Acculturation, Spiritual/Religious, and Psychosocial Factors and Maternal-Infant Outcomes among Latina Mothers

2.50
Hdl Handle:
http://hdl.handle.net/10755/308086
Category:
Abstract
Type:
Presentation
Title:
Acculturation, Spiritual/Religious, and Psychosocial Factors and Maternal-Infant Outcomes among Latina Mothers
Author(s):
George Dalmida, Safiya
Lead Author STTI Affiliation:
Alpha Epsilon
Author Details:
Safiya George Dalmida, PhD, APRN-BC, sageorg@emory.edu
Abstract:

Session presented on: Monday, November 18, 2013

Latinas face many disadvantages, yet have favorable birth outcomes at rates comparable to national averages. This study examined relationships among acculturation, spiritual/religious and psychosocial factors and maternal-infant outcomes among Latina mothers. Setting/sample: Adult Latinas who were 28-40 weeks pregnant were recruited from 6 community clinics. Sixty-nine women completed interviews. Mean age was 27.3±5.5 years. Majority were Mexican (71.4%, n=50), unemployed (78.6%; n=55), and had annual incomes<$20,000 (70.1%, n=49). Almost half (45.7%, n=32) were single.  Majority were Catholic (68.6%; n=48) and identified as being “very” or “moderately” religious (65.2%, n=45) or spiritual (72.5%, n=50). Mean delivery was at 39.6±1.1 weeks and mean infant birth weight (IBW) was 7.0±1.0 pounds (3370.4±348.1 grams). Results: Acculturation positively correlated with self-esteem (r=.37,p=.046) and physical HRQOL (r=.41,p=.022). Spirituality/religiousness positively correlated with social support (r=.32; p=.008), GWD (r=.31; p=.014) and IBW (r=.32; p=.010) and HRQOL dimensions: general health (r=.34; p=.004) and emotional wellbeing (EWB) (r=.35; p=.003). Spirituality inversely associated with stress (r=.26; p=.03) and depression (r=.29; p=.018). Religious faith positively correlated with EWB (r=.56; p=.015) and social support (r=.26; p=.029) and inversely correlated with depression (r=-.26; p=.034).  GWD positively correlated with social functioning HRQOL (r=.25; p=.04) and IBW inversely associated with self-esteem social support (r=–.25; p=.044). There were significant differences between less/more acculturated Latinas in weeks of prenatal care, HRQOL, depressive symptoms, and tangible social support. Spirituality significantly explained: 6.1% unique/additional variance (p=.04) in GWD than social functioning and sociodemographics covariates and 9.4% unique variance (p=.014) in IBW beyond self-esteem social support and sociodemographics covariates. Discussion/Conclusions:  These findings highlight the importance of acculturation and spirituality/religiosity among Latina mothers and their association with psychosocial factors, birth outcomes and HRQOL. Implications for Practice: Spiritual and psychosocial factors should be routinely assessed/included, as appropriate, during prenatal/postpartum care. Nurses should also collaborate with chaplains/clergy/social workers to discuss/address patients’ spiritual/religious/acculturation needs.
Keywords:
Spirituality; Culture; Maternal-infant outcomes
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleAcculturation, Spiritual/Religious, and Psychosocial Factors and Maternal-Infant Outcomes among Latina Mothersen_GB
dc.contributor.authorGeorge Dalmida, Safiyaen_GB
dc.contributor.departmentAlpha Epsilonen_GB
dc.author.detailsSafiya George Dalmida, PhD, APRN-BC, sageorg@emory.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308086-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>Latinas face many disadvantages, yet have favorable birth outcomes at rates comparable to national averages. This study examined relationships among acculturation, spiritual/religious and psychosocial factors and maternal-infant outcomes among Latina mothers.<b> </b><b>Setting/sample:</b> Adult Latinas who were 28-40 weeks pregnant were recruited from 6 community clinics. Sixty-nine women completed interviews. Mean age was 27.3±5.5 years. Majority were Mexican (71.4%, n=50), unemployed (78.6%; n=55), and had annual incomes<$20,000 (70.1%, n=49). Almost half (45.7%, n=32) were single.  Majority were Catholic (68.6%; n=48) and identified as being “very” or “moderately”<i> religious</i> (65.2%, n=45) or<i> spiritual</i> (72.5%, n=50). Mean delivery was at 39.6±1.1 weeks and mean infant birth weight (IBW) was 7.0±1.0 pounds (3370.4±348.1 grams).<b> </b><b>Results:</b> Acculturation positively correlated with self-esteem (r=.37,p=.046) and physical HRQOL (r=.41,p=.022). Spirituality/religiousness positively correlated with social support (r=.32; p=.008), GWD (r=.31; p=.014) and IBW (r=.32; p=.010) and HRQOL dimensions: general health (r=.34; p=.004) and emotional wellbeing (EWB) (r=.35; p=.003). Spirituality inversely associated with stress (r=.26; p=.03) and depression (r=.29; p=.018). Religious faith positively correlated with EWB (r=.56; p=.015) and social support (r=.26; p=.029) and inversely correlated with depression (r=-.26; p=.034).  GWD positively correlated with social functioning HRQOL (r=.25; p=.04) and IBW inversely associated with self-esteem social support (r=–.25; p=.044). There were significant differences between less/more acculturated Latinas in weeks of prenatal care, HRQOL, depressive symptoms, and tangible social support. Spirituality significantly explained: 6.1% unique/additional variance (p=.04) in GWD than social functioning and sociodemographics covariates and 9.4% unique variance (p=.014) in IBW beyond self-esteem social support and sociodemographics covariates.<b> </b><b>Discussion/Conclusions:  </b>These findings highlight the importance of acculturation and spirituality/religiosity among Latina mothers and their association with psychosocial factors, birth outcomes and HRQOL. <b>Implications for Practice:</b> Spiritual and psychosocial factors should be routinely assessed/included, as appropriate, during prenatal/postpartum care. Nurses should also collaborate with chaplains/clergy/social workers to discuss/address patients’ spiritual/religious/acculturation needs.en_GB
dc.subjectSpiritualityen_GB
dc.subjectCultureen_GB
dc.subjectMaternal-infant outcomesen_GB
dc.date.available2013-12-19T17:26:42Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:42Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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