Who is distressed? A comparison of psychosocial stress in pregnancy across seven ethnicities
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BACKGROUND: Calgary, Alberta has the fourth highest immigrant population in Canada and ethnic minorities comprise 28 % of its total population. Previous studies have found correlations between minority status and poor pregnancy outcomes. One explanation for this phenomenon is that minority status increases the levels of stress experienced during pregnancy. The aim of the present study was to identify specific types of maternal psychosocial stress experienced by women of an ethnic minority (Asian, Arab, Other Asian, African, First Nations and Latin American). METHODS: A secondary analysis of variables that may contribute to maternal psychosocial stress was conducted using data from the All Our Babies prospective pregnancy cohort (N = 3,552) where questionnaires were completed at < 24 weeks of gestation and between 34 and 36 weeks of gestation. Questionnaires included standardized measures of perceived stress, anxiety, depression, physical and emotional health, and social support. Socio-demographic data included immigration status, language proficiency in English, ethnicity, age, and socio-economic status. RESULTS: Findings from this study indicate that women who identify with an ethnic minority were more likely to report symptoms of depression, anxiety, inadequate social support, and problems with emotional and physical health during pregnancy than women who identified with the White reference group. CONCLUSIONS: This study has identified that women of an ethic minority experience greater psychosocial stress in pregnancy compared to the White reference group.
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In the context of structural racism and discrimination, rates of perinatal mental health conditions are nearly double for women of color and those experiencing poverty.
“In the context of structural racism and discrimination, the rates are nearly double for women of color and those experiencing poverty.33,34”
From The transition to parenthood in obstetrics: enhancing prenatal care for 2-generation impact (2022) · cites this paper as [33]
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A REVIEW OF CULTURAL COMPETENCE IN HEALTHCARE
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- Authors
- Robinson, A. M., Benzies, K. M., Cairns, S. L., Fung, T., & Tough, S. C.
- Affiliations
- University of Calgary (CA)
- Corresponding author
- Benzies, Karen M.
- Venue
- BMC Pregnancy and Childbirth
- Published
- 2016-08-11
- Volume
- 16
- Issue
- 1
- Pages
- 215-215
- ISSN
- 1471-2393 (ISSN-L)
- PMC
- PMC4982239
- OpenAlex
- W2514429700
- Cited by
- 57
- References
- 76
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 12 · 2022: 10 · 2021: 3 · 2020: 7 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 1
- FWCI
- 4.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Pregnancy and Childbirth (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Alberta Innovates
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- psychosocial stress, pregnancy, ethnic minorities, immigrant women, maternal depression, maternal anxiety, social support, perceived stress
- MeSH terms
- Adult, Alberta, Anxiety, Depression, Ethnicity, Female, Humans, Pregnancy, Pregnancy Complications, Prospective Studies, Surveys and Questionnaires, Social Class, Social Support, Stress, Psychological, White People, Racial Groups, Emigrants and Immigrants, Young Adult
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