Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes

R. Jeanne Ruiz; Matt Newman; Robert Suchting; Rebecca M. Pasillas; Kathie Records; Raymond P. Stowe; Tiffany A. Moore

doi:10.1002/nop2.676

Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes

R. Jeanne Ruiz, Matt Newman, Robert Suchting, Rebecca M. Pasillas, Kathie Records, Raymond P. Stowe, Tiffany A. Moore

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (US)
Journal	Nursing Open
DOIs	https://doi.org/10.1002/nop2.676
State	Accepted/In press - 2020

Keywords

advanced practice nursing
low birthweight
Mexican Americans
preterm birth
risk factors

ASJC Scopus subject areas

Nursing(all)

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10.1002/nop2.676

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@article{e2417d31e4ea460fa13da3721980e12b,

title = "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 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.",

keywords = "advanced practice nursing, low birthweight, Mexican Americans, preterm birth, risk factors",

author = "Ruiz, {R. Jeanne} and Matt Newman and Robert Suchting and Pasillas, {Rebecca M.} and Kathie Records and Stowe, {Raymond P.} and Moore, {Tiffany A.}",

note = "Funding Information: Funding was obtained from the National Institute of Health, National Institute of Nursing Research grant number NR‐07891. The purpose of the funding was to test a predictive model in Latinas for preterm birth. It is a primary analysis. We want to thank Dr Anthony Chavez, Obstetrician, for allowing us to conduct the research in his office and to use his patients as participants in the study. We also want to acknowledge Ester Godbold, RN and Irma Pecina, CHW for their many contributions to the study. ",

year = "2020",

doi = "10.1002/nop2.676",

language = "English (US)",

journal = "Nursing Open",

issn = "2054-1058",

publisher = "Wiley-Blackwell Publishing Ltd",

}

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T1 - Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes

AU - Ruiz, R. Jeanne

AU - Newman, Matt

AU - Suchting, Robert

AU - Pasillas, Rebecca M.

AU - Records, Kathie

AU - Stowe, Raymond P.

AU - Moore, Tiffany A.

N1 - Funding Information: Funding was obtained from the National Institute of Health, National Institute of Nursing Research grant number NR‐07891. The purpose of the funding was to test a predictive model in Latinas for preterm birth. It is a primary analysis. We want to thank Dr Anthony Chavez, Obstetrician, for allowing us to conduct the research in his office and to use his patients as participants in the study. We also want to acknowledge Ester Godbold, RN and Irma Pecina, CHW for their many contributions to the study.

PY - 2020

Y1 - 2020

N2 - 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.

AB - 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.

KW - advanced practice nursing

KW - low birthweight

KW - Mexican Americans

KW - preterm birth

KW - risk factors

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