Acculturation, depressive symptoms, estriol, progesterone, and preterm birth in Hispanic women
Open accessAbstract
We examined the effects of acculturation, depressive symptoms, progesterone, and estriol (E3) as predictors of preterm birth (PTB) in pregnant Hispanic women. This cross-sectional study recruited a sample of 470 Hispanic women between 22- and 24-week gestation from physician practices and community clinics. We used the CES-D to measure maternal depressive symptoms. We measured acculturation by English proficiency on the Bidimensional Acculturation Scale, residence index by years in the USA minus age, nativity, and generational status. Serum progesterone and E3 were analyzed by EIA. Ultrasound and medical records determined gestational age after delivery. In χ (2) analysis, there were a significantly greater percentage of women with higher depressive scores if they were born in the USA. In a structural equation model (SEM), acculturation (English proficiency, residence index, and generational status) predicted the estriol/progesterone ratio (E/P), and the interaction of depressive symptoms with the E/P ratio predicted PTB. Undiagnosed depressive symptoms during pregnancy may have biological consequences increasing the risk for PTB.
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In our previous study with Latinas, the combination of acculturation, depressive symptoms, progesterone, and E3 predicted PTB, indicating that the combined impact of these factors produced the greatest risk.
“In our previous study with Latinas [27], the combination of acculturation, depressive symptoms, progesterone, and E3 predicted PTB, indicating that the combined impact of these factors produced the greatest risk.”
From The mastery lifestyle intervention to reduce biopsychosocial risks for pregnant Latinas and African Americans and their infants: protocol for a randomized controlled trial (2022) · cites this paper as [27]
The Discussion reports that depressive symptoms combined with progesterone and E3 predicted preterm birth and produced the greatest risk. It treats acculturation as an antecedent that predicted the E3/progesterone ratio, not as part of that combined interaction. The study focused on pregnant women of Mexican origin. (LLM, conf=0.87)
Experimental — accuracy not yet measuredMaternal biological changes occur at 22-24 weeks gestation.
“We are specifically intervening prior to maternal biological changes we have observed to occur at 22–24 weeks gestation [27].”
From The mastery lifestyle intervention to reduce biopsychosocial risks for pregnant Latinas and African Americans and their infants: protocol for a randomized controlled trial (2022) · cites this paper as [27]
The Methods section says that 22–24 weeks is a key time to measure biological factors related to preterm birth. It does not say that maternal biological changes begin or occur specifically at 22–24 weeks; the study collected data at that time rather than tracking when changes occurred. No page number is available in our copy. (LLM, conf=0.85)
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“Pregnant Mexican American women, the largest subgroup of Hispanic women, hereafter referred to as Latinas, are also at increased risk for psychological distress which leads to adverse birth outcomes such as PTB, and low birthweight (LBW, 2500 g) [2].”
BackgroundInfluentialSelf-citation
- Authors
- Ruiz, R. J., Marti, C. N., Pickler, R., Murphey, C., Wommack, J., & Brown, C. E. L.
- Affiliations
- The University of Texas at Austin (US)
- Cincinnati Children's Hospital Medical Center (US)
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Ruiz, R. Jeanne
- Venue
- Archives of Women's Mental Health
- Published
- 2012-01-26
- Volume
- 15
- Issue
- 1
- Pages
- 57-67
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- PMC
- PMC3342385
- OpenAlex
- W2102438695
- Cited by
- 40
- References
- 63
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 5 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 8 · 2014: 3 · 2013: 4 · 2012: 2
- FWCI
- 5.25
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Texas at San Antonio
- National Institutes of Health
- U.S. Public Health Service (NINRR0107891)
- National Institute of Nursing Research (R01NR007891)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- acculturation, depressive symptoms, preterm birth, estriol, progesterone, Hispanic women, pregnancy, English proficiency, nativity, generational status, maternal mental health
- MeSH terms
- Acculturation, Adolescent, Adult, Cross-Sectional Studies, Depressive Disorder, Estriol, Female, Hispanic or Latino, Humans, Pregnancy, Progesterone, Risk Factors, Texas, Premature Birth, Young Adult
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