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阿拉伯裔移民妇女的文化适应与产后抑郁

Acculturation and Postpartum Depression Among Immigrant Women of Arabic Descent.

作者信息

Alhasanat-Khalil Dalia, Giurgescu Carmen, Benkert Ramona, Fry-McComish Judith, Misra Dawn P, Yarandi Hossein

机构信息

College of Nursing, Wayne State University, 5557 Cass Avenue, Detroit, MI, 48202, USA.

College of Nursing, Center for Women, Children, and Youth, The Ohio State University, 236 Newton Hall, 1585 Neil Ave, Columbus, OH, 43210, USA.

出版信息

J Immigr Minor Health. 2019 Dec;21(6):1208-1216. doi: 10.1007/s10903-018-0837-z.

Abstract

Acculturation has been related to risk of postpartum depression (PPD) among immigrant women globally. The purpose of this study was to examine the relationship between acculturation and PPD symptoms among U.S. immigrant women of Arabic descent. A cross-sectional study was conducted with 115 postpartum immigrant women of Arabic descent. Women completed questionnaires including measures of acculturation [attraction to Arabic culture (AArC), attraction to American culture (AAmC), marginalization] and PPD symptoms (Edinburgh Postnatal Depression Scale-EPDS) between 1 and 12 months postpartum. Twenty-five percent of women (n = 29) had EPDS scores ≥ 10 that represent PPD symptoms. Women with higher marginalization reported more PPD symptoms (r = .25, p = .008). None of the acculturation factors correlated with PPD symptoms after adjustment for maternal sociodemographic and health characteristics. Higher education (p = .001), lower gestational age at birth (p < .05), and antenatal anxiety (p < .05) were correlated with PPD symptoms in multivariate analyses. Health care providers should identify and assess immigrant women of Arabic descent for antenatal anxiety as this may identify women at risk for development of PPD symptoms. Future studies need to examine acculturation in relation to mental health among immigrant women of Arabic descent.

摘要

在全球范围内,文化适应与移民女性产后抑郁症(PPD)的风险相关。本研究的目的是探讨美国阿拉伯裔移民女性的文化适应与PPD症状之间的关系。对115名产后阿拉伯裔移民女性进行了一项横断面研究。这些女性在产后1至12个月期间完成了问卷调查,包括文化适应测量[对阿拉伯文化的吸引力(AArC)、对美国文化的吸引力(AAmC)、边缘化]和PPD症状(爱丁堡产后抑郁量表-EPDS)。25%的女性(n = 29)的EPDS得分≥10,表明存在PPD症状。边缘化程度较高的女性报告的PPD症状更多(r = 0.25,p = 0.008)。在对母亲的社会人口统计学和健康特征进行调整后,没有一个文化适应因素与PPD症状相关。在多变量分析中,高等教育(p = 0.001)、较低的出生孕周(p < 0.05)和产前焦虑(p < 0.05)与PPD症状相关。医疗保健提供者应识别并评估阿拉伯裔移民女性的产前焦虑,因为这可能识别出有发展为PPD症状风险的女性。未来的研究需要探讨阿拉伯裔移民女性的文化适应与心理健康的关系。

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