个人和结构层面的歧视以及怀孕期间心理和生理压力指标之间的关联
Özlü Aran1,2, Melissa Nevarez-Brewster1, Kimberly D'Anna-Hernandez3
1Department of Psychology, University of Denver, Denver, CO USA.
npj women's health
|September 25, 2025
概括
歧视影响怀孕的拉丁人,增加心理压力,但减少生理压力. 出生地对这些影响有影响,美国出生的个人因歧视而经历更多的心理压力.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 心理学 心理学 心理学
背景情况:
- 美国产前保健中的健康差异不成比例地影响边缘化人口.
- 个人和结构上的歧视是影响健康结果的重要压力因素.
研究的目的:
- 为了检查个人和结构性歧视和心理/生理压力之间的关联在美国怀孕的拉丁裔个人在美国的心理/生理压力.
- 探索出生地 (美国出生的与外国出生的) 如何改变这些关联.
主要方法:
- 调查了109名怀孕的拉丁裔参与者关于歧视,压力,融入文化和社会支持.
- 分析头发皮质醇水平的生理压力指标.
- 使用回归分析来评估歧视和压力之间的关系,按出生地分层.
主要成果:
- 个人层面的歧视与增加的心理压力相关 (p=.003).
- 结构层面的歧视与降低生理压力相关 (皮质醇,p=.056).
- 美国出生的个人报告说,个人歧视导致的心理压力更高;外国出生的个人表现出对结构性歧视的弹性.
结论:
- 歧视对怀孕的拉丁人个人压力水平有不同的影响,受出生地点的影响.
- 这些发现有助于理解移民健康悖论,并为文化敏感的产前护理策略提供信息.
- 解决个人和结构性歧视对于改善孕产妇健康结果至关重要.
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