SSM. Mental health最新文献

{"title":"Trauma-related experiences among people living with HIV in Zimbabwe: a qualitative study","authors":"Mia Akiba , Stephanie J. Lewis , Tsitsi Mawere , Alli Roshni , Karen Muchezana , Wilson Mutsvuke , Walter Mangezi , Conall O'Cleirigh , Sharli Paphitis , Nick Grey , Tarisai Bere , Melanie A. Abas","doi":"10.1016/j.ssmmh.2025.100583","DOIUrl":"10.1016/j.ssmmh.2025.100583","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100583"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online child sexual victimization and associated health risk behaviours and mental disorders: Findings from a national survey in Australia","authors":"Ben Mathews ,&nbsp;Kausar Parvin ,&nbsp;Kerryann Walsh ,&nbsp;David Finkelhor ,&nbsp;Daryl Higgins ,&nbsp;James G. Scott ,&nbsp;Sarah Napier ,&nbsp;Melanie Burton ,&nbsp;Mariesa Nicholas ,&nbsp;Jennie Noll ,&nbsp;Asher Flynn ,&nbsp;Andrea de Silva","doi":"10.1016/j.ssmmh.2025.100581","DOIUrl":"10.1016/j.ssmmh.2025.100581","url":null,"abstract":"<div><h3>Background</h3><div>Online child sexual victimization (OCSV) is increasingly prevalent, but little evidence exists about associated health outcomes. This study investigates whether two types of OCSV – nonconsensual sharing of sexual images, and sexual solicitation by an adult – are associated with health risk behaviours and mental disorders.</div></div><div><h3>Method</h3><div>This study analyzed data from the Australian Child Maltreatment Study (ACMS), a nationally representative cross-sectional survey. A sub-sample of 3500 Australians aged 16–24 years provided information about OCSV. Items from the National Adolescent Mental Health Surveys assessed non-suicidal self-injury, suicide attempt, and smoking. The MINI International Psychiatric Interview assessed generalized anxiety disorder (GAD); major depressive disorder (MDD), and alcohol use disorder (AUD). Logistic regression examined associations between online child sexual victimization and health risk behaviours and mental disorders.</div></div><div><h3>Results</h3><div>Experiencing nonconsensual sharing of sexual images was significantly associated with suicide attempt among all youth (OR = 1.45), self-harm among women (OR = 1.90) and all youth (OR = 1.94), smoking among women (OR = 1.86) and all youth (OR = 1.86), and MDD among men (OR = 1.92) and all youth (OR = 1.43). Online sexual solicitation was not significantly associated with health risk behaviours or mental disorders except for self-harm among all youth (OR = 1.45).</div></div><div><h3>Conclusion</h3><div>Nonconsensual sharing of sexual images is strongly associated with multiple adverse outcomes, especially health risk behaviours, and particularly among women. Future research could consider other adverse outcomes of online sexual solicitation by adults, such as distress, and behavioural outcomes. Findings can inform educational, health and legal policies and programs promoting safe technology use and addressing related health issues.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100581"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies for collaborative mental health care in post-conflict Tigray: A qualitative study","authors":"Kenfe Tesfay Berhe ,&nbsp;Paul Ward ,&nbsp;Lillian Mwanri ,&nbsp;Hailay Abrha Gesesew","doi":"10.1016/j.ssmmh.2026.100587","DOIUrl":"10.1016/j.ssmmh.2026.100587","url":null,"abstract":"<div><h3>Background</h3><div>There is a significant mental health service gap in Sub-Saharan Africa, with many people relying on traditional healers due to factors such as limited resources and conflict. While mental health collaborative care provision between traditional and biomedical providers is recommended, this recommendation lacks context-specific strategies for post-conflict Tigray. This study explores and identifies strategies for collaborative care provision for mental health services in the post-conflict setting of Tigray, Ethiopia.</div></div><div><h3>Methods</h3><div>In-depth interviews were conducted with 50 participants, including traditional healers, senior psychiatry clinicians, and their service users, in Tigray, Ethiopia. Participants were recruited through stakeholder contacts and the snowball method. Data were analysed using a thematic framework approach, with NVivo software assistance. The study adhered to the Consolidated Criteria for Reporting Qualitative Research(COREQ).