Why do so many pregnant women and young mothers die? Your guess is as good as our government’s. We simply don’t know. Even the statistics we have aren’t current, though from all indications the U.S.’s mortality rate is rising, as it is in Afghanistan and Sudan. But in the U.S., the rate has risen by 136 percent between 1990 and 2013.
Among women, those who are low-income or minority are less likely to get treatment for depression, according to multiple studies. A report by the Connecticut Behavioral Health Partnership found that women were underrepresented in Medicaid-funded behavioral health services in the state even though research shows that women suffer from the most commonly diagnosed mental health disorders more frequently than men. Racial and ethnic disparities, while still considerable, are decreasing in some physical illnesses. “But in mental health care, in the last 10 years, we see those disparities widening,” said Megan Smith, associate professor in the Departments of Psychiatry and in the Child Study Center in the Yale School of Medicine, who runs the Mental health Outreach for MotherS (MOMS) Partnership®, a program that offers mental health services to “overburdened and under-resourced mothers.”
In this podcast, sponsored by ConnectiCare, Colleen Shaddox discusses the hurdles to mental health care and the programs breaking barriers to care with Yale’s Megan Smith and UConn Health’s Dr. Sarah Nguyen. Lack of insurance coverage, the cost of treatment, a shortage of qualified clinicians, stigma and even fear of losing custody of their children can keep women from seeking help, Smith said.
As fertility rates fall nationwide, Connecticut continues to rank among the lowest in the country—a trend doctors attribute to women here delaying childbearing. In 2016, the most recent year for which state-level data is available, Connecticut had 53.4 births per 1,000 women ages 15 to 44, compared with a national average of 62 per 1,000 women, according to data from the Centers for Disease Control and Prevention (CDC). Just four states had lower rates than Connecticut in 2016, and all are in New England: Vermont at 50.3 births per 1,000 women, New Hampshire at 50.9, Rhode Island at 51.8 and Massachusetts at 51.9. The states with the highest fertility rates in 2016 were South Dakota at 77.7, North Dakota at 77.3, Utah at 76.2 and Alaska at 76.1, the CDC reports. Unlike birth rates, which take an entire population into account, fertility rates reflect the share of babies born to women of childbearing age. Connecticut typically ranks low on the list, along with other “high achievement, high education states,” said Dr. Harold J. Sauer, chairman of obstetrics and gynecology at Yale New Haven Health’s Bridgeport Hospital.
Depression is the leading cause of disability worldwide, according to the World Health Organization, and affects women at about twice the rate that it does men. In Connecticut, 21.4 percent of women report experiencing depression, compared with 13.4 percent of men, according to 2015 Department of Public Health data. Millennial women in the state experience depression four more days in an average month than their male counterparts, the Status of Women data project reported this year. Women are more likely to use mental health services than men, but studies consistently show that the majority of Americans with depression go untreated. In this podcast, sponsored by ConnectiCare, Colleen Shaddox discusses depression and pathways to better mental health with Yale’s Carolyn Mazure, and NYTimes best-selling author Luanne Rice.
The Centers for Disease Control and Prevention (CDC) found that 700 women in the United States die each year as a result of pregnancy or pregnancy-related complications, and the rate has more than doubled since 1987. Pregnancy-related deaths per 100,000 live births rose from 7.2 nationally in 1987 to 17.3 in 2013, peaking at 17.8 in 2009 and 2011. In Connecticut, there were eight pregnancy-related deaths from 2011 to 2014. But there’s no data available yet for the years since 2014 and at the moment there are precious few dollars devoted to accessing it
For more on this story by Christine Stuart of ctnewsjunkie.com click here.
A new study—the largest of its kind—says that women who are diagnosed with the most common type of early-stage breast cancer most likely don’t need chemotherapy after they’ve had endocrine (hormone) therapy. The news could lay to rest some anguished conversations between doctors and patients. When a woman is diagnosed with breast cancer, all medical muscle goes toward eliminating the cancer and reducing the possibility of a recurrence. But for many women, chemotherapy can have disastrous results. This study says that if the additional treatment isn’t necessary—or has little measurable positive effect—many women can skip it.
Iasiah Brown, 25, of New Haven, said he does not see a need for a primary care doctor for himself and his daughter, opting to visit clinics in the area instead of waiting up to two weeks for an appointment at a doctor’s office. Brown is among the 83 people who said they didn’t have a primary care doctor in response to a health-care usage survey by the Conn. Health I-Team and Southern Connecticut State University. The team surveyed 500 people and interviewed dozens statewide between January and March. About 83 percent of respondents said they had a primary care doctor, but the rate was lower for African American (78 percent) and Hispanic respondents (75 percent).
While the Trump administration seeks to dismantle any and all things Obamacare, Connecticut legislators, in the waning days of this year’s legislative session, passed a bill that protects important health benefits that are part of the 2010 reform package. Legislators also passed a law that seeks to reduce the times police officers arrest both the victim and the aggressor on domestic violence calls, or so-called “dual arrests.” And they, in an attempt to close the gender wage gap, passed a bill that prevents potential employers from asking job applicants about salary history. About that last one, Gov. Dannel P. Malloy said, “This inequity is perpetuated by the practice of asking for salary history during the hiring process, which can disproportionately ensure that women who were underpaid at their first job continue to be underpaid throughout their careers, creating a cycle of poverty and causing real harm to families.”
But let’s give an honest grade for what happened—and what didn’t happen—in the session that ended at midnight May 9. Connecticut legislators’ effort was a solid C for what they could do for families—or, if we’re feeling generous, maybe a C+. Too many pieces of legislations that could have made a big difference in a small state were left on the table, died in committee, or never got traction.
As anxiety and depression among college students soars, universities in Connecticut and nationally are expanding their mental health counseling, even offering courses that address mental well-being. A new national report from the Center for Collegiate Mental Health at Penn State found that anxiety and depression were the top concerns of students seeking counseling services, and that self-harm behaviors have risen for the seventh year in a row. In another survey, 57 percent of directors of college counseling services said the severity of student mental health concerns increased between 2015 and 2016. And according to a National College Health Assessment (NCHA) survey, 9.1 percent of college students reported being diagnosed in the last year with a psychiatric condition. “We have seen an increase this fall compared to last fall of almost 30 percent in students requesting to be seen by our counseling service,” said Kerry Patton, director of health and wellness at Quinnipiac University. Over the last few years, anxiety has surpassed depression as the most common reason students at Quinnipiac are seeking counseling services.
An AR-15, when fired, sends bullets into soft flesh and shreds organs beyond repair, according to a trauma surgeon who treated victims from the Parkland, Fla., school shooting on Feb. 14. The shooting left 17 students and faculty members dead. It was one of the deadliest shootings in the United States. Three of those have happened in the last five months.