Zeng Weiwen, Suarez-Balcazar Yolanda, Errisuriz Vanessa L, Mirza Mansha, Vanegas Sandra B, Parra-Medina Deborah, Magaña Sandy
School of Social Work, University of Texas at Arlington, 501 W Mitchell St, Arlington, TX, 76010, USA.
Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX, USA.
J Autism Dev Disord. 2025 Jun 11. doi: 10.1007/s10803-025-06919-4.
This study aims to understand the relationships of social determinants of health (SDOH) and sociocultural factors with maternal quality of life and family functioning among Latinx families of children with intellectual and developmental disabilities (IDD). We recruited 105 Latinx families of children with IDD across Texas and Illinois. We used conditional process models to examine the associations between demographic variables, SDOH, sociocultural factors (social support and family cohesion), and outcomes including maternal quality of life (QoL) and family functioning. We also tested whether sociocultural factors moderated the relationships between selected SDOH and the study outcomes. We found that not being a homeowner, experiencing food insecurity, and having greater levels of perceived discrimination were associated with lower maternal QoL. We also found that food insecurity and greater levels of perceived discrimination were associated with lower family functioning among Latinx families of children with IDD. Social support and family cohesion were positive correlates of the outcomes; however, they did not show significant moderation effects. On the contrary, we found that perceived discrimination may dampen the impact of social support on maternal QoL. This study highlights the impact of SDOH on the wellbeing of Latinx families of children with IDD. Policies and programs that promote homeownership, reduce food insecurity, and combat discrimination may benefit the wellbeing of Latinx families with children with IDD.
本研究旨在了解健康的社会决定因素（SDOH）和社会文化因素与患有智力和发育障碍（IDD）儿童的拉丁裔家庭中母亲的生活质量及家庭功能之间的关系。我们招募了来自得克萨斯州和伊利诺伊州的105个患有IDD儿童的拉丁裔家庭。我们使用条件过程模型来检验人口统计学变量、SDOH、社会文化因素（社会支持和家庭凝聚力）与包括母亲生活质量（QoL）和家庭功能在内的结果之间的关联。我们还测试了社会文化因素是否调节了选定的SDOH与研究结果之间的关系。我们发现，非房主身份、经历粮食不安全以及感知到更高程度的歧视与母亲较低的生活质量相关。我们还发现，粮食不安全和更高程度的感知歧视与患有IDD儿童的拉丁裔家庭中较低的家庭功能相关。社会支持和家庭凝聚力与这些结果呈正相关；然而，它们并未显示出显著的调节作用。相反，我们发现感知到的歧视可能会削弱社会支持对母亲生活质量的影响。本研究强调了SDOH对患有IDD儿童的拉丁裔家庭福祉的影响。促进住房所有权、减少粮食不安全和消除歧视的政策和项目可能有益于患有IDD儿童的拉丁裔家庭的福祉。
