Role of Race, Ethnicity, and Immigration in Perceived Stress and Depressive Symptomatology Trends During Pregnancy

Overview

Journal J Immigr Minor Health

Publisher Springer

Specialties Public Health
Social Sciences

Date 2021 Jul 4

PMID 34218341

Citations 5

Authors

Claudia M Toledo-Corral

Lu Gao

Thomas Chavez

Brendan Grubbs

Rima Habre

Genevieve F Dunton

Theresa Bastain

Carrie V Breton

Affiliations

Soon will be listed here.

Abstract

Our goal was to examine the role of race, ethnicity, and immigration status on prenatal perceived stress and depressive symptomatology trends across pregnancy in a low-income, minority population of pregnant women in urban Los Angeles. Longitudinal data on 442 Hispanic and Black women were analyzed using mixed effects models with a random intercept for participant were employed to evaluate predictors of higher perceived stress levels and probable depression across pregnancy. Compared to U.S. born Hispanic women, Black women had higher perceived stress (β 2.24; 95% CI 0.41, 4.07) and higher odds of probable depression (OR 2.38; 95% CI 0.95, 5.95) while Hispanic immigrants with greater than 20 years of residency in the U.S. had higher odds of probable depression (OR 2.93; 95% CI 1.10, 7.79). Maternal mental health among Hispanic immigrants with longer U.S. residency and Black race warrants increased attention from public health and clinical agencies.

Citing Articles

Predicting Prenatal Depression and Assessing Model Bias Using Machine Learning Models.

Huang Y, Alvernaz S, Kim S, Maki P, Dai Y, Penalver Bernabe B Biol Psychiatry Glob Open Sci. 2024; 4(6):100376.

PMID: 39399154 PMC: 11470166. DOI: 10.1016/j.bpsgos.2024.100376.

What is prenatal stress? A scoping review of how prenatal stress is defined and measured within the context of food insecurity, housing instability, and immigration in the United States.

Patel I, Dev A Womens Health (Lond). 2023; 19:17455057231191091.

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Risk Factors for Postpartum Depression and Severe Distress among Mothers of Very Preterm Infants at NICU Discharge.

Hofheimer J, McGowan E, Smith L, Meltzer-Brody S, Carter B, Dansereau L Am J Perinatol. 2023; 41(10):1396-1408.

PMID: 37072014 PMC: 11223892. DOI: 10.1055/s-0043-1768132.

Depression, perceived stress, and distress during pregnancy and EV-associated miRNA profiles in MADRES.

Foley H, Howe C, Eckel S, Chavez T, Gevorkian L, Reyes E J Affect Disord. 2022; 323:799-808.

PMID: 36563790 PMC: 9844263. DOI: 10.1016/j.jad.2022.12.039.

Adverse childhood experiences and prenatal depression in the maternal and development risks from environmental and social stressors pregnancy cohort.

Corona K, Chavez T, Stewart K, Toledo-Corral C, Farzan S, Habre R J Obstet Gynaecol. 2022; 42(7):3014-3020.

PMID: 36178435 PMC: 9851371. DOI: 10.1080/01443615.2022.2125298.

References

Melville J, Gavin A, Guo Y, Fan M, Katon W . Depressive disorders during pregnancy: prevalence and risk factors in a large urban sample. Obstet Gynecol. 2010; 116(5):1064-70. PMC: 3068619. DOI: 10.1097/AOG.0b013e3181f60b0a. View

Brown S . The effect of union type on psychological well-being: depression among cohabitors versus marrieds. J Health Soc Behav. 2000; 41(3):241-55. View

Benatar S, Cross-Barnet C, Johnston E, Hill I . Prenatal Depression: Assessment and Outcomes among Medicaid Participants. J Behav Health Serv Res. 2020; 47(3):409-423. DOI: 10.1007/s11414-020-09689-2. View

Sumner L, Valentine J, Eisenman D, Ahmed S, Myers H, Wyatt G . The influence of prenatal trauma, stress, social support, and years of residency in the US on postpartum maternal health status among low-income Latinas. Matern Child Health J. 2010; 15(7):1046-54. PMC: 3043120. DOI: 10.1007/s10995-010-0649-9. View

