Estresse de aculturação e carga alostática entre mulheres imigrantes mexicanas

D’Alonzo, Karen T.; Munet-Vilaro, Frances; Carmody, Dennis P.; Guarnaccia, Peter J.; Linn, Annē; Garsman, Lisa

doi:10.1590/1518-8345.2578.3135

Cited by 6 publications

(2 citation statements)

References 41 publications

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“…Findings from our study should be considered in the context of 5 limitations. First, in this secondary analysis, we were unable to account for unmeasured confounders that may also influence unmet social needs and physiologic stress, either independently or in relation to each other (eg, body mass index, 69 experiences of racism, 3 , 70 immigration status 71 ). Second, while LPA is a promising approach for determining subgroups according to data patterns, class assignment is based on probabilities and therefore may lead to misclassification.…”

Section: Limitationsmentioning

confidence: 99%

Unmet Social Needs and Patterns of Hair Cortisol Concentration in Mother–Child Dyads

et al. 2023

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Background Mothers and their children demonstrate dyadic synchrony of hypothalamic–pituitary–adrenal (HPA) axis function, likely influenced by shared genetic or environmental factors. Although evidence has shown that chronic stress exposure has physiologic consequences for individuals—including on the HPA axis—minimal research has explored how unmet social needs such as food and housing instability may be associated with chronic stress and HPA axis synchrony in mother–child dyads. Methods We conducted a secondary analysis of data from 364 mother–child dyads with low-income recruited during a randomized trial conducted in an urban pediatric clinic. We used latent profile analysis (LPA) to identify subgroups based on naturally occurring patterns of within-dyad hair cortisol concentration (HCC). A logistic regression model predicted dyadic HCC profile membership as a function of summative count of survey-reported unmet social needs, controlling for demographic and health covariates. Results LPA of HCC data from dyads revealed a 2-profile model as the best fit. Comparisons of log HCC for mothers and children in each profile group resulted in significantly “higher dyadic HCC” versus “lower dyadic HCC” profiles (median log HCC for mothers: 4.64 vs 1.58; children: 5.92 vs 2.79, respectively; P < .001). In the fully adjusted model, each one-unit increase in number of unmet social needs predicted significantly higher odds of membership in the higher dyadic HCC profile when compared to the lower dyadic HCC profile (odds ratio = 1.13; 95% confidence interval [1.04-1.23]; P = .01). Conclusion Mother–child dyads experience synchronous patterns of physiologic stress, and an increasing number of unmet social needs is associated with a profile of higher dyadic HCC. Interventions aimed at decreasing family-level unmet social needs or maternal stress are, therefore, likely to affect pediatric stress and related health inequities; efforts to address pediatric stress similarly may affect maternal stress and related health inequities. Future research should explore the measures and methods needed to understand the impact of unmet social needs and stress on family dyads.

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Section: Limitationsmentioning

confidence: 99%

Unmet Social Needs and Patterns of Hair Cortisol Concentration in Mother–Child Dyads

et al. 2023

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“…2 , 3 , 10 , 13–18 Stress specific to acculturation (cultural assimilation to the prevailing culture of their destination) has been linked to anxiety, depression, and poor metabolic effects in Latino immigrants. 19 , 20 Measures of acculturative stress and the impact of acculturative stress on mental health have been well-studied, 21 , 22 but there have been no reviews that have described the psychometric properties of scales measuring generalized stress in Latinos in the United States.…”

Section: Introductionmentioning

confidence: 99%

How Do We Measure Stress in Latinos in the United States? A Systematic Review

et al. 2021

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Background: Previous research has documented that Latinos report higher levels of stress than other ethnicities and are an increasing portion of the demographics of the United States. While there are many measures to assess stress and other stress-related conditions, there are no systematic reviews to date to assess whether the current measures of generalized stress are valid or reliable in Latinos in the United States. The purpose of this systematic review was to examine the current state of the literature assessing the psychometric properties in stress measures in this population. Methods: We used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to review the literature from January 1990 to May 2020 for studies, which measured the psychometric properties of scales measuring generalized stress in Latinos in the United States. Results: Twelve studies measured the psychometric properties of eight scales of generalized stress. The 10-item Perceived Stress Scale, the Hispanic Stress Inventory, the Hispanic Women's Social Stressor Scale, and the Family Obligation Stress Scale show the strongest reliability and validity for measuring stress in Latinos in the United States. Most studies were done in traditional immigration destinations in the United States. Conclusion: While four scales which show acceptable reliability and validity for measuring stress in Latinos in the United States, continuing to develop and further validate these scales within Latino communities will be critical to understand and address Latino stress more comprehensively. Our findings can inform health research and clinical interventions for this at-risk community.

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