Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
Family Resiliency Center, Department of Human Development and Family Studies, College of Agricultural, Consumer, and Environmental Sciences, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
Matern Child Health J. 2019 Dec;23(12):1627-1647. doi: 10.1007/s10995-019-02800-w.
Migration-related experiences can increase Latinas' risk of perinatal depression and anxiety. Few studies have investigated these associations among Latinas due to a lack of survey instruments explicitly assessing migration experiences. This study assessed the feasibility and acceptability of the Migration Experiences Survey (MES), a newly-developed measure of migration and deportation fears and explored associations between those experiences and mental health in a sample of immigrant Latinas in the perinatal period.
This cross-sectional study recruited women from community health clinics in Chapel Hill, NC between July 2013 and 2014. Twenty-five immigrant women were enrolled in the study during their third trimester of pregnancy. Women were interviewed in English or Spanish during pregnancy and at 8 weeks postpartum. The Edinburgh Postnatal Depression Scale was used to assess depressive symptoms and the Spielberger State-Trait Anxiety Inventory was used to determine anxiety symptoms. The MES was administered at 8 weeks postpartum. Nonparametric tests were conducted to determine associations between deportation fears and maternal mood.
Results show that the MES is acceptable for collecting data on migration experiences and assessing deportation fears among immigrant Latinas, regardless of depressive or anxiety symptoms. More than 40% had migration safety concerns and fears of deportation. Self or family-related fears of deportation were significantly associated with prenatal state anxiety and trait anxiety (p < .05). No significant associations between deportation fears and depressive symptoms were observed.
The MES is a useful tool for gathering information about migration experiences associated with perinatal anxiety.
移民经历可能会增加拉丁裔女性产前抑郁和焦虑的风险。由于缺乏专门评估移民经历的调查工具,很少有研究调查过这些关联。本研究评估了新开发的移民经历调查(MES)的可行性和可接受性,该调查评估了移民和驱逐出境的恐惧,在产前期间的移民拉丁裔女性样本中探讨了这些经历与心理健康之间的关联。
这项横断面研究于 2013 年 7 月至 2014 年期间在北卡罗来纳州教堂山的社区健康诊所招募了妇女。在妊娠的第三个三个月期间,有 25 名移民妇女参加了该研究。在妊娠期间和产后 8 周,妇女以英语或西班牙语接受采访。使用爱丁堡产后抑郁量表评估抑郁症状,使用 Spielberger 状态-特质焦虑量表评估焦虑症状。在产后 8 周时进行 MES 评估。进行非参数检验以确定驱逐出境恐惧与母婴情绪之间的关联。
结果表明,MES 可用于收集移民经历数据并评估移民拉丁裔的驱逐出境恐惧,无论其是否有抑郁或焦虑症状。超过 40%的人对移民安全表示担忧并担心被驱逐出境。与自我或家庭有关的驱逐出境恐惧与产前状态焦虑和特质焦虑显著相关(p <.05)。未观察到驱逐出境恐惧与抑郁症状之间存在显著关联。
MES 是一种有用的工具,可用于收集与围产期焦虑相关的移民经历信息。