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Matern Child Health J ; 23(12): 1627-1647, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31264094

ABSTRACT

INTRODUCTION: Migration-related experiences can increase Latinas' risk of perinatal depression and anxiety. Few studies have investigated these associations among Latinas due to a lack of survey instruments explicitly assessing migration experiences. This study assessed the feasibility and acceptability of the Migration Experiences Survey (MES), a newly-developed measure of migration and deportation fears and explored associations between those experiences and mental health in a sample of immigrant Latinas in the perinatal period. METHODS: This cross-sectional study recruited women from community health clinics in Chapel Hill, NC between July 2013 and 2014. Twenty-five immigrant women were enrolled in the study during their third trimester of pregnancy. Women were interviewed in English or Spanish during pregnancy and at 8 weeks postpartum. The Edinburgh Postnatal Depression Scale was used to assess depressive symptoms and the Spielberger State-Trait Anxiety Inventory was used to determine anxiety symptoms. The MES was administered at 8 weeks postpartum. Nonparametric tests were conducted to determine associations between deportation fears and maternal mood. RESULTS: Results show that the MES is acceptable for collecting data on migration experiences and assessing deportation fears among immigrant Latinas, regardless of depressive or anxiety symptoms. More than 40% had migration safety concerns and fears of deportation. Self or family-related fears of deportation were significantly associated with prenatal state anxiety and trait anxiety (p < .05). No significant associations between deportation fears and depressive symptoms were observed. DISCUSSION: The MES is a useful tool for gathering information about migration experiences associated with perinatal anxiety.


Subject(s)
Anxiety/diagnosis , Depression/diagnosis , Emigrants and Immigrants/psychology , Hispanic or Latino/psychology , Pregnancy Complications/psychology , Adolescent , Adult , Anxiety/ethnology , Anxiety/psychology , Depression/ethnology , Depression/psychology , Female , Humans , Interviews as Topic , Latin America/ethnology , Mexico/ethnology , Perinatal Care , Postpartum Period , Pregnancy , Pregnancy Trimester, Third , Psychiatric Status Rating Scales , Social Support , Socioeconomic Factors , Stress, Psychological/complications , United States/epidemiology
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