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Perceived vulnerability to immigration policies among postpartum Hispanic/Latina women in the MADRES pregnancy cohort before and during the COVID-19 pandemic .
- Source :
- Women's Health (17455057); Jan-Dec2022, Vol. 18, p1-12, 12p
- Publication Year :
- 2022
-
Abstract
- Introduction and Objectives: Research suggests that perceived immigration policy vulnerability has important health implications. Coupled with the mental and physical stressors accompanying the postpartum period and a growing awareness of the discrimination and structural racism experienced by marginalized communities globally, the coronavirus disease 2019 period may have exacerbated stress among vulnerable populations, specifically postpartum Hispanic/Latina women. This study evaluated perceived immigration policy vulnerability (i.e. discrimination, social isolation, and family threats) in early postpartum Hispanic/Latina women in Los Angeles before and during the coronavirus disease 2019 pandemic. Methods: The Perceived Immigration Policy Effects Scale (PIPES) was administered cross-sectionally at 1month postpartum to 187 Hispanic/Latina women in the MADRES cohort. Respondents between September 2018 and March 2020 were classified as “pre-pandemic” (N=128), between March 2020 and July 2020 as “early pandemic” (N=38), and between August 2020 and November 2021 as “later pandemic” (N=21). Average PIPES subscale scores were dichotomized into “higher” and “lower” groups (⩽median, >median) and logistic regression models were performed. Results: Approximately half of participants had incomes of <$50,000 (50.3%) and were Latin American born (54.6%). After adjusting for age, nativity, education, income, postpartum distress, and employment status, early pandemic respondents had 5.05 times the odds of a higher score on the perceived discrimination subscale (95% CI: 1.81, 14.11), 6.47 times the odds of a higher score on the social isolation subscale (95% CI: 2.23, 18.74), 2.66 times the odds of a higher score on the family threats subscale (95% CI: 0.97, 7.32), and 3.36 times the odds of a higher total score (95% CI: 1.19, 9.51) when compared to pre-pandemic respondents. There were no significant subscale score differences between later pandemic and pre-pandemic periods.Conclusion: Higher perceived immigration policy vulnerability was reported among postpartum women during the early coronavirus disease 2019 pandemic versus pre-pandemic periods. This suggests greater social inequities during the early pandemic period. [ABSTRACT FROM AUTHOR]
- Subjects :
- KRUSKAL-Wallis Test
STATISTICS
CONFIDENCE