RNQualitativeJournal of obstetric, gynecologic, and neonatal nursing : JOGNN2024

Latina Women's Perinatal Experiences and Perspectives Around Discrimination, Anti-immigrant Policies, and Community Violence.

Victoria F Keeton, Daisy Leon-Martinez, Diana Ceballos Robles and 5 others

PMID 39251084

WHAT IT FOUND

Fear of immigration enforcement and community violence made pregnant and postpartum Latina participants avoid outings, benefits, and prenatal or health care.

They described chronic worry, not indifference.

Key findings

01Fear of community violence and immigration enforcement led participants to limit outings and avoid social and health services.

02Some participants hesitated to seek prenatal care, and fear of ICE raids, deportation, and family separation was particularly salient.

03A smaller group described everyday discrimination and injustice, including racism, law enforcement inequities, and ineligibility for pandemic benefits.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This was a secondary analysis of previously collected data, so the team could not add questions tailored to discrimination, immigration, and community violence. Analysis occurred after data collection, and the authors noted that their later knowledge of the pandemic, Black Lives Matter events, and immigration policy may have influenced interpretation. The sample was purposive and included 26 low-income Latina-identifying participants from Fresno County, California, during early pandemic interviews, so the findings may not apply to other settings or groups. The original study did not collect immigration status or gender identity, and the analysis separated Latina-identifying participants from Black-identifying participants after preliminary review. This qualitative study describes experiences and does not test whether screening, referrals, or race-conscious nursing care changes perinatal outcomes.

Declared interests

The authors reported no conflicts of interest or relevant financial relationships.

The easy way to misread this

Do not treat this as proof that social needs screening or race-conscious nursing care improves perinatal outcomes. It describes experiences of participants and did not test an intervention or measure birth outcomes.

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