Acculturation, Maternal Cortisol, and Birth Outcomes in Women of Mexican Descent
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OBJECTIVE: This study investigated the effects of acculturation on cortisol, a biological correlate of maternal psychological distress, and perinatal infant outcomes, specifically gestational age at birth and birth weight. METHODS: Fifty-five pregnant women of Mexican descent were recruited from a community hospital, and their saliva samples were collected at home for 3 days during pregnancy at 15 to 18 weeks (early), 26 to 32 weeks (mid), and more than 32 weeks (late) of gestation and once in the postpartum period (4-12 weeks). These values were used to determine the diurnal cortisol slope at each phase of pregnancy. Mothers also completed an acculturation survey and gave permission for a medical chart review to obtain neonate information. RESULTS: Multiple regression analyses determined that greater acculturation levels significantly predicted earlier infant gestational age at birth (R(2) = 0.09, p = .03). Results from t tests revealed that mothers of low-birth-weight infants (<2500 g) had significantly higher acculturation scores than mothers of infants with birth weight greater than 2500 g (t = -2.95, p = .005). A blunted maternal cortisol slope during pregnancy was also correlated with low birth weight (r = -0.29, p = .05) but not gestational age (r = -0.08, p = .59). In addition, more acculturated women had a flatter diurnal cortisol slope late in pregnancy (R(2) = 0.21, p = .01). Finally, diurnal maternal cortisol rhythms were identified as a potential mediator between increased acculturation and birth weight. CONCLUSIONS: This study associated increased acculturation with perinatal outcomes in the US Mexican population. This relationship may be mediated by prenatal maternal diurnal cortisol, which can program the health of the fetus leading to several adverse perinatal outcomes.
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Acculturative stress and perceived stress together elevate depressive symptoms in Latina women, particularly those who have assimilated into U.S. culture, thereby increasing their risk of PTB.
“This is problematic as acculturative stress and perceived stress together are known to elevate depressive symptoms in Latina women [13, 14], particularly those who have assimilated into U.S. culture, thereby increasing their risk of PTB [15].”
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- Authors
- D’Anna-Hernandez, K. L., Hoffman, M. C., Zerbe, G. O., Coussons-Read, M., Ross, R. G., & Laudenslager, M. L.
- Affiliations
- Colorado School of Public Health (US)
- Venue
- Psychosomatic Medicine
- Published
- 2012-04
- Volume
- 74
- Issue
- 3
- Pages
- 296-304
- ISSN
- 0033-3174 (ISSN-L)
- PMC
- PMC3751979
- OpenAlex
- W2044103505
- Cited by
- 102
- References
- 72
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 8 · 2023: 4 · 2022: 10 · 2021: 11 · 2020: 12 · 2019: 2 · 2018: 11 · 2017: 9 · 2016: 8 · 2015: 12 · 2014: 3 · 2013: 4 · 2012: 1
- FWCI
- 6.10
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA-013973, R01AA013973)
- National Institute of Mental Health (P50MH086383, MH086383, MH015442, T32MH015442)
- National Cancer Institute (CA126971, R01CA126971)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD052544)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- acculturation, maternal cortisol, diurnal cortisol rhythm, birth weight, gestational age, low birth weight, perinatal outcomes, Mexican American women, pregnancy, maternal distress, prenatal programming
- MeSH terms
- Acculturation, Adolescent, Adult, Birth Weight, Circadian Rhythm, Female, Gestational Age, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Infant, Low Birth Weight, Infant, Newborn, Life Change Events, Male, Middle Aged, Mothers, Pituitary-Adrenal System, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Regression Analysis, Saliva, Stress, Psychological, United States, Mexican Americans, Young Adult
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