Sociocultural stressors across the perinatal period and risk for postpartum depressive symptoms in women of Mexican descent.
Sociocultural stressors across the perinatal period and risk for postpartum depressive symptoms in women of Mexican descent.
复制标题
墨西哥裔女性围产期的社会文化压力和产后抑郁症状的风险。
DOI：
10.1037/cdp0000278
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发表时间：
2020
影响因子：
3.3
通讯作者：
D'Anna-Hernandez, Kimberly L.
中科院分区：
文献类型：
--
作者：
Luis Sanchez, B. Erika;Urbina, Eva;D'Anna-Hernandez, Kimberly L.
在美国，墨西哥裔妇女产后抑郁症的发病率不成比例，通常是普通人群的两到三倍。社会文化压力可能造成这种差异。传统上，这些压力源是在一个单一的时间点测量，它是未知的，如果社会文化压力源从怀孕到产后期间的变化，如果他们与产后抑郁症状。（墨西哥和盎格鲁取向），知觉歧视，文化适应压力，知觉压力，结果妇女报告墨西哥取向增加，t（126）=-3.503，p=。01，而文化适应压力降低，t（159）=-3.503，p<. 001，知觉压力，t（159）= 6.332，p<. 001，从怀孕到产后。只有墨西哥取向的增加与产后抑郁症状的减少相关（R2 = 0.050，B=-2.210，SE= 0.996，t=-2.120，p=. 028），即使控制协变量。此外，出生后的文化适应压力升高和墨西哥取向减少（R2 = 0. 127，B= 0. 133，SE= 0. 036，t= 3. 721，p<. 001; B=-2.194，SE= 0.769，t=-2.853，p<. 001，分别）与更多的产后抑郁症状，但是，只有墨西哥的方向仍然显着后协variated.ConclusionsSociocultural压力源的变化，在围产期，并有助于产后抑郁症状。研究结果表明，需要考虑社会文化的压力，在产后抑郁症的预防。
ObjectivesIn the United States, women of Mexican descent are affected by postpartum depression at disproportionate rates, often two to three times higher than the general population. Sociocultural stressors may contribute to this disparity. Traditionally, these stressors are measured at a single time point, and it is unknown if sociocultural stressors change from pregnancy to the postnatal period and if they are related to postpartum depressive symptoms.MethodPregnant women of Mexican descent (N= 159) were assessed for acculturation (Mexican and Anglo orientation), perceived discrimination, acculturative stress, perceived stress, and depressive symptoms during the first trimester and postpartum period.ResultsWomen reported increases in Mexican orientation, t (126)=− 3.503, p=. 01, and decreases in acculturative stress, t (159)=− 3.503, p<. 001, and perceived stress, t (159)= 6.332, p<. 001, from pregnancy to postpartum. Only increases in Mexican orientation were associated with less postpartum depressive symptoms (R 2= 0.050, B=− 2.210, SE= 0.996, t=− 2.120, p=. 028), even when controlling for covariates. In addition, postnatal measurements of elevated acculturative stress and less Mexican orientation (R 2= 0.127, B= 0.133, SE= 0.036, t= 3.721, p<. 001; B=− 2.194, SE= 0.769, t=− 2.853, p<. 001, respectively) were associated with more postpartum depressive symptoms; however, only Mexican orientation remained significant after covariates.ConclusionsSociocultural stressors change across the perinatal period and contribute to postpartum depressive symptoms. Findings implicate a need for consideration of sociocultural stressors in postpartum depression prevention.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
DOI：
10.1016/j.socscimed.2017.01.029
发表时间：
2017-03
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Fox M;Thayer Z;Wadhwa PD
通讯作者：
Wadhwa PD
DOI：
10.4236/ojepi.2014.43016
发表时间：
2014
期刊：
Open Journal of Epidemiology
影响因子：
--
作者：
J. Salvador;Y. Martínez;J. M. Ramírez;Marisela Aguilar;M. Reyes
通讯作者：
M. Reyes
影响因子：
2.8
作者：
OHara, MW;Swain, AM
通讯作者：
Swain, AM
影响因子：
12.7
作者：
Collins, JW;David, RJ;Andes, S
通讯作者：
Andes, S