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首页> 外文期刊>Maternal and child health journal >The influence of prenatal trauma, stress, social support, and years of residency in the US on postpartum maternal health status among low-income Latinas.
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The influence of prenatal trauma, stress, social support, and years of residency in the US on postpartum maternal health status among low-income Latinas.

机译：美国低收入拉丁裔的产前创伤，压力，社会支持和居住年限对产后产妇健康状况的影响。

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摘要

This study examined the associations of prenatal psychosocial factors, including depressive symptoms, post-traumatic stress disorder symptoms, trauma exposure including intimate partner violence, perceived stress, and social support, with perceived postpartum health status. Low-income Latinas (N = 203) were recruited from two health plans within the first 12 weeks of their pregnancies and followed through 3 months after birth. Participants completed semi-structured interviews conducted in English or Spanish within the first 12 weeks of pregnancy, and again at 12 weeks postpartum. Perceived health status was measured by the SF-12. Participants with complete follow-up data (n= 193) were used in data analysis. Women were mostly foreign-born (75%) with low-incomes (59%) and reported postpartum health status in the average range (M = 102.5; SD = 12.2). Overall health status was positively associated with decreased levels of perceived stress (P < .0001), being foreign-born and having resided in the US <10 years (P = .003). Emotional well-being was positively linked with being foreign-born and having resided in the US <10 years (P = .002), increased levels of social support (P = .01), and decreased levels of perceived stress (P < .001). Exposure to non-specific IPV trauma (P = .01) and health problems experienced during pregnancy or delivery (P = .05) were negatively associated with physical health status. Prenatal psychosocial factors and length of residency in the US are differentially predictive of overall postpartum health status and emotional well-being, and have less impact on physical well-being after birth. Health professionals are encouraged to assess these factors in early pregnancy.
机译：这项研究检查了产前心理社会因素，包括抑郁症状，创伤后应激障碍症状，包括亲密伴侣暴力在内的创伤暴露，知觉压力和社会支持与产后健康状况之间的关系。低收入拉丁裔（N = 203）在怀孕的前12周内从两个健康计划中招募，直到出生后3个月。参与者在怀孕的前12周内以及产后12周内用英语或西班牙语完成了半结构式访谈。感知的健康状况由SF-12测量。具有完整随访数据（n = 193）的参与者被用于数据分析。妇女大多是外国出生的（75％），低收入（59％），并且报告的产后健康状况处于平均水平（M = 102.5; SD = 12.2）。总体健康状况与感知压力水平的降低呈正相关（P <.0001），出生于国外且在美国居住的时间小于10年（P = .003）。情绪健康与在国外出生并居住在美国<10年（P = .002），社会支持水平（P = .01）和知觉压力降低（P <。 001）。暴露于非特定IPV创伤（P = 0.01）和怀孕或分娩期间遇到的健康问题（P = 0.05）与身体健康状况负相关。在美国，产前心理社会因素和居住时间长短对产后整体健康状况和情绪健康有不同的预测，对出生后的身体健康影响较小。鼓励卫生专业人员在怀孕初期评估这些因素。

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