</div></div><div><h3>Results</h3><div>Five themes emerged as strategies for collaborative mental health care between traditional and biomedical services in the post-conflict setting: (i) government and institutional support, (ii) joint training and knowledge exchange, (iii) patient-centred support, (iv) shared referral pathway, and (v) integrated intervention approach. The study highlights new insights for collaboration, such as reaching consensus on care provision despite differences in the causes of illness, involving traditional practitioners in humanitarian meetings, and implementing integration at holy water sites through trained volunteer counsellors.</div></div><div><h3>Conclusion</h3><div>These context-specific strategies for collaborative care may enhance mental health services in post-conflict. We recommend developing guidelines, formalising partnerships, encouraging dialogue, and prioritising the suggested strategies for effective implementation.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100587"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The price of shame: A scoping review examining the effects of shame on sexual and gender minority populations in the United States","authors":"Nicholas A. Carlisle ,&nbsp;Peyton Miller ,&nbsp;Gregory Pavela ,&nbsp;Ann Elizabeth Montgomery ,&nbsp;Gabe H. Miller ,&nbsp;Sonya L. Heath ,&nbsp;Peter S. Hendricks ,&nbsp;Sarah MacCarthy","doi":"10.1016/j.ssmmh.2026.100595","DOIUrl":"10.1016/j.ssmmh.2026.100595","url":null,"abstract":"<div><h3>Purpose</h3><div>Sexual and gender minority (SGM) people experience a higher prevalence of adverse health outcomes compared to their heterosexual and cisgender counterparts due, in part, to shame related to sexual orientation and gender identity. The purpose of this scoping review was to identify and synthesize empirical evidence of the effects of shame on SGM populations in the United States.</div></div><div><h3>Methods</h3><div>Following PRISMA-ScR guidelines, we systematically searched for studies that were (1) peer-reviewed; (2) original research; (3) written in English; (4) quantitatively measuring shame; (5) among groups identifying as sexual minority, gender minority, or both; (6) within the United States.</div></div><div><h3>Results</h3><div>We identified 22 studies meeting inclusion criteria, most of which were cross-sectional and focused on sexual minority men. Across studies, shame was consistently associated with exposure to distal and proximal stressors, general psychological processes (e.g., affective, social, and cognitive), health-compromising behaviors (e.g., substance use, sexual compulsivity), and adverse health outcomes. Notably, few studies focused on gender minority individuals, and subgroup or intersectional analyses were uncommon.</div></div><div><h3>Conclusion</h3><div>The literature supports shame as an important correlate of health-related outcomes among SGM populations, but is limited by cross-sectional designs, heterogenous measurement approaches, and limited attention to subgroup differences. Future research should prioritize longitudinal and mechanistic studies, improve measurement harmonization, and evaluate established shame-reduction approaches with SGM-affirming adaptations and scalable delivery strategies to improve reach and advance health equity.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100595"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relief from stress via social protection in Senegal (RESTORE): Study protocol for a pilot feasibility cluster-randomized controlled trial of self-help plus (SH+) mental health intervention in Senegal","authors":"Nakawala Lufumpa ,&nbsp;Anne Hilger ,&nbsp;Anna Shaw ,&nbsp;Gracya Rudiman ,&nbsp;Ellen Moscoe ,&nbsp;Laure Experton ,&nbsp;Brandon A. Kohrt ,&nbsp;Odyssia Ng ,&nbsp;Syed Shabab Wahid","doi":"10.1016/j.ssmmh.2025.100577","DOIUrl":"10.1016/j.ssmmh.2025.100577","url":null,"abstract":"<div><h3>Background</h3><div>Despite the growing prevalence of mental health disorders in low- and middle-income countries (LMICs), significant barriers to seeking and accessing mental health services persist. Within lower-income populations, the prevalence of mental health disorders and barriers to addressing them are worsened by poverty. Self-Help Plus (SH+) is a group-based stress management program delivered using a task-sharing model and designed to circumvent barriers to addressing mental health concerns. Cultural adaptations of SH + have been implemented in several LMICs and are considered cost-effective. However, to date, SH + has not been adapted for Senegalese populations. The study detailed in this manuscript aims to assess the feasibility and acceptability of SH+ in lower-income populations in Senegal.