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

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

Research output: Contribution to journalArticle

20 Citations (Scopus)

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 x 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.

Original languageEnglish (US)
Pages (from-to)57-67
Number of pages11
JournalArchives of Women's Mental Health
Volume15
Issue number1
DOIs
StatePublished - Feb 2012

Fingerprint

Acculturation
Estriol
Premature Birth
Hispanic Americans
Progesterone
Depression
Pregnancy
Structural Models
Gestational Age
Medical Records
Pregnant Women
Cross-Sectional Studies
Mothers
Physicians
Serum

Keywords

  • Acculturation
  • Depression. Estriol
  • Preterm birth
  • Progesterone

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Obstetrics and Gynecology

Cite this

Acculturation, depressive symptoms, estriol, progesterone, and preterm birth in Hispanic women. / Ruiz, R. Jeanne; Marti, C. Nathan; Pickler, Rita; Murphey, Christina; Wommack, Joel; Brown, Charles E L.

In: Archives of Women's Mental Health, Vol. 15, No. 1, 02.2012, p. 57-67.

Research output: Contribution to journalArticle

Ruiz, R. Jeanne ; Marti, C. Nathan ; Pickler, Rita ; Murphey, Christina ; Wommack, Joel ; Brown, Charles E L. / Acculturation, depressive symptoms, estriol, progesterone, and preterm birth in Hispanic women. In: Archives of Women's Mental Health. 2012 ; Vol. 15, No. 1. pp. 57-67.
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