Table 2 Perinatal mood and anxiety disorder diagnosis study cohort characteristics by affordable care act implementation timepoint (n = 26,551)a
Pre-ACA | Post-ACA | Overall | ||
|---|---|---|---|---|
1/1/12–12/31/14 | 1/1/15 − 12/31/18 | 1/1/12–12/31/18 | ||
(n = 6443) | (n = 20,108) | (n = 26,551) | ||
Variable | No. (%) | No. (%) | No. (%) | P-value |
Any Treatment Rate | ||||
Treatment | 5240 (81.3%) | 16,175 (80.4%) | 21,415 (80.7%) | 0.291 |
No Treatment | 1203 (18.7%) | 3933 (19.6%) | 5136 (19.3%) | |
Prescription Medication Rate | ||||
Prescription Medication | 4555 (70.7%) | 13,750 (68.4%) | 18,305 (68.9%) | 0.002** |
No Prescription Medication | 1888 (29.3%) | 6358 (31.6%) | 8246 (31.1%) | |
Psychotherapy Rate | ||||
Psychotherapy | 2058 (31.9%) | 7091 (35.3%) | 9149 (34.5%) | < 0.001*** |
No Psychotherapy | 4385 (68.1%) | 13,017 (64.7%) | 17,402 (65.5%) | |
Age at delivery (years) | ||||
< 26 years | 2901 (45.0%) | 7957 (39.6%) | 10,858 (40.9%) | < 0.001*** |
≥ 26 years | 3542 (55.0%) | 12,151 (60.4%) | 15,693 (59.1%) | |
Race/ethnicity | ||||
White | 4889 (75.9%) | 14,763 (73.4%) | 19,652 (74.0%) | < 0.001*** |
Non-white/Unknown | 1554 (24.1%) | 5345 (26.6%) | 6899 (26.0%) | |
OBCMI Score | ||||
OBCMI score ≤ 2 | 5084 (78.9%) | 14,416 (71.7%) | 19,500 (73.4%) | < 0.001*** |
OBCMI score > 2 | 1359 (21.1%) | 5692 (28.3%) | 7051 (26.6%) |