</div></div><div><h3>Methods</h3><div>The RESTORE study is a pilot feasibility cluster-randomized controlled trial of SH+ in four Senegalese communities. Clusters of adults in social protection program beneficiary households will be randomly selected to receive five sessions of SH+. The intervention will be delivered in groups of up to 30 beneficiaries and co-facilitated by two community workers. A combination of quantitative and qualitative research methods will be used to assess the feasibility and acceptability of both the SH + intervention and randomized controlled trial procedures. The main clinical outcome for the study is general psychological well-being measured by the General Health Questionnaire-12 (GHQ-12). The study sample will include adults from social protection program beneficiary households in the treatment and control groups, SH + facilitators, and the intervention supervisor.</div></div><div><h3>Discussion</h3><div>The findings of this study will be used to inform the potential integration of SH+ and/or similar mental health interventions into the national social protection program in Senegal.</div></div><div><h3>Trial registration</h3><div>This study is registered through ClinicalTrials.gov: <span><span>NCT06698471</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100577"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond belief: understanding contexts for help-seeking for severe mental illness in urban slum communities in Dhaka, Bangladesh and Ibadan, Nigeria","authors":"Ursula M. Read ,&nbsp;Bulbul Siddiqi ,&nbsp;Kafayat Aminu ,&nbsp;Adeola Afolayan ,&nbsp;Md Tahsinul Haque ,&nbsp;Ashrafuzzaman Khan ,&nbsp;Nadia Alam ,&nbsp;Srividya N. Iyer ,&nbsp;Obafemi Jegede ,&nbsp;Akinyinka Omigbodun ,&nbsp;Olayinka Omigbodun ,&nbsp;Tanjir Rashid Soron ,&nbsp;Sagar Jilka ,&nbsp;Swaran P. Singh","doi":"10.1016/j.ssmmh.2025.100575","DOIUrl":"10.1016/j.ssmmh.2025.100575","url":null,"abstract":"<div><div>Research on help-seeking for serious mental illness (SMI) has often focused on the influence of cultural beliefs and explanatory models however a number of factors also influence decisions around treatment including availability, cost and quality of care. This study utilises an ecological framework to explore influences on help-seeking for serious mental illness in deprived urban slum communities in Ibadan, Nigeria and Dhaka, Bangladesh. Interviews and observation were conducted with family caregivers and people with lived experience of SMI. Although in both settings some participants speculated on the role of spiritual agents they also expressed uncertainty around the causes of SMI. Families commonly sought help from both biomedical practitioners and traditional and faith healers Help-seeking was embedded within complex ecologies of care, informed by considerations of quality, efficacy and cost, as much as beliefs. The complexity of influences on help-seeking and dissatisfaction with health services as well as healers suggests that a contextually informed, multi-component approach is needed which addresses health system weaknesses and affordability as well as accessibility.