The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
The social determinants of perinatal maternal distress
Open accessAbstract
This pilot study examined associations between prenatal individual and socioenvironmental determinants of health and symptoms of perinatal maternal distress (PMD) in women enrolled in midwifery practice and living in a rural state. Pearson's correlations between prenatal predictors and PMD scores were calculated. Having experienced emotional abuse in one's lifetime, total number of past year stressors, and everyday discrimination score were all statistically significant predictors of PMD at study enrollment and follow-up. Result suggest shifting to a multi-symptom, life course assessment and intervention paradigm, tailored to the context of specific populations, may improve perinatal care and reduce disparities.
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“By modeling mental distress as an endogenous variable, we acknowledge its dual role as both a consequence of social disadvantage and a determinant of adverse maternal and infant outcomes. This specification aligns with social determinant frameworks [13] and provides a more comprehensive understanding of the mechanisms leading to maternal and infant mortality [32,33].”
From Food Insecurity, Walkability, and Social Determinants of Health: A Cross-Sectional, County-Level Study of Associations with Maternal and Infant Mortality in the United States (2025) · cites this paper as [33]
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A Global Measure of Perceived Stress
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Racial Differences in Physical and Mental Health: Socio-economic Status, Stress and Discrimination
Williams, D. R., Yu, Y., Jackson, J. S., & Anderson, N. B. (1997) · Journal of Health Psychology · doi:10.1177/135910539700200305 · Cited by 4,786
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Racial discrimination and adverse birth outcomes: an integrative review
Alhusen, J. L., Bower, K. M., Epstein, E., & Sharps, P. (2016) · Journal of Midwifery & Women's Health · doi:10.1111/jmwh.12490 · Cited by 382
Understanding differences in past year psychiatric disorders for Latinos living in the US
Alegria, M. M., Shrout, P. E., Woo, M., Guarnaccia, P. J., Sribney, W. M., Vila, D., Polo, A. J., Cao, Z., Mulvaney‐Day, N., Torres, M., et al. (2007) · Social Science & Medicine · doi:10.1016/j.socscimed.2007.03.026 · Cited by 260
Calabrese, S. K., Meyer, I. H., Overstreet, N. M., Haile, R., & Hansen, N. B. (2014) · Psychology of Women Quarterly · doi:10.1177/0361684314560730 · Cited by 251
Simpson, W. S., Glazer, M., Michalski, N., Steiner, M. S., & Frey, B. N. (2014) · The Canadian Journal of Psychiatry · doi:10.1177/070674371405900806 · Cited by 212
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Cited by
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Stone, B., Amiri, A., Zhao, S., Hamidi, S., Johnson, P., & Bruns, D. (2025) · Healthcare · doi:10.3390/healthcare13192407
“…an endogenous variable, and it was treated as an endogenous variable in the study because it is influenced by social determinants (e.g., income, education, food insecurity) while also serving as a mediator between these determinants and the outcomes of maternal and infant mortality [32,33].”
Metadata
- Authors
- Ruyak, S. L., Boursaw, B., & Cacari Stone, L.
- Affiliations
- University of New Mexico (US)
- Venue
- Journal of Rural Mental Health
- Published
- 2022-10
- Volume
- 46
- Issue
- 4
- Pages
- 277-284
- ISSN
- 1935-942X (ISSN-L)
- 2163-8969
- PMC
- PMC9881014
- OpenAlex
- W4285495061
- Cited by
- 3
- References
- 19
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1
- FWCI
- 0.44
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Rural Mental Health (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of New Mexico Health Sciences
- National Institutes of Health (U54 MD004811-07)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- social determinants of health, emotional abuse, everyday discrimination, midwifery practice, rural women, perinatal mental health, health disparities
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- Ruyak, S. L., Boursaw, B., & Cacari Stone, L. (2022). The social determinants of perinatal maternal distress. Journal of Rural Mental Health. https://doi.org/10.1037/rmh0000212
