Archives of Women's Mental Health

, Volume 19, Issue 4, pp 635–644 | Cite as

Effects of acculturation on prenatal anxiety among Latina women

  • Veronica Barcelona de Mendoza
  • Emily Harville
  • Katherine Theall
  • Pierre Buekens
  • Lisa Chasan-Taber
Original Article

Abstract

Anxiety in pregnancy has been associated with adverse birth outcomes. Relatively few studies have investigated how acculturation affects mental health in pregnancy among Latinas. The goal of this study was to determine if acculturation was associated with anxiety over the course of pregnancy in a sample of predominantly Puerto Rican women. Women were recruited in pregnancy for participation in Proyecto Buena Salud, a prospective cohort study of Latina women (n = 1412). Acculturation was measured via the Psychological Acculturation Scale (PAS), language preference and generation in the USA. Anxiety was measured using the State-Trait Anxiety Instrument. Linear and logistic multivariable regressions were used to investigate associations. After adjustment, women with bicultural identification had significantly lower trait anxiety scores in early pregnancy (β = −3.62, SE = 1.1, p < 0.001) than low acculturated women. Women with higher levels of acculturation as indicated by English-language preference (β = 1.41, SE = 0.7, p = 0.04) and second or third generation in the USA had significantly higher trait anxiety scores in early pregnancy (β = 1.83, SE = 0.6, p < 0.01). Bicultural psychological acculturation was associated with lower trait anxiety in early pregnancy, while English-language preference and higher generation in the USA were associated with higher trait anxiety in early pregnancy.

Keywords

Acculturation Anxiety Pregnancy Latino Hispanic 

Notes

Acknowledgments

This project was supported by the Training Grant in Reproductive Epidemiology from the Eunice Kennedy Shriver National Institute of Child Health and Human Development at the National Institutes of Health (T32 HD057780), and the Maternal and Child Health Epidemiology Doctoral Training Program, HRSA/MCHB (T03MC07649). Proyecto Buena Salud was supported by a National Institutes of Health grant (NIH R01DK064902).