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100575"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The growing divide: Income inequities in access to mental healthcare in Australia","authors":"Nicole Black,&nbsp;Danusha Jayawardana,&nbsp;David W. Johnston,&nbsp;Trong-Anh Trinh","doi":"10.1016/j.ssmmh.2025.100580","DOIUrl":"10.1016/j.ssmmh.2025.100580","url":null,"abstract":"<div><div>Rising out-of-pocket costs for psychotherapy in Australia have heightened concerns about financial barriers to mental healthcare, particularly for lower-income households, who disproportionately experience psychological distress. Using nation-wide linked administrative records of income and healthcare use, we estimate the magnitude of income-related inequity in psychotherapy use among 5.4 million individuals diagnosed with a mental health condition, and examine how such inequity has evolved over the decade from 2014 to 2023. Our findings show that income-related inequity is substantial, consistently higher among children than among adults, and has nearly doubled over the decade. By 2023, only 32% of low-income children and 40% of low-income adults accessed psychotherapy within three months of receiving a mental health treatment plan, compared with 55% among both high-income children and adults. We rule out changes in complexity of mental health disorders and the introduction of telehealth services as key drivers. We find no discernible difference by gender or age subgroups. Examination of antidepressant use reveals a growing gap in the opposite direction, with lower-income individuals increasingly reliant on medication without psychotherapy, relative to higher-income individuals. This suggests a shift towards lower-cost treatment pathways among disadvantaged groups. Our findings highlight the need for policies to address the increasing costs and other barriers to accessing psychotherapy, especially for lower-income households.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100580"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What comes to mind when you hear the term ‘trauma’? A qualitative study of social representations of trauma in Ireland","authors":"Cliodhna Cadogan ,&nbsp;Helene Joffe ,&nbsp;Kylo Fleischer ,&nbsp;Cliodhna O'Connor","doi":"10.1016/j.ssmmh.2026.100592","DOIUrl":"10.1016/j.ssmmh.2026.100592","url":null,"abstract":"<div><div>Psychological trauma is an increasingly prominent construct in contemporary culture, invoked across diverse contexts of policy, practice, and public discourse. However, little is known about how laypeople conceptualise trauma in everyday life. This qualitative study explored social representations of trauma among residents of the Republic of Ireland. Twenty participants completed interviews that elaborated their associations with the term ‘trauma’. Thematic analysis identified three overarching themes, which represented trauma as (a) an individual journey, (b) a byproduct of social ills, and (c) a cultural construct. More specifically, participants viewed trauma as highly subjective, shaped by individual differences in experiences, responses and outcomes. In parallel, trauma was linked to societal-level phenomena such as war and violence, with social support positioned as key to coping and recovery. Participants were highly sensitive to the growing cultural prominence and widening uses of trauma and expressed ambivalence regarding this trend, welcoming trauma's de-stigmatisation but deploring its potential trivialisation. These findings offer original insights into how trauma is understood beyond clinical settings, informing responsible uses of the concept and ongoing debates about its cultural significance.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100592"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the role of intersectional identity constructs on psychological well-being of Latino men who have sex with men (LMSM) in San Diego, California: A cross-sectional analysis of the NEXUS study","authors":"Angel B. Algarin ,&nbsp;Eileen V. Pitpitan ,&nbsp;Renee El Krab ,&nbsp;Nicole K. Kelly ,&nbsp;Maryam Hussain ,&nbsp;Carl Latkin ,&nbsp;Britt Skaathun ,&nbsp;Heather A. Pines ,&nbsp;Aaron Gutierrez ,&nbsp;Francisco Soto ,&nbsp;Ricardo Vazquez Jr. ,&nbsp;Juan Esparza ,&nbsp;Malek Guerbaoui ,&nbsp;Beth Davenport ,&nbsp;Veronica Moore ,&nbsp;Laramie R. Smith","doi":"10.1016/j.ssmmh.2025.100576","DOIUrl":"10.1016/j.ssmmh.2025.100576","url":null,"abstract":"<div><h3>Background</h3><div>Latino men who have sex with men (LMSM) experience substantial mental health inequities, partly due to intersectional stigma related to their Latino, masculine (i.e., conceptualized as a spectrum of gendered expectations, where both endorsement and non-endorsement of traditional masculine norms shape experience), and sexual identities. While prior research has examined identity valence (e.g., internalized stigma, pride) and magnitude (e.g., centrality, salience), little is known about how these constructs jointly influence mental health from an intersectional lens. This study explores the impact of intersectional identity constructs on psychological well-being among LMSM in San Diego, California.