Acculturation and Postpartum Depressive Symptoms among Hispanic Women in the United States

Alhasanat, Dalia; Giurgescu, Carmen

doi:10.1097/nmc.0000000000000298

Cited by 31 publications

(16 citation statements)

References 38 publications

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“…An additional limitation lies in the heterogeneity of language skills’ measurement in the existing literature. Many studies define local language competence simply according to the preference to conduct the study interview in that language [ 19 , 20 ]. On the other hand, many studies from the United States refer to Limited English Proficiency as speaking English “less than very well”, based on the classification of the United States Census Bureau [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Language Proficiency and Migrant–Native Disparities in Postpartum Depressive Symptoms

Hamwi

Lorthe

Barros

2021

IJERPH

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Migrant women have a higher risk of developing postpartum depressive symptoms (PPDS) than do native women. This study aimed to investigate the role of host-country language proficiency in this disparity. We analysed the data of 1475 migrant and 1415 native women who gave birth at a Portuguese public hospital between 2017 and 2019 and were participants in the baMBINO cohort study. Migrants’ language proficiency was self-rated and comprised understanding, speaking, reading, and writing skills. PPDS were assessed using the Edinburgh Postnatal Depression Scale with a cut-off score of ≥10. Multivariable logistic regression models were fitted to estimate the association between language proficiency and PPDS. PPDS were experienced by 7.2% of native women and 12.4% among migrants (p < 0.001). Increasing proportions of PPDS were observed among decreasing Portuguese proficiency levels; 11% among full, 13% among intermediate, and 18% among limited proficiency women (ptrend < 0.001). Full (aOR 1.63 (95% CI 1.21–2.19)), intermediate (aOR 1.68 (95% CI 1.16–2.42)), and limited (aOR 2.55 (95% CI 1.64–3.99)) language proficiencies were associated with increasingly higher odds of PPDS among migrant women, compared to native proficiency. Prevention measures should target migrant women at high risk of PPDS, namely those with limited language skills, and promote awareness, early detection, and help-seeking, in addition to facilitating communication in their perinatal healthcare encounters.

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Section: Introductionmentioning

confidence: 99%

Language Proficiency and Migrant–Native Disparities in Postpartum Depressive Symptoms

Hamwi

Lorthe

Barros

2021

IJERPH

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“…This may have inadvertently excluded studies of women who fit the definition of “refugee” if this specific term or analogous terms were not explicitly used. This question arose, for example, when screening studies of Hispanic and Latino women resettled in the United States, in which it was not always clear (and often not explicitly stated) whether they were refugee women or not [ 34 , 35 ]. It should also be recognized that the included studies represent a very small sample size (a total of approximately 300 women) from a limited number of countries and resettling in only 4 high-income countries ( Fig 2 ).…”

Section: Discussionmentioning

confidence: 99%

Impact of culture on refugee women’s conceptualization and experience of postpartum depression in high-income countries of resettlement: A scoping review

Haque

Malebranche

2020

PLoS ONE

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Background The global refugee population has reached a staggering 25.9 million. Approximately 16% of global refugees resettle in high-income countries which are often culturally very different from their home countries. This can create cross-cultural challenges when accessing health services, leading to inappropriate assessments, diagnoses and treatments if cultural background is not factored in. The impact of culture on the conceptualization and experience of postpartum depression (PPD) amongst migrant women has received growing attention in recent years, however, a specific focus on refugee and asylum-seeking women is lacking. Given the unique mental health challenges refugee women face, it is hypothesized that the interplay between culture and postpartum depression amongst refugee women may differ from other migrant women. Therefore, a scoping review was conducted to characterize what is known about the impact of culture on the conceptualization and experience of PPD in refugee women resettled in high-income countries. Methods and findings This study was conducted as a scoping review in accordance with the Joanna Briggs Institute’s Methodology for Scoping Reviews. A systematic search of studies addressing the relationship between culture and postpartum depression amongst refugee women (including asylum-seeking women) resettled in high-income countries was conducted across 6 databases including MEDLINE, PsycINFO and SOCINDEX between June 2018 and August 2019. A total of 637 articles were found. Studies were eligible if they focused on refugee women who had a pregnancy during forced migration or upon resettlement in a high-income country and focused on the impact of culture on women’s conceptualization and/or experience of PPD. Eight studies met inclusion criteria and were included in the final analysis, the majority of which were qualitatively driven. Four key themes emerged: 1) there are diverse conceptualizations and experiences of postpartum depression amongst refugee women; 2) mental health stigma has a significant impact on women’s conceptualizations and experiences of postpartum depression and help-seeking behaviors; 3) cultural traditions and social support play protective roles in postpartum mental wellbeing; and, 4) host culture has a significant influence on the pregnancy and postpartum experience of refugee women. The overall themes align with those seen in the literature on migrant women in general, however significant research gaps remain. Conclusion The studies identified through this scoping review provide a rich description of the significant impact culture has on the conceptualization and experience of postpartum depression among refugee women resettled in high-income countries. Though overall themes align with those seen in the literature on migrant women in general, further research is needed to better characterize how culture impacts refugee women’s experiences of PPD as a distinct sub-group of migrant women.

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“…Members of their prior community are lost in the immigration process. During this parallel transition, immigrant women encounter additional sociocultural conditions that increase their vulnerability to postpartum distress, including language barriers, acculturation stress, lack of knowledge about the local health care system, discrimination, and lack of support networks (Alhasanat & Giurgescu, 2017;Cervantes et al, 2019;Zhang et al, 2011). As a result, immigrant women and their families are at a high risk of experiencing adverse impacts of postpartum distress.…”

Section: Dual Transitioning: Becoming a Mother In A New Placementioning

confidence: 99%

“Everything Is Greyscaled”: Immigrant Women’s Experiences of Postpartum Distress

Bowers

2020

Qual Health Res

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Postpartum distress increases the risk of developing mental disorders over a woman’s lifespan. Although immigrant women experience a high rate of postpartum depression, we know very little about the psychosocial experiences of postpartum distress in immigrant populations. No theories have been developed to account for the intersection of cultural and maternal transitions or the relationship of this dual transition to postpartum distress. Therefore, this study aims to generate a conceptual model for describing immigrant women’s experience of and social-psychological responses to postpartum distress. This study uses grounded theory to conduct and analyze interviews with 22 Chinese immigrant women who experienced postpartum distress. During their dual transitions, participants encountered many losses significant to their psychological self. The conceptual model of greyscaling and reviving the psychological self provides pathways to respond to these losses, assesses the pathways’ impact on experiencing distress, and offers strategies that resolve distress.

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Acculturation and Postpartum Depressive Symptoms among Hispanic Women in the United States

Cited by 31 publications

References 38 publications

Language Proficiency and Migrant–Native Disparities in Postpartum Depressive Symptoms

Language Proficiency and Migrant–Native Disparities in Postpartum Depressive Symptoms

Impact of culture on refugee women’s conceptualization and experience of postpartum depression in high-income countries of resettlement: A scoping review

“Everything Is Greyscaled”: Immigrant Women’s Experiences of Postpartum Distress

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