References

  1. Abraido-Lanza A, White K, Vasques E (2004) Immigrant populations and health. In: Anderson N (ed) Encyclopedia of health and behavior. Sage, Newbury Park, pp 533–537Google Scholar
  2. Agrati D, Browne D, Jonas W, Meaney M, Atkinson L, Steiner M, on behalf of the MAVAN research team et al (2015) Maternal anxiety from pregnancy to 2 years postpartum: transactional patterns of maternal early adversity and child temperament. Arch Womens Ment Health. doi:10.1007/s00737-014-0491-y PubMedGoogle Scholar
  3. Alegria M, Mulvaney-Day N, Torres M, Polo A, Cao Z, Canino G (2007) Prevalence of psychiatric disorders across Latino subgroups in the United States. Am J Public Health 97(1):68–75CrossRefPubMedPubMedCentralGoogle Scholar
  4. Austin MP, Hadzi-Pavlovic D, Leader L, Saint K, Parker G (2005) Maternal trait anxiety, depression and life event stress in pregnancy: relationships with infant temperament. Early Hum Dev 81(2):183–190CrossRefPubMedGoogle Scholar
  5. Campos B, Dunkel Schetter C, Walsh JA, Schenker M (2007) Sharpening the focus on acculturative change: ARSMA-II, stress, pregnancy anxiety and infant birth weight in recently immigrated Latinas. Hisp J Behav Sci 29:209–224CrossRefGoogle Scholar
  6. Campos B, Schetter CD, Abdou CM, Hobel CJ, Glynn LM, Sandman CA (2008) Familialism, social support, and stress: positive implications for pregnant Latinas. Cult Divers Ethn Minor Psychol 14(2):155–162. doi:10.1037/1099-9809.14.2.155 CrossRefGoogle Scholar
  7. Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System (2014) March of dimes special report: maternal and infant health in US Hispanic populations—prematurity and related health indicatorsGoogle Scholar
  8. Cervantes RC, Padilla AM, Napper LE, Goldbach JT (2013) Acculturation-related stress and mental health outcomes among three generations of Hispanic adolescents. Hisp J Behav Sci 35(4):451–468CrossRefGoogle Scholar
  9. Chasan-Taber L, Fortner RT, Gollenberg A, Buonnaccorsi J, Dole N, Markenson G (2010) A prospective cohort study of modifiable risk factors for gestational diabetes among Hispanic women: design and baseline characteristics. J Women's Health 19(1):117–124. doi:10.1089/jwh.2009.1416 CrossRefGoogle Scholar
  10. Concha M, Sanchez M, de La Rosa M, Villar ME (2013) A longitudinal study of social capital and acculturation-related stress among recent Latino immigrants in south Florida. Hisp J Behav Sci 35(4):469–485CrossRefPubMedPubMedCentralGoogle Scholar
  11. Cuellar I, Harris L, Jasso R (1980) An acculturation scale for Mexican Americans, normal and clinical populations. Hisp J Behav Sci 2(3):199–217Google Scholar
  12. Dayan J, Creveuil C, Marks MN, Conroy S, Herlicoviez M, Dreyfus M, Tordjman S (2006) Prenatal depression, prenatal anxiety, and spontaneous preterm birth: a prospective cohort study among women with early and regular care. Psychosom Med 68(6):938–946CrossRefPubMedGoogle Scholar
  13. Ding XX, Wu YL, Xu SJ, Zhu RP, Jia XM, Zhang SF (2014) Maternal anxiety during pregnancy and adverse birth outcomes: a systematic review and meta-analysis of prospective cohort studies. J Affect Disord 159:103–110. doi:10.1016/j.jad.2014.02.027 CrossRefPubMedGoogle Scholar
  14. Engle PL, Scrimshaw SC, Zambrana RE, Dunkel-Schetter C (1990) Prenatal and postnatal anxiety in Mexican women giving birth in Los Angeles. Health Psychol 9(3):285–299CrossRefPubMedGoogle Scholar
  15. Epel ES, Blackburn EH, Lin J, Dhabhar FS, Adler NE, Morrow JD, Cawthon RM (2004) Accelerated telomere shortening in response to life stress. Proc Natl Acad Sci U S A 101(49):17312–17315CrossRefPubMedPubMedCentralGoogle Scholar
  16. Fergusson DM, Horwood LJ, Thorpe K (1996) Changes in depression during and following pregnancy. Paediatr Perinat Epidemiol 10(3):279–293CrossRefPubMedGoogle Scholar
  17. Fleuriet KJ, Sunil TS (2014) 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 25(2):546–561. doi:10.1353/hpu.2014.0092 CrossRefPubMedGoogle Scholar
  18. Flores E, Tschann JM, Dimas JM, Bachen EA, Pasch LA, de Groat CL (2008) Perceived discrimination, perceived stress, and mental and physical health among Mexican-origin adults. Hisp J Behav Sci 30(4):401–424CrossRefGoogle Scholar
  19. Fox M, Entringer S, Buss C, DeHaene J, Wadhwa P (2015) Intergenerational transmission of the effects of acculturation on health in Hispanic Americans: a fetal programming perspective. Am J Public Health 105(S409):S423Google Scholar
  20. Glynn LM, Schetter CD, Hobel CJ, Sandman CA (2008) Pattern of perceived stress and anxiety in pregnancy predicts preterm birth. Health Psychol 27(1):43–51. doi:10.1037/0278-6133.27.1.43 CrossRefPubMedGoogle Scholar
  21. Grant KA, McMahon C, Austin MP (2008) Maternal anxiety during the transition to parenthood: a prospective study. J Affect Disord 108(1–2):101–111CrossRefPubMedGoogle Scholar
  22. Heinrichs M, Baumgartner T, Kirschbaum C, Ehlert U (2003) Social support and oxytocin interact to suppress cortisol and subjective responses to psychological stress. Biol Psychiatry 54(12):1389–1398CrossRefPubMedGoogle Scholar
