
title_fullStr | Perinatal Behavioral Health, the COVID-19 Pandemic, and a Social Determinants of Health Framework |
title_full_unstemmed | Perinatal Behavioral Health, the COVID-19 Pandemic, and a Social Determinants of Health Framework |
title_short | Perinatal Behavioral Health, the COVID-19 Pandemic, and a Social Determinants of Health Framework |
title_sort | perinatal behavioral health, the covid-19 pandemic, and a social determinants of health framework |
topic | Critical Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256336/ https://www.ncbi.nlm.nih.gov/pubmed/34146480 http://dx.doi.org/10.1016/j.jogn.2021.04.012 |
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