OBJECTIVE: The purpose of our study was to examine the effects of socioeconomic status, acculturative stress, discrimination, and marginalization as predictors of depression in pregnant Hispanic women. DESIGN: A prospective observational design was used. SETTING: Central and Gulf coast areas of Texas in obstetrical offices. PARTICIPANTS: A convenience sample of 515 pregnant, low income, low medical risk, and self-identified Hispanic women who were between 22-24 weeks gestation was used to collect data. MEASURES: The predictor variables were socioeconomic status, discrimination, acculturative stress, and marginalization. The outcome variable was depression. RESULTS: Education, frequency of discrimination, age, and Anglo marginality were significant predictors of depressive symptoms in a linear regression model, F (6, 458) = 8.36, P<.0001. Greater frequency of discrimination was the strongest positive predictor of increased depressive symptoms. CONCLUSIONS: It is important that health care providers further understand the impact that age and experiences of discrimination throughout the life course have on depressive symptoms during pregnancy.
OBJECTIVE: The purpose of our study was to examine the effects of socioeconomic status, acculturative stress, discrimination, and marginalization as predictors of depression in pregnant Hispanic women. DESIGN: A prospective observational design was used. SETTING: Central and Gulf coast areas of Texas in obstetrical offices. PARTICIPANTS: A convenience sample of 515 pregnant, low income, low medical risk, and self-identified Hispanic women who were between 22-24 weeks gestation was used to collect data. MEASURES: The predictor variables were socioeconomic status, discrimination, acculturative stress, and marginalization. The outcome variable was depression. RESULTS: Education, frequency of discrimination, age, and Anglo marginality were significant predictors of depressive symptoms in a linear regression model, F (6, 458) = 8.36, P<.0001. Greater frequency of discrimination was the strongest positive predictor of increased depressive symptoms. CONCLUSIONS: It is important that health care providers further understand the impact that age and experiences of discrimination throughout the life course have on depressive symptoms during pregnancy.
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