Exploring the experiences of women from African, Caribbean and Mixed heritages to inform a music-based intervention for perinatal mental health in South East London: a qualitative study

BackgroundWomen of Global Majority ethnicities have an increased risk of developing and sustaining perinatal mental health problems in the UK. This is partially explained by the ethnic inequalities experienced at an individual, societal and systemic level, which necessitate an increased reliance on self-coping strategies to support mental health. Previous research highlights the benefits of engaging with participatory music-based interventions to alleviate symptoms of postnatal depression, stress and anxiety, but current provision lacks cultural inclusivity. ObjectivesThe current study focuses on women from African, Caribbean and Mixed heritages living in South East London to explore how their perinatal experiences, coping strategies and preferences regarding music-based support could inform a future culturally inclusive perinatal participatory music intervention. DesignThis study took a qualitative approach using reflexive thematic analysis of semi-structured focus groups and interviews. MethodsFourteen women from African, Caribbean and Mixed heritages took part in online focus groups and interviews, led by a local community leader. Questions considered the participants lived experiences of the perinatal period, any coping mechanisms employed and suggestions for future participatory music groups. ResultsAn inductive reflexive thematic analysis identified four overarching themes: (1) supportive mechanisms during the perinatal period, (2) the overwhelming pressures and expectations of motherhood, (3) systemic barriers to accessing perinatal mental healthcare and (4) suggestions for future perinatal creative support groups. ConclusionsThis study reveals the individual experiences of the perinatal period for women from African, Caribbean and Mixed heritages, exploring themes of sociocultural pressures, barriers to care and individual activities used to support mental health. The sociocultural, logistical and musical considerations outlined in this study highlight gaps in current community provision and offer practical suggestions for facilitating inclusive music-based interventions for perinatal mental health in South East London.