Associations between antenatal education program and mental health outcomes in Taiwan: A population-based cohort study

Yu ling Chen, Ching Hsuan Tseng, Mei Leng Cheong, Yin Ju Lien, Shi Heng Wang, Chia Ming Chang, Shih Cheng Liao, Chi Shin Wu*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Universal antenatal education has been offered to expectant mothers in Taiwan since 2014. Depression screening is included in the offered education sessions. This study aimed to examine the association of antennal education and depression screening with mental health outcomes, including perinatal depression diagnosis and psychiatrist visits. Data was obtained from the antenatal education records and Taiwan's National Health Insurance claims database. A total of 789,763 eligible pregnant women were included in the current study. The psychiatric-related outcomes were measured between antenatal education and the six-month after delivery. It was found that the antenatal education was widely used in Taiwan, and the attendance rate has increased to 82.6% since its launch. The attenders were more likely to be from disadvantaged backgrounds, and 5.3% of them were screened positive for depressive symptoms. They were also more likely to visit a psychiatrist but less likely to be diagnosed with depression than the non-attenders. Factors including young age, high healthcare utilization, and comorbid psychiatric disorder history were consistently associated with depression symptoms, perinatal depression diagnoses and psychiatrist visits. Further research is needed to understand the reasons for the nonattendance at antenatal education programmes and the barriers to utilizing mental health services.

Original languageEnglish
Article number115128
JournalPsychiatry Research
Publication statusPublished - 2023 Apr


  • Antenatal depression
  • Claims data
  • Depression diagnosis
  • Postpartum depression
  • Pregnant women
  • Psychiatrist visits

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry


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