Bastain T, Chavez T, Habre R, Girguis M, Grubbs B, Toledo-Corral C . Study Design, Protocol and Profile of the Maternal And Developmental Risks from Environmental and Social Stressors (MADRES) Pregnancy Cohort: a Prospective Cohort Study in Predominantly Low-Income Hispanic Women in Urban Los Angeles. BMC Pregnancy Childbirth. 2019; 19(1):189. PMC: 6543670. DOI: 10.1186/s12884-019-2330-7. View

Roberts R, Vernon S, Rhoades H . Effects of language and ethnic status on reliability and validity of the Center for Epidemiologic Studies-Depression Scale with psychiatric patients. J Nerv Ment Dis. 1989; 177(10):581-92. DOI: 10.1097/00005053-198910000-00001. View

Gonzalez-Ramirez M, Rodriguez-Ayan M, Hernandez R . The perceived stress scale (PSS): normative data and factor structure for a large-scale sample in Mexico. Span J Psychol. 2013; 16:E47. DOI: 10.1017/sjp.2013.35. View

Fleuriet K, Sunil T . Perceived social stress, pregnancy-related anxiety, depression and subjective social status among pregnant Mexican and Mexican American women in south Texas. J Health Care Poor Underserved. 2014; 25(2):546-61. DOI: 10.1353/hpu.2014.0092. View

Sam D, Berry J . Acculturation: When Individuals and Groups of Different Cultural Backgrounds Meet. Perspect Psychol Sci. 2015; 5(4):472-81. DOI: 10.1177/1745691610373075. View

10.

Sidebottom A, Hellerstedt W, Harrison P, Hennrikus D . An examination of prenatal and postpartum depressive symptoms among women served by urban community health centers. Arch Womens Ment Health. 2013; 17(1):27-40. DOI: 10.1007/s00737-013-0378-3. View

11.

Herbell K, Zauszniewski J, Williams E . Stress and Depressive Symptoms Among Demographically Diverse American Pregnant Women. Issues Ment Health Nurs. 2019; 41(1):73-82. DOI: 10.1080/01612840.2019.1662145. View

12.

Preciado A, DAnna-Hernandez K . Acculturative stress is associated with trajectory of anxiety symptoms during pregnancy in Mexican-American women. J Anxiety Disord. 2016; 48:28-35. PMC: 5737703. DOI: 10.1016/j.janxdis.2016.10.005. View

13.

Burns E, Farr S, Howards P . Stressful life events experienced by women in the year before their infants' births--United States, 2000-2010. MMWR Morb Mortal Wkly Rep. 2015; 64(9):247-51. PMC: 5779604. View

14.

Silva R, Jansen K, Souza L, Quevedo L, Barbosa L, Moraes I . Sociodemographic risk factors of perinatal depression: a cohort study in the public health care system. Braz J Psychiatry. 2012; 34(2):143-8. DOI: 10.1590/s1516-44462012000200005. View

15.

Howell E . Reducing Disparities in Severe Maternal Morbidity and Mortality. Clin Obstet Gynecol. 2018; 61(2):387-399. PMC: 5915910. DOI: 10.1097/GRF.0000000000000349. View

16.

Gavin A, Melville J, Rue T, Guo Y, Dina K, Katon W . Racial differences in the prevalence of antenatal depression. Gen Hosp Psychiatry. 2011; 33(2):87-93. PMC: 3880676. DOI: 10.1016/j.genhosppsych.2010.11.012. View

17.

Schmeer K, Kroeger R . Union Type and Depressive Symptoms Among Mexican Adults. J Fam Issues. 2012; 32(12):1597-1621. PMC: 3401039. DOI: 10.1177/0192513X11409310. View

18.

Lewinsohn P, Seeley J, Roberts R, Allen N . Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychol Aging. 1997; 12(2):277-87. DOI: 10.1037//0882-7974.12.2.277. View

19.

Shen J, Lin F, Jackson T . Risk of prenatal depression: differences by race. Ethn Dis. 2010; 20(1):35-9. View

20.

Ruiz R, Stowe R, Brown A, Wommack J . Acculturation and biobehavioral profiles in pregnant women of Hispanic origin: generational differences. ANS Adv Nurs Sci. 2012; 35(3):E1-E10. DOI: 10.1097/ANS.0b013e3182626199. View