Farewell Charlotte V, Schmiege Sarah J, Leiferman Jenn A
Rocky Mountain Prevention Research Center Colorado School of Public Health, University of Colorado - Anschutz Medical Campus, 13001 East 17th Place, Building 500 Rm E3353, Aurora, CO, 80045, USA.
Matern Health Neonatol Perinatol. 2025 Jun 3;11(1):16. doi: 10.1186/s40748-025-00213-y.
Poor prenatal health is of particular concern among minoritized individuals who may experience adverse social determinants of health contributing to the intergenerational transmission of health disparities. The purpose of this study was to investigate associations between psychosocial resources, and mental and physical health among a prenatal sample, and to explore if these relationships vary by race.
English-speaking pregnant individuals living in the United States were recruited using Centiment (n = 340). Participants completed a 121-item cross-sectional survey. We conducted a single- and multi-group structural equation model to test hypothesized relationships, and then investigated differences by pregnant White individuals versus Black, Indigenous, and People of Color (BIPOC).
Our final single-group model exhibited good model fit (χ2 (43) = 99.07, p < .01, CFI = 0.97, SRMR = 0.04, and RMSEA = 0. 06 (0.05-0.08)). After controlling for demographic characteristics and social determinants of health, higher levels of mindfulness were statistically significantly related to lower anxiety and depression scores (both p < .01). Higher levels of social supports were statistically significantly related to lower anxiety scores. Scale measurement invariance was confirmed for the multi-group model and the structural model was statistically significantly different between pregnant White individuals and BIPOC in this sample (Δ χ2 (27) = 116.71, p < .01).
Identification of core components of psychosocial resource interventions, consideration of upstream structural determinants, mindfulness and valued-living (MVL)-based strategies, cultural adaptation, and an emphasis on resilience rather than psychopathology may result in improved prenatal health among pregnant individuals traditionally underrepresented in research.
在可能经历导致健康差距代际传递的不良健康社会决定因素的少数族裔个体中，产前健康状况不佳尤其令人担忧。本研究的目的是调查产前样本中心理社会资源与心理健康和身体健康之间的关联，并探讨这些关系是否因种族而异。
使用Centiment招募了居住在美国的讲英语的孕妇（n = 340）。参与者完成了一项包含121个项目的横断面调查。我们进行了单组和多组结构方程模型来检验假设的关系，然后调查了白人孕妇与黑人、原住民和有色人种（BIPOC）之间的差异。
我们最终的单组模型显示出良好的模型拟合度（χ2(43) = 99.07，p <.01，CFI = 0.97，SRMR = 0.04，RMSEA = 0.06(0.05 - 0.08)）。在控制了人口统计学特征和健康的社会决定因素后，更高水平的正念与更低的焦虑和抑郁得分在统计学上显著相关（均p <.01）。更高水平的社会支持与更低的焦虑得分在统计学上显著相关。多组模型的量表测量不变性得到了证实，并且在该样本中，白人孕妇和BIPOC之间的结构模型在统计学上有显著差异（Δχ2(27) = 116.71，p <.01）。
确定心理社会资源干预的核心组成部分，考虑上游结构决定因素、基于正念和有价值生活（MVL）的策略、文化适应，并强调恢复力而非精神病理学，可能会改善传统上在研究中代表性不足的孕妇的产前健康状况。
