Baumgartel Kelley, Saint Fleur Angeline, Prescott Stephanie, Fanfan Dany, Elliott Amanda, Yoo Ji Youn, Koerner Rebecca, Harringon Monalisa, Dutra Samia Ozorio, Duffy Allyson, Ji Ming, Groer Maureen W
University of South Florida College of Nursing, 12912 USF Health Dr, Tampa, FL, 33612, USA.
University of Florida College of Nursing, 1225 Center Drive, Gainesville, FL, 32619, USA.
J Racial Ethn Health Disparities. 2025 Feb;12(1):79-88. doi: 10.1007/s40615-023-01852-7. Epub 2023 Nov 16.
There has been a concerning surge in maternal mortality among Hispanic women in recent years. Compromised mental health is present in nearly half of all maternal deaths, and risk factors include poor social support and depression.
Among Hispanic women who were born in the USA versus those not born in the USA, we sought to describe and compare social determinants of health and maternal psychological outcomes.
Hispanic pregnant women (n = 579) were recruited from two clinics in Tampa, FL, and completed various questionnaires related to social determinants of health, depression, stress, and social support.
Descriptive statistics, t-tests, and chi-square analyses were used to compare relationships between maternal nativity and subsequent psychosocial outcomes. Pearson correlations were used to explore associations between variables.
Hispanic pregnant women who were not born in the USA had lower incomes (χ = 5.68, p = 0.018, df = 1), were more likely to be unemployed (χ = 8.12, p = 0.004, df = 1), and were more likely to be married (χ = 4.79, p = 0.029, df = 1) when compared with those born in the USA. Those not born in the USA reported lower social support (t = 3.92, p<0.001), specifically the tangible (t = 4.18, p < 0.001) and emotional support subscales (t = 4.4, p<0.001). When compared with those born in the USA, foreign-born Hispanic women reported less stress (t = 3.23, p = 0.001) and depression (t = 3.3, p = 0.002).
Pregnant Hispanic women not born in the USA are at increased risk for suboptimal social determinants of health, including less social support. US-born women were more stressed and depressed and had higher BMIs.
近年来，西班牙裔女性的孕产妇死亡率出现了令人担忧的激增。在所有孕产妇死亡病例中，近一半存在心理健康问题，风险因素包括社会支持不足和抑郁。
在出生于美国的西班牙裔女性与非出生于美国的西班牙裔女性中，我们试图描述和比较健康的社会决定因素以及孕产妇心理结局。
从佛罗里达州坦帕市的两家诊所招募了579名西班牙裔孕妇，并让她们完成了各种与健康的社会决定因素、抑郁、压力和社会支持相关的问卷。
使用描述性统计、t检验和卡方分析来比较孕产妇出生地与随后心理社会结局之间的关系。使用皮尔逊相关性来探索变量之间的关联。
与出生在美国的西班牙裔孕妇相比，非出生在美国的西班牙裔孕妇收入较低（χ = 5.68，p = 0.018，自由度 = 1），更有可能失业（χ = 8.12，p = 0.004，自由度 = 1），且更有可能已婚（χ = 4.79，p = 0.029，自由度 = 1）。非出生在美国的孕妇报告的社会支持较低（t = 3.92，p<0.001），特别是实际支持（t = 4.18，p < 0.001）和情感支持子量表（t = 4.4，p<0.001）。与出生在美国的孕妇相比，外国出生的西班牙裔女性报告的压力较小（t = 3.23，p = 0.001）和抑郁较轻（t = 3.3，p = 0.002）。
非出生在美国的西班牙裔孕妇面临健康的社会决定因素不理想的风险增加，包括社会支持较少。出生在美国的女性压力更大、抑郁更严重，且体重指数更高。
