It's the kind of glaring oversight that Rajesh Balkrishnan, associate professor at the University of Michigan College of Pharmacy, said he finds all the time in his research on health disparities. Balkrishnan also has an appointment in the School of Public Health.
"We find that many of these things are such common sense that they should already be in place and being done," said Balkrishnan. "Yet, time and again, we find nothing is being done, though these problems exist."
In a recent paper, Balkrishnan and co-authors found that roughly 28 percent of the low-income, HIV-positive pregnant women reported depression. The numbers could be much higher because the study only captured the women who were being treated for depression.
About 20 percent of the 431 African-American women and 43 percent of the 219 white women in the study reported depression. However, the incidence of depression could be higher for African-American women—twice as many of whom are on Medicaid and pregnant compared to whites, Balkrishnan said.
Previous studies have shown that African-American women are less likely to seek treatment or report depressive symptoms in the first place; are more likely to report physician stereotyping and sometimes a general mistrust of physicians and the medical community; and do not receive the same quality of care as white women.
This means if they do report depression, they may not be taken seriously or receive the best treatments, Balkrishnan said. Physicians also have reported feeling undertrained to communicate with African-American and nonwhite women about depression.
"Because African-American women are less likely to seek treatment for their depression, it makes it even more of an issue," Balkrishnan said. "Basically, the takeaway is that depression is very common in this very vulnerable population. I think we need to make sure depression is screened and treated in this population."
Left untreated, depression can lead to suicide or substance abuse that could harm the mother or the fetus, or both.
e paper, "Racial Differences in Perinatal Depression among HIV-Infected Women," appears online in the journal Health Outcomes Research in Medicine.
Rajesh Balkrishnan: http://sitemaker.umich.edu/rajesh.balkrishnan/home
College of Pharmacy: http://pharmacy.umich.edu/pharmacy/home
School of Public Health: http://www.sph.umich.edu
Laura Bailey | EurekAlert!
How prenatal maternal infections may affect genetic factors in Autism spectrum disorder
22.03.2017 | University of California - San Diego
22.03.2017 | Empa - Eidgenössische Materialprüfungs- und Forschungsanstalt
Astronomers from Bonn and Tautenburg in Thuringia (Germany) used the 100-m radio telescope at Effelsberg to observe several galaxy clusters. At the edges of these large accumulations of dark matter, stellar systems (galaxies), hot gas, and charged particles, they found magnetic fields that are exceptionally ordered over distances of many million light years. This makes them the most extended magnetic fields in the universe known so far.
The results will be published on March 22 in the journal „Astronomy & Astrophysics“.
Galaxy clusters are the largest gravitationally bound structures in the universe. With a typical extent of about 10 million light years, i.e. 100 times the...
Researchers at the Goethe University Frankfurt, together with partners from the University of Tübingen in Germany and Queen Mary University as well as Francis Crick Institute from London (UK) have developed a novel technology to decipher the secret ubiquitin code.
Ubiquitin is a small protein that can be linked to other cellular proteins, thereby controlling and modulating their functions. The attachment occurs in many...
In the eternal search for next generation high-efficiency solar cells and LEDs, scientists at Los Alamos National Laboratory and their partners are creating...
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are less stable. Now researchers at the Technical University of Munich (TUM) have, for the first time ever, produced a composite material combining silicon nanosheets and a polymer that is both UV-resistant and easy to process. This brings the scientists a significant step closer to industrial applications like flexible displays and photosensors.
Silicon nanosheets are thin, two-dimensional layers with exceptional optoelectronic properties very similar to those of graphene. Albeit, the nanosheets are...
Enzymes behave differently in a test tube compared with the molecular scrum of a living cell. Chemists from the University of Basel have now been able to simulate these confined natural conditions in artificial vesicles for the first time. As reported in the academic journal Small, the results are offering better insight into the development of nanoreactors and artificial organelles.
Enzymes behave differently in a test tube compared with the molecular scrum of a living cell. Chemists from the University of Basel have now been able to...
20.03.2017 | Event News
14.03.2017 | Event News
07.03.2017 | Event News
22.03.2017 | Materials Sciences
22.03.2017 | Physics and Astronomy
22.03.2017 | Materials Sciences