Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.
Health Soc Care Community. 2021 Nov;29(6):e348-e358. doi: 10.1111/hsc.13359. Epub 2021 Mar 23.
Stress across the life course is highly prevalent, particularly among immigrant and racial/ethnic minority women who face adversities associated with structural and interpersonal racism. Understanding how women perceive and describe stress and resilience can provide cultural context to inform interventions to improve health among pregnant women facing adversity. The goal of this project was to examine how external stressors and coping strategies prior to and during pregnancy are reflected in Latina women's narratives about their lives through an Ecosocial framework. This mixed methods research study explores pregnant Latina women's psychosocial well-being before and during pregnancy based on Ecosocial theory. We conducted 111 surveys with Latina women receiving prenatal care in Atlanta, Georgia in 2017-2018. We conducted 24 in-depth interviews, chosen purposively from survey respondents, collecting narratives of stress and resilience over the course of pregnancy. We purposively sampled equal numbers of women who did and did not report an ongoing stressor in the survey. The survey and interview guide were focused on domains of stress, psychosocial being, coping and resilience. The majority of survey participants spoke Spanish (86%) and were born in Mexico (42%) or Guatemala (27%). Less than half (37%) reported ongoing stress, most commonly from a loved one's illness or work-related problem. The majority of women felt they should control emotional responses to external stressors during pregnancy to protect their baby's health. Women described motherhood and previous challenges as sources of maturity and improved coping. Familial financial and emotional support were perceived as critical to women's successful coping.
人生历程中的压力普遍存在，尤其是在面临与结构性和人际种族主义相关逆境的移民和少数族裔妇女中。了解女性如何感知和描述压力和适应力，可以为干预措施提供文化背景，以改善面临逆境的孕妇的健康。本项目的目标是通过生态社会框架，研究女性在怀孕前和怀孕期间如何看待和描述外部压力源和应对策略。这项混合方法研究基于生态社会理论，探讨了 2017 年至 2018 年在佐治亚州亚特兰大接受产前护理的拉丁裔孕妇的心理健康。我们对 111 名拉丁裔妇女进行了调查，并对其中 24 名接受了深度访谈，这些受访者是从调查对象中有意选择的，他们收集了怀孕过程中压力和适应力的叙述。我们从调查中有意选择了报告和未报告持续压力源的女性人数相等。调查和访谈指南侧重于压力、心理社会状况、应对和适应力等领域。大多数调查参与者会说西班牙语（86%），出生于墨西哥（42%）或危地马拉（27%）。不到一半（37%）的人报告有持续的压力，最常见的是来自亲人的疾病或与工作相关的问题。大多数女性认为，她们应该在怀孕期间控制对外界压力源的情绪反应，以保护婴儿的健康。女性将母性和以前的挑战描述为成熟和改善应对能力的源泉。家庭的经济和情感支持被认为对女性的成功应对至关重要。
