Acculturation and Depressive Symptoms Among Pregnant and Postpartum Latinas
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Objectives Among childbearing Latinas, higher acculturation has been found to be significantly associated with increased risk for mental health problems (Acevado (Child Abuse Neglect, 24:11–127, 2000)), although these findings have been inconsistent (Beck (Maternal Child Nurs, 31(2), 114–120, 2006)). The aims of this study are to assess and compare the prevalence of elevated depressive symptoms among pregnant and postpartum U.S.- and Mexican-born Latinas, and to describe the relation of elevated depressive symptoms and acculturation indicators. Methods A convenience sample of 439 pregnant and postpartum Latinas attending Public Health Clinics in San Antonio, Texas was screened for depressive symptoms using the Center for Epidemiologic Studies Depression (CES-D) Scale. Women with a score of 21 or greater were classified as having elevated depressive symptoms. Sociodemographic data, including birth country and language of interview, were collected as indicators of acculturation. Results 21% of the sample had moderate depressive symptoms; 15% met the threshold for high depressive symptoms. Bivariate analysis showed Latinas who were U.S.-born, single, preferred English or were pregnant were more likely to express elevated levels of depressive symptoms. Being U.S.-born, pregnant and single was significantly associated with moderate levels of depressive symptoms in logistic regression analyses controlling for other variables in the model. Controlling for other variables, being pregnant and single was significantly associated with high levels of depressive symptoms. Conclusions Higher acculturation, pregnancy and single status were positively associated with elevated depressive symptoms. Screening for depression during pregnancy is important for this population group, given Latinas’ high rates of fertility and births to single women, particularly among more acculturated, U.S.-born Latinas.
KeywordsDepression Perinatal period Hispanic American Mexican-American Acculturation Postpartum depression
This data set was collected as part of the San Antonio Metropolitan Health District’s (SAMHD), Perinatal Depression Project, funded by the Hogg Foundation for Mental Health. The authors wish to thank the San Antonio Metropolitan Health District and those women who participated in the project for their contribution to this work. The contents of this report are solely the responsibility of the authors and do not necessarily reflect the official views of the SAMHD or the Hogg Foundation.
- 1.Gavin, N., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics, 106(5), 1071–1083.Google Scholar
- 2.U.S. Census Bureau News. U.S. Department of Commerce. Washington, D.C. 20233. Available at: www.census.gov/Press-Release/www/releases/archives/population/011910.html. Accessed June 16, 2008.
- 3.Hamilton, B. E., Martin, J. A., & Ventura, S. J. Births. Preliminary data for 2005. National Vital Statistics Reports; Vol. 55. Hyattsville, MD: National Center for Health Statistics, Tables 1, 5. Available at www.cdc.gov/nchs/products/pubs/pubd/hestats/prelimbirths05.htm#ref02. Accessed June 16, 2008.
- 5.Cuellar, I., Harris, L. C., & Jasso, R. (1980). An acculturation scale for Mexican American normal and clinical populations. Hispanic Journal of Behavioral Sciences, 2(3), 199–217.Google Scholar
- 7.Odegaard, O. (1946). A statistical investigation of the incidence of mental disorder in norway. The Psychiatric Quarterly, 20, 382–383.Google Scholar
- 14.Kuo, W. H., Wilson, T. E., Holman, S., Fuentes-Afflick, E., O’Sullivan, M. J., & Minkoff, H. (2004). Depressive symptoms in the immediate postpartum period among Hispanic women in three U.S. cities. Journal of Immigrant Health, 6(4), 145–153. doi: 10.1023/B:JOIH.0000045252.10412.fa.PubMedCrossRefGoogle Scholar
- 19.U.S. Census Bureau. (2001). The Hispanic Population (Census 2000 Brief). Washington, DC: U.S. Department of Commerce.Google Scholar
- 20.Barnes, G. E., & Prosen, H. (1984). Depression in Canadian general practice attenders. Canadian Journal of Psychiatry, 29, 2–10.Google Scholar
- 23.Roberts, R. E., Vernon, S. W., & Rhodes, H. M. (1989). Effects of language and ethnic status on reliability and validity of the center for epidemiological studies-depression scale with psychiatric patients. The Journal of Nervous and Mental Disease, 177, 581–592. doi: 10.1097/00005053-198910000-00001.PubMedCrossRefGoogle Scholar
- 28.Vega, W. A., Kolody, B., Valle, R., & Hough, R. (1986). Depressive symptoms and their correlates among immigrant Mexican women in the United States. Social Science, 22(6), 645–652.Google Scholar
- 29.Sribney, W. FAQ: A comparison of different tests for trend 1996. Available at: www.stata.com/support/faqs/test_trend.htm. Accessed June 13, 2008.
- 30.Rich-Edwards, J. W., Kleinman, K., Abrams, A., Harlow, B. L., McLaughlin, T. J., & Joffe, H. (2006). Sociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice. Journal of Epidemiology, 60(3), 221–227.Google Scholar
- 33.Yonkers, K. A., Ramin, S. M., Rush, A. J., Navarrete, C. A., Carmody, T., March, D., et al. (2001). Onset and persistence of postpartum depression in an inner-city maternal health clinic system. The American Journal of Psychiatry, 158(11), 1856–1863. doi: 10.1176/appi.ajp. 158.11.1856.PubMedCrossRefGoogle Scholar
- 35.Federal Interagency Forum on Child and Family Statistics. (2007). America’s Children: Key National Indicators of Well-Being.Google Scholar
- 36.Hamilton, B. E., Martin, J. A., & Ventura, S. J. (2007). Births: Preliminary data for 2005. National vital statistics reports; vol 55 no 11. Hyattsville, MD: National Center for Health Statistics.Google Scholar
- 37.Acevado, M. C. (2000). The role of acculturation in explaining ethnic differences in the prenatal health-risk behaviors, mental health and parenting beliefs of Mexican-American and European American at-risk women. Child Abuse & Neglect, 24, 11–127.Google Scholar