Pregnant Mexican American Biopsychosocial/Cultural risks for adverse infant outcomes.
R Jeanne Ruiz, Matt Newman, Robert Suchting and 4 others
PMID 33570300WHAT IT FOUND
Higher combined biological, cultural, socio-economic and psychological risk was associated with poorer infant outcomes in pregnant Mexican American women.
Ask about origin, stress, coping and income early, but this did not test interventions.
Key findings
01A cumulative risk profile from biological, cultural, socio-economic and psychological factors was negatively related to neonatal outcomes.
02Fifty-seven births were premature, most late preterm; 164 infants were early term.
03In the model, negative coping had a path coefficient of 0.66 to psychological risk.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The women were a convenience sample from private practices and clinics in Texas, so the results may not apply to rural or other populations. The model analysis used 399 women after removing cases with missing data, and the authors noted missingness may have limited precision. Risk factors were measured at one 2-week window in pregnancy, and cortisol was measured once in the afternoon. The authors stated the results reflect cross-sectional associations and cannot be considered truly causal. Pre-pregnancy BMI and nutritional status were not included. The statistical model used a method where overall fit interpretation is debated, and the reported global fit was medium.
Declared interests
The study was funded by the National Institute of Nursing Research, and the authors declared no conflicts of interest.
The easy way to misread this
Do not read this as proof that asking about acculturation or coping prevents preterm birth. The study was observational and reported cross-sectional associations, not tested treatment effects.