Acculturation and Depressive Symptoms Among Pregnant and Postpartum Latinas
Acculturation and Depressive Symptoms Among Pregnant and Postpartum Latinas
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DOI：
10.1007/s10995-008-0385-6
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发表时间：
2009-05-01
影响因子：
2.3
通讯作者：
Cheng, Diana
中科院分区：
文献类型：
--
作者：
Davila, Marivel;McFall, Stephanie L.;Cheng, Diana
目的在生育的拉丁裔妇女中，文化适应程度越高，精神健康问题的风险就越高(Acevado(儿童虐待忽视，24：11-127,2000))，尽管这些发现并不一致(Beck(Emmal Child Nur，31(2)，114-120,2006))。这项研究的目的是评估和比较在美国和墨西哥出生的拉丁裔孕妇和产后抑郁症状升高的患病率，并描述抑郁症状升高与文化适应指标的关系。方法对德克萨斯州圣安东尼奥公共卫生诊所的439名孕妇和产后进行方便抽样，使用流行病学研究中心抑郁量表(CES-D)筛查抑郁症状。得分在21或更高的女性被归类为抑郁症状加重。社会人口学数据，包括出生国家和采访语言，被收集作为文化适应的指标。结果21%的样本有中度抑郁症状，15%的样本达到重度抑郁症状的阈值。双变量分析显示，在美国出生、单身、首选英语或怀孕的拉丁裔更有可能表现出更高水平的抑郁症状。在控制模型中其他变量的Logistic回归分析中，出生于美国、怀孕和单身与中度抑郁症状显著相关。控制其他变量，怀孕和单身与高水平的抑郁症状显著相关。结论文化程度越高、怀孕程度越高、单身程度越高，抑郁症状越严重。考虑到拉丁裔的高生育率和单身女性的生育率，特别是在文化适应程度更高的美国出生的拉丁裔中，孕期抑郁症筛查对这一群体非常重要。
Objectives Among childbearing Latinas, higher acculturation has been found to be significantly associated with increased risk for mental health problems (Acevado (Child Abuse Neglect, 24:11-127, 2000)), although these findings have been inconsistent (Beck (Maternal Child Nurs, 31(2), 114-120, 2006)). The aims of this study are to assess and compare the prevalence of elevated depressive symptoms among pregnant and postpartum U.S.- and Mexican-born Latinas, and to describe the relation of elevated depressive symptoms and acculturation indicators. Methods A convenience sample of 439 pregnant and postpartum Latinas attending Public Health Clinics in San Antonio, Texas was screened for depressive symptoms using the Center for Epidemiologic Studies Depression (CES-D) Scale. Women with a score of 21 or greater were classified as having elevated depressive symptoms. Sociodemographic data, including birth country and language of interview, were collected as indicators of acculturation. Results 21% of the sample had moderate depressive symptoms; 15% met the threshold for high depressive symptoms. Bivariate analysis showed Latinas who were U.S.-born, single, preferred English or were pregnant were more likely to express elevated levels of depressive symptoms. Being U.S.-born, pregnant and single was significantly associated with moderate levels of depressive symptoms in logistic regression analyses controlling for other variables in the model. Controlling for other variables, being pregnant and single was significantly associated with high levels of depressive symptoms. Conclusions Higher acculturation, pregnancy and single status were positively associated with elevated depressive symptoms. Screening for depression during pregnancy is important for this population group, given Latinas' high rates of fertility and births to single women, particularly among more acculturated, U.S.-born Latinas.