</div></div><div><h3>Methods</h3><div>We analyzed baseline data from 503 participants enrolled in the NEXUS study, a longitudinal cohort investigating intersectional stigma and HIV prevention using social network methods. Participants reported on identity centrality, salience, internalized stigma, and pride across Latino, masculine, and sexual identities. Mental health outcomes included depression (CESD-10), anxiety (GAD-7), and resilience (CD-RISC-10). Structural equation modeling assessed a measurement model of latent intersectional identity constructs and their associations with psychological well-being.</div></div><div><h3>Results</h3><div>Higher intersectional internalized stigma and identity salience were associated with greater depression (β = 0.33, p &lt; 0.001; β = 0.25, p &lt; 0.001) and anxiety (β = 0.33, p &lt; 0.001; β = 0.22, p &lt; 0.001). Identity centrality was negatively associated with depression (β = −0.14, p = 0.037). Pride was positively associated with resilience (β = 0.16, p = 0.038), while internalized stigma was negatively associated (β = −0.25, p = 0.001).</div></div><div><h3>Conclusions</h3><div>Intersectional internalized stigma and identity salience may harm mental health, while centrality and pride show protective effects. Findings highlight the importance of intersectional frameworks in mental health care for LMSM.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100576"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of medical mistrust in racial and ethnic inequities in postpartum mental health care","authors":"Sarah C. Haight ,&nbsp;Jamie R. Daw ,&nbsp;Brian W. Pence ,&nbsp;Jaime Slaughter-Acey ,&nbsp;Chantel L. Martin ,&nbsp;Sarah Verbiest ,&nbsp;Joanna Maselko","doi":"10.1016/j.ssmmh.2026.100588","DOIUrl":"10.1016/j.ssmmh.2026.100588","url":null,"abstract":"<div><h3>Purpose</h3><div>Among a sample of people with postpartum depressive symptoms, we examine the relationship between medical mistrust and receipt of a perinatal mood and anxiety disorder (PMAD) diagnosis and postpartum mental health care by race and ethnicity.</div></div><div><h3>Methods</h3><div>Data are from the 2020 Postpartum Assessment of Health Survey administered at 12–14 mo postpartum across 7 US jurisdictions. The analytical sample included 454 respondents with a positive screen on the Patient Health Questionnaire-2. Self-reported measures included: medical mistrust (measured with the Group-Based Medical Mistrust Scale), PMAD diagnosis by a provider, postpartum mental health care, and race and ethnicity. Survey-weighted risk ratios (RR) were calculated for the relationship between a 1-unit increase in medical mistrust and PMAD diagnosis and care, overall and by race and ethnicity.</div></div><div><h3>Results</h3><div>Higher levels of medical mistrust were reported among individuals that were single, Black, Hispanic, had lower educational attainment, and public/no insurance. Increasing medical mistrust was associated with a moderately increased likelihood of PMAD diagnosis (RR: 1.2; 95 % CI: 0.8–1.0) and a reduced likelihood of receiving postpartum mental health care (RR: 0.9; 95 % CI: 0.8–1.1). The latter largely driven by the suspicion subscale (RR: 0.8; 95 % CI: 0.7–1.0). The relationship between medical mistrust and a reduced likelihood of care was strongest among Black postpartum people for both PMAD diagnosis (RR: 0.6; 95 % CI: 0.0–15.9) and care (RR: 0.9; 95 % CI: 0.4–2.3), though subgroup CIs overlapped.</div></div><div><h3>Conclusion</h3><div>Medical mistrust specifically related to knowledge of health disparities or feelings of suspicion may be related to racial and ethnic inequities in postpartum mental health care.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100588"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}