  23. Krogstad JM, Lopez MH (2014) Hispanic nativity shift: U.S. births drive population growth as immigration stalls. Pew Research Center's Hispanic Trends Project, Washington, D.CGoogle Scholar
  24. Laraia BA, Siega-Riz AM, Gundersen C, Dole N (2006) Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women. J Nutr 136(1):177–182PubMedGoogle Scholar
  25. Lee MJ, Roman AS, Lusskin S, Chen D, Dulay A, Funai EF, Monteagudo A (2007) Maternal anxiety and ultrasound markers for aneuploidy in a multiethnic population. Prenat Diagn 27(1):40–45CrossRefPubMedGoogle Scholar
  26. Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Mathews TJ, Kirmeyer S, Osterman MJ (2012) Births: final data for 2010: national vital statistics reports: from the centers for disease control and prevention, national center for health statistics. Natl Vital Stat Rep 61(1)Google Scholar
  27. Mennes M, Stiers P, Lagae L, Van den Bergh B (2006) Long-term cognitive sequelae of antenatal maternal anxiety: involvement of the orbitofrontal cortex. Neurosci Biobehav Rev 30(8):1078–1086CrossRefPubMedGoogle Scholar
  28. Nast I, Bolten M, Meinlschmidt G, Hellhammer DH (2013) How to measure prenatal stress? A systematic review of psychometric instruments to assess psychosocial stress during pregnancy. Paediatr Perinat Epidemiol 27(4):313–322. doi:10.1111/ppe.12051 CrossRefPubMedGoogle Scholar
  29. O’Connor TG, Heron J, Golding J, Beveridge M, Glover V (2002) Maternal antenatal anxiety and children’s behavioural/emotional problems at 4 years. Report from the Avon longitudinal study of parents and children. Br J Psychiatry J Ment Sci 180:502–508CrossRefGoogle Scholar
  30. Rini CK, Dunkel-Schetter C, Wadhwa PD, Sandman CA (1999) Psychological adaptation and birth outcomes: the role of personal resources, stress, and sociocultural context in pregnancy. Health Psychol 18(4):333–345CrossRefPubMedGoogle Scholar
  31. Rothman KJ, Greenland S, Lash TL (2008) Validity in epidemiologic studies. Modern epidemiology, 3rd edn. Lippincott Williams & Wilkins, Philadelphia, pp 128–147Google Scholar
  32. Ruiz RJ, Stowe RP, Brown A, Wommack J (2012) Acculturation and biobehavioral profiles in pregnant women of Hispanic origin: generational differences. ANS Adv Nurs Sci 35(3):E1–E10. doi:10.1097/ANS.0b013e3182626199 CrossRefPubMedGoogle Scholar
  33. Segerstrom SC, Miller GE (2004) Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychol Bull 130(4):601–630CrossRefPubMedPubMedCentralGoogle Scholar
  34. Spielberger CD (1983) Manual for the state-trait anxiety inventory. Consulting Psychologists Press, Palo AltoGoogle Scholar
  35. Spielberger CD, Gorsuch RL, Lushene RE (1986) Manual STAI. Cuestionario de ansiedad estado rasgo. Adaptación española, 2nd edn. TEA Ediciones, MadridGoogle Scholar
  36. Sutter-Dallay AL, Giaconne-Marcesche V, Glatigny-Dallay E, Verdoux H (2004) Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey of the MATQUID cohort. Eur Psychiatry 19(8):459–463CrossRefPubMedGoogle Scholar
  37. Textor J, Hardt J, Knuppel S (2011) Dagitty: a graphical tool for analyzing causal diagrams. Epidemiology 22(5):745, http://www.dagitty.net/dags.html# CrossRefPubMedGoogle Scholar
  38. Tropp LR, Erkut S, Coll CG, Alarcon O, Vazquez Garcia HA (1999) Psychological acculturation: development of a new measure for Puerto Ricans on the U.S. mainland. Educ Psychol Meas 59(2):351–367. doi:10.1177/00131649921969794 CrossRefPubMedPubMedCentralGoogle Scholar
  39. Umaña-Taylor AJ, Updegraff KA (2007) Latino adolescents’ mental health: exploring the interrelations among discrimination, ethnic identity, cultural orientation, self-esteem, and depressive symptoms. J Adolesc 30(4):549–567CrossRefPubMedGoogle Scholar
  40. United States Census Bureau (2011) The Hispanic population 2010, 2010 census briefs. Retrieved from http://www.census.gov/prod/cen2010/briefs/c2010br-04.pdf
  41. United States Census Bureau, Population Division (2013) Monthly population estimates by age, sex, race and Hispanic origin for the United States: April 1, 2010 to July 1, 2012. Retrieved from https://www.census.gov/popest/data/national/asrh/2012/2012-nat-detail.html
  42. Zambrana RE, Scrimshaw SC, Collins N, Dunkel-Schetter C (1997) Prenatal health behaviors and psychosocial risk factors in pregnant women of Mexican origin: the role of acculturation. Am J Public Health 87(6):1022–1026CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag Wien 2016

Authors and Affiliations

  • Veronica Barcelona de Mendoza
    • 1
    • 4
  • Emily Harville
    • 1
  • Katherine Theall
    • 2
  • Pierre Buekens
    • 1
  • Lisa Chasan-Taber
    • 3
  1. 1.Department of EpidemiologyTulane University School of Public Health and Tropical MedicineNew OrleansUSA
  2. 2.Department of Global Community Health and Behavioral ScienceTulane University School of Public Health and Tropical MedicineNew OrleansUSA
  3. 3.Department of Biostatistics and EpidemiologyUniversity of Massachusetts School of Public Health and Health SciencesAmherstUSA
  4. 4.Yale University School of NursingOrangeUSA

Personalised recommendations