Document Detail


The relationships among acculturation, biobehavioral risk, stress, corticotropin-releasing hormone, and poor birth outcomes in Hispanic women.
MedLine Citation:
PMID:  17061748     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the predictive ability of acculturation as an antecedent of stress, biobehavioral risk, corticotropin-releasing hormone levels, and poor birth outcomes in pregnant Hispanic women. DESIGN: A prospective, observational design with data collected at 22-25 weeks of gestation and at birth through medical record review. SETTING: Public prenatal health clinics in south Texas serving low-income women. PARTICIPANTS: Self-identified Hispanic women who had singleton pregnancies, no major medical risk complications, and consented to answer questionnaires as well as a venipuncture and review of their prenatal and birth medical records. MAIN OUTCOME MEASURES: Gestational age, Apgar scores, length, weight, percentile size, and head circumference of the infant at birth. RESULTS: Significant differences were seen in infant birth weight, head circumference, and percentile size by acculturation. English acculturation predicted stress, corticotropin-releasing hormone, biobehavioral risk, and decreased gestational age at birth. CONCLUSIONS: Investigation must continue to understand the circumstances that give rise to the decline in birth outcomes observed in Hispanics with acculturation to the dominant English culture in the United States.
Authors:
R Jeanne Ruiz; Christyn L Dolbier; Robin Fleschler
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ethnicity & disease     Volume:  16     ISSN:  1049-510X     ISO Abbreviation:  Ethn Dis     Publication Date:  2006  
Date Detail:
Created Date:  2006-10-25     Completed Date:  2007-07-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9109034     Medline TA:  Ethn Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  926-32     Citation Subset:  IM    
Affiliation:
University of Texas Medical Branch, School of Nursing, 3.310 Allied Health Sciences/Nursing Building, 301 University Boulevard, Galveston, TX 77555-1029, USA. rojruiz@utmb.edu
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MeSH Terms
Descriptor/Qualifier:
Acculturation*
Adolescent
Adult
Analysis of Variance
Birth Weight
Corticotropin-Releasing Hormone / blood*
Female
Gestational Age
Hispanic Americans / psychology,  statistics & numerical data*
Humans
Linear Models
Middle Aged
Poverty
Predictive Value of Tests
Pregnancy
Pregnancy Outcome / ethnology*
Prospective Studies
Questionnaires
Research Design
Residence Characteristics
Risk-Taking*
Stress, Psychological / ethnology*
Texas / epidemiology
Chemical
Reg. No./Substance:
9015-71-8/Corticotropin-Releasing Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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