Open AccessPregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes
Author(s) -
Ruiz R. Jeanne,
Newman Matt,
Suchting Robert,
Pasillas Rebecca M.,
Records Kathie,
Stowe Raymond P.,
Moore Tiffany A.
Publication year - 2021
Publication title -
nursing open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.55
H-Index - 12
ISSN - 2054-1058
DOI - 10.1002/nop2.676
Subject(s) - acculturation , psychosocial , biopsychosocial model , cotinine , clinical psychology , marital status , structural equation modeling , psychology , coping (psychology) , medicine , demography , ethnic group , psychiatry , environmental health , sociology , anthropology , nicotine , population , statistics , mathematics
Aims To test a model of psychosocial/cultural/biological risk factors for poor birth outcomes in Latina pregnant women. Design An observational study measuring acculturation, progesterone, cortisol, cotinine, age, marital status, income, stress, depressive symptoms and coping. We tested a structural equation model to predict risk. Methods We obtained a convenience sample ( N = 515) of low medical risk pregnant Mexican American Hispanic women at 22–24 weeks of gestation. Bilingual research nurses collected data from blood, urine and questionnaires. Self‐report measures were the Beck Depression Inventory‐II, the Perceived Stress Scale, the Acculturation Rating Scale for Mexican Americans‐II and the Brief Cope. We measured progesterone and cortisol in plasma and cotinine levels in urine by enzyme‐linked immunoassays. Results A PLS‐ SEM model revealed that Mexican American Hispanic pregnant women who were younger, single, lower income, more acculturated and who had greater negative coping, stress and depression were most at risk for having earlier and smaller babies.