{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T11:09:31Z","timestamp":1790161771743,"version":"4.1.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Distinctive stressors facing pregnant and postpartum individuals during the COVID-19 pandemic may have affected their emergency department (ED) care-seeking for behavioral health concerns and violence victimization. We tested whether the incidence of postpartum behavioral health and assault injury ED visits differed for individuals according to their months of postpartum pandemic exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used statewide, longitudinally linked hospital and ED administrative claims data from California to classify all individuals with hospital deliveries between January 1, 2016, and December 31, 2020, according to their months of postpartum pandemic exposure. Outcomes comprised 12-month incidence of any ED visit for a psychiatric disorder, drug use disorder\/overdose, alcohol use disorder\/intoxication, or assault injury, defined using International Classification of Diseases\u2013Clinical Modification, version 10 codes. Risk ratios compared the incidence of each outcome among people with 1\u201312 months of postpartum pandemic exposure to those with 0 months of exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Compared to people with 0 months of postpartum pandemic exposure (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1,163,215), delivering people with 1\u201312 month\u2019 exposure (range:\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 26,836 to\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 273,561) were approximately equally likely to have a postpartum ED visit for a psychiatric disorder, drug use disorder, or alcohol use disorder, after adjusting for demographic differences (most\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &gt; 0.10). The incidence of assault injury was significantly lower among delivering individuals with 11 or 12 months of pandemic exposure (RR\n                      <jats:sub>adj<\/jats:sub>\n                      = 0.70 and 0.91, respectively; both\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01) compared to those with 0 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Contrary to expectations, the pandemic did not appear to have affected ED utilization for most behavioral health conditions among postpartum individuals, but assault injury ED visits declined.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2024.0758","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T10:04:50Z","timestamp":1730109890000},"page":"572-577","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Emergency Department Utilization for Postpartum Behavioral Health Problems and Assault Injury During the COVID-19 Pandemic"],"prefix":"10.1177","volume":"34","author":[{"given":"Sidra","family":"Goldman-Mellor","sequence":"first","affiliation":[{"name":"Department of Public Health, School of Social Sciences, Humanities and Arts, University of California, Merced, California, USA."},{"name":"Health Sciences Research Institute, University of California, Merced, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Gemmill","sequence":"additional","affiliation":[{"name":"Department of Population, Family and Reproductive Health, Johns Hopkins University, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Olfson","sequence":"additional","affiliation":[{"name":"Departments of Psychiatry and Epidemiology, Columbia University Irving Medical Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Margerison","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,2]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.54287"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2022.11.007"},{"issue":"10","key":"e_1_3_5_4_2","first-page":"1","article-title":"Deaths: Final data for 2020","volume":"72","author":"Kochanek KD","year":"2023","unstructured":"Kochanek KD, , Murphy SL, , Xu J, et al. Deaths: Final data for 2020. Natl Vital Stat Rep Cent Dis Control Prev Natl Cent Health Stat Natl Vital Stat Syst, 2023; 72(10):1\u201392.","journal-title":"Natl Vital Stat Rep Cent Dis Control Prev Natl Cent Health Stat Natl Vital Stat Syst"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.2404"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-021-06310-5"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000826"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrimjus.2021.101806"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.14051"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.10.013"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0262136"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202100133"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2021.01.011"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid2903.221079"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15313-7"},{"key":"e_1_3_5_16_2","first-page":"kwae177","article-title":"Trends in and characteristics of drug overdose morbidity among pregnant and postpartum individuals in California, 2010-2018","author":"Goldman-Mellor S","year":"2024","unstructured":"Goldman-Mellor S, , Jensen J, , Sta. Cruz S, et al. Trends in and characteristics of drug overdose morbidity among pregnant and postpartum individuals in California, 2010-2018. Am J Epidemiol, 2024:kwae177.","journal-title":"Am J Epidemiol"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(20)30120-1"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2021.0428"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.6438"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.16328"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-1276"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.20220231"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12627"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/21.136"},{"key":"e_1_3_5_25_2","unstructured":"Anonymous. COVID-19 Mortality by State. 2023. 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