What Do Your Neighbors Think About You? How Perceived Neighbor Attitudes Toward Latinos Influence Mental Health Among a Pregnant Latina Cohort.
What Do Your Neighbors Think About You? How Perceived Neighbor Attitudes Toward Latinos Influence Mental Health Among a Pregnant Latina Cohort.
复制标题
你的邻居怎么看你？
DOI：
10.1007/s40615-023-01684-5
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发表时间：
2023
影响因子：
3.9
通讯作者：
Fox,Molly
中科院分区：
文献类型：
--
作者：
Chua,KristineJ;Knorr,DelaneyA;Jimenez,Janelly;Francia,Arlene;Rojas,Valeria;Garcia,JhoanaInfante;Fox,Molly
与非拉美裔白人女性相比，生活在美国的拉美裔女性经历的心理痛苦的比例高得不成比例。孕期产妇心理健康状况不佳可能导致代际心理健康差距。通过这一途径，母亲在怀孕期间的经历、环境和暴露(下称“暴露”)在生物学上得到体现，并可能对胎儿和她孩子的终身发育轨迹产生负面影响。影响母子二人组的环境因素之一就是邻居。为了整合人类学和社会学理论来解释拉美裔孕妇的心理健康差异，我们探索了邻居态度的感知如何影响怀孕期间的心理健康。我们使用多元线性回归模型分析了南加州239名怀孕的拉丁裔妇女(131名外国出生，108名美国出生)对自己心理健康和邻居态度的自我报告反应。在外国出生的拉丁裔女性中，生活在对拉丁裔看法较好的社区的女性抑郁评分较低(合并β= − 为0.70，SE= 为0.29，p= 为0.019)，与怀孕相关的焦虑评分较低(合并β= − 为0.11，SE= 为0.05，p= 为0.021)，但状态焦虑得分较高(合并β= 为0.09，SE= 为0.04，p= 为0.021)。在美国出生的女性中，邻里态度和心理健康之间没有关联。总体而言，结果表明，社会环境与心理健康相关，在外国出生的拉丁裔和在美国出生的拉丁裔在美国有不同的心理健康经历。我们的发现强调了改善社区凝聚力作为母婴护理管理的一部分的重要性。
Latina women living in the USA experience disproportionately higher rates of psychological distress compared to their non-Latina White counterparts. Poor maternal mental health during pregnancy can contribute to intergenerational mental health disparities. Through this pathway, mothers’ experiences, environments, and exposures (henceforth “exposures”) during pregnancy become biologically embodied and can negatively affect the fetus and life-long developmental trajectories of her child. One of the exposures that can affect mother–offspring dyads is the neighborhood. With the goal of integrating anthropological and sociological theories to explain mental health disparities among pregnant Latina women, we explored how perceptions of neighbor attitudes may influence mental health during pregnancy. We analyzed self-reported responses from 239 pregnant Latina women in Southern California (131 foreign-born, 108 US-born) on their mental health and perceived attitudes of their neighbors using multiple linear regression models. Among foreign-born Latina women, living in neighborhoods with more favorable views of Latinos was associated with lower depression scores (pooledβ= − .70,SE= .29,p= .019) and lower pregnancy-related anxiety scores (pooledβ= − .11,SE= .05,p= .021), but greater state anxiety scores (pooledβ= .09,SE= .04,p= .021). Among US-born women, there were no associations between neighbor attitudes and mental health. Overall, results suggest that social environments are correlated with mental health and that foreign-born and US-born Latinas have varied mental health experiences in the USA. Our findings highlight the importance of improving aspects of neighborhood cohesion as part of maternal–fetal care management.