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Archives of Women's Mental Health

Erschienen in:

01.02.2012 | Original Article

Acculturation, depressive symptoms, estriol, progesterone, and preterm birth in Hispanic women

verfasst von: R. Jeanne Ruiz, C. Nathan Marti, Rita Pickler, Christina Murphey, Joel Wommack, Charles E. L. Brown

Erschienen in: Archives of Women's Mental Health | Ausgabe 1/2012

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Abstract

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.

We elected to use an estriol to progesterone ratio, rather than the progesterone to estriol ratio used in Ruiz et al. (2008), so that the effects of the ratio and depressive symptoms, the other focal variable, were in the same direction, which facilitates interpretation (e.g., higher estriol to progesterone ratio and higher levels of depressive symptoms are considered to be unhealthy and thus more likely to lead to PTB).

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Titel: Acculturation, depressive symptoms, estriol, progesterone, and preterm birth in Hispanic women
verfasst von: R. Jeanne Ruiz
C. Nathan Marti
Rita Pickler
Christina Murphey
Joel Wommack
Charles E. L. Brown
Publikationsdatum: 01.02.2012
Verlag: Springer Vienna
Erschienen in: Archives of Women's Mental Health / Ausgabe 1/2012
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-012-0258-2

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