Perceived vulnerability to immigration policies among postpartum Hispanic/Latina women in the MADRES pregnancy cohort before and during the COVID-19 pandemic

被引：6

作者：

Hernandez-Castro, Ixel ^{[1
]}

Toledo-Corral, Claudia M. ^{[1
,2
]}

Chavez, Thomas ^{[1
]}

Habre, Rima ^{[1
]}

Grubbs, Brendan ^{[3
]}

Al-Marayati, Laila ^{[3
]}

Lerner, Deborah ^{[4
]}

Lurvey, Nathana ^{[4
]}

Lagomasino, Isabel ^{[5
]}

Eckel, Sandrah P. ^{[1
]}

Dunton, Genevieve F. ^{[1
,6
]}

Farzan, Shohreh F. ^{[1
]}

Breton, Carrie, V ^{[1
]}

Bastain, Theresa M. ^{[1
]}

机构：

[1] Univ Southern Calif, Keck Sch Med, Dept Populat & Publ Hlth Sci, 1845 N Soto St,Suite 102, Los Angeles, CA 90032 USA

[2] Calif State Univ Northridge, Dept Hlth Sci, Northridge, CA USA

[3] Univ Southern Calif, Keck Sch Med, Dept Obstet & Gynecol, Los Angeles, CA 90032 USA

[4] Eisner Hlth, Los Angeles, CA USA

[5] Univ Southern Calif, Keck Sch Med, Dept Psychiat & Behav Sci, Los Angeles, CA 90032 USA

[6] Univ Southern Calif, Dept Psychol, Los Angeles, CA 90032 USA

来源：

WOMENS HEALTH | 2022年 / 18卷

基金：

美国国家卫生研究院;

关键词：

COVID-19; immigration policy concerns; postpartum mental health; public health; women's health; PSYCHOLOGICAL DISTRESS; MENTAL-HEALTH; SYMPTOMS; DISEASE; STRESS; LEVEL;

D O I：

10.1177/17455057221125103

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Introduction and Objectives: Research suggests that perceived immigration policy vulnerability has important health implications. Coupled with the mental and physical stressors accompanying the postpartum period and a growing awareness of the discrimination and structural racism experienced by marginalized communities globally, the coronavirus disease 2019 period may have exacerbated stress among vulnerable populations, specifically postpartum Hispanic/Latina women. This study evaluated perceived immigration policy vulnerability (i.e. discrimination, social isolation, and family threats) in early postpartum Hispanic/Latina women in Los Angeles before and during the coronavirus disease 2019 pandemic. Methods: The Perceived Immigration Policy Effects Scale (PIPES) was administered cross-sectionally at 1 month postpartum to 187 Hispanic/Latina women in the MADRES cohort. Respondents between September 2018 and March 2020 were classified as "pre-pandemic" (N = 128), between March 2020 and July 2020 as "early pandemic" (N = 38), and between August 2020 and November 2021 as "later pandemic" (N = 21). Average PIPES subscale scores were dichotomized into "higher" and "lower" groups (<= median, >median) and logistic regression models were performed. Results: Approximately half of participants had incomes of <$50,000 (50.3%) and were Latin American born (54.6%). After adjusting for age, nativity, education, income, postpartum distress, and employment status, early pandemic respondents had 5.05 times the odds of a higher score on the perceived discrimination subscale (95% CI: 1.81, 14.11), 6.47 times the odds of a higher score on the social isolation subscale (95% CI: 2.23, 18.74), 2.66 times the odds of a higher score on the family threats subscale (95% CI: 0.97, 7.32), and 3.36 times the odds of a higher total score (95% CI: 1.19, 9.51) when compared to pre-pandemic respondents. There were no significant subscale score differences between later pandemic and pre-pandemic periods. Conclusion: Higher perceived immigration policy vulnerability was reported among postpartum women during the early coronavirus disease 2019 pandemic versus pre-pandemic periods. This suggests greater social inequities during the early pandemic period.

引用

页数：12

共 51 条

[1] Development of a Brief Measure of Postpartum Distress [J].