Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes

Abstract 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 s...

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Main Authors: R. Jeanne Ruiz, Matt Newman, Robert Suchting, Rebecca M. Pasillas, Kathie Records, Raymond P. Stowe, Tiffany A. Moore
Format: Article
Language:English
Published: Wiley 2021-03-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.676
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author R. Jeanne Ruiz
Matt Newman
Robert Suchting
Rebecca M. Pasillas
Kathie Records
Raymond P. Stowe
Tiffany A. Moore
author_facet R. Jeanne Ruiz
Matt Newman
Robert Suchting
Rebecca M. Pasillas
Kathie Records
Raymond P. Stowe
Tiffany A. Moore
author_sort R. Jeanne Ruiz
collection DOAJ
description Abstract 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.
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spelling doaj.art-ef752c3f0e674e49bc47f53eedccf1052022-12-21T22:44:26ZengWileyNursing Open2054-10582021-03-018270972010.1002/nop2.676Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomesR. Jeanne Ruiz0Matt Newman1Robert Suchting2Rebecca M. Pasillas3Kathie Records4Raymond P. Stowe5Tiffany A. Moore6Microgen Laboratories, LLC Bastrop TX USASerenity Research & Consulting, LLC Austin TX USAFaillace Department of Psychiatry and Behavioral Sciences McGovern Medical School University of Texas Health Science Center at Houston Houston TX USAThe University of Texas at El Paso El Paso TX USASchool of Nursing The University of Northern Colorado Greeley CO USAMicrogen Laboratories LaMarque TX USACollege of Nursing University of Nebraska Medical Center Omaha NE USAAbstract 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.https://doi.org/10.1002/nop2.676advanced practice nursinglow birthweightMexican Americanspreterm birthrisk factors
spellingShingle R. Jeanne Ruiz
Matt Newman
Robert Suchting
Rebecca M. Pasillas
Kathie Records
Raymond P. Stowe
Tiffany A. Moore
Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes
Nursing Open
advanced practice nursing
low birthweight
Mexican Americans
preterm birth
risk factors
title Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes
title_full Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes
title_fullStr Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes
title_full_unstemmed Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes
title_short Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes
title_sort pregnant mexican american biopsychosocial cultural risks for adverse infant outcomes
topic advanced practice nursing
low birthweight
Mexican Americans
preterm birth
risk factors
url https://doi.org/10.1002/nop2.676
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