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社会支持和文化适应因素在 MADRES 妊娠队列中拉丁裔产后心理健康中的作用。

The Role of Social Support and Acculturation Factors on Postpartum Mental Health Among Latinas in the MADRES Pregnancy Cohort.

机构信息

Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Department of Psychology, University of Southern California, Los Angeles, CA, USA.

出版信息

J Immigr Minor Health. 2024 Feb;26(1):72-80. doi: 10.1007/s10903-023-01542-w. Epub 2023 Oct 28.

Abstract

We examined the associations between social support and postpartum mental health in 137 U.S. and foreign-born Latinas in the MADRES pregnancy cohort. We also examined whether language, years in the U.S., and country of birth moderates these relationships. Participants were administered PROMIS support measures 1 month postpartum; the Perceived Stress and Postpartum Distress Measure 3, 6, and 12 months postpartum; and the CESD scale 12 months postpartum. Perceived stress was lower at 6 months postpartum for women reporting higher emotional (p = 0.01), informational (p = 0.03), and instrumental support (p < 0.001); and lower at 12 months postpartum for women reporting higher emotional support (p = 0.01). Distress at 6 months was lower in women reporting higher emotional support (p = 0.03). Interactions suggest that associations were stronger for mothers that speak Spanish, spent fewer years in the U.S., and were born in Central America.

摘要

我们在 MADRES 妊娠队列中研究了 137 名美国和外国出生的拉丁裔女性的社会支持与产后心理健康之间的关系。我们还研究了语言、在美国的居住年限和出生国是否调节了这些关系。参与者在产后 1 个月接受了 PROMIS 支持措施评估;在产后 3、6 和 12 个月接受了感知压力和产后抑郁量表评估;并在产后 12 个月接受了 CESD 量表评估。报告情绪(p=0.01)、信息(p=0.03)和工具支持(p<0.001)更高的女性在产后 6 个月时感知压力较低;报告情绪支持更高的女性在产后 12 个月时感知压力较低(p=0.01)。6 个月时的抑郁程度较低,报告情绪支持更高的女性(p=0.03)。交互作用表明,对于讲西班牙语、在美国居住时间较短和出生在中美洲的母亲,这些关联更强。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3712/10771371/d4c02e3adc4b/10903_2023_1542_Fig1_HTML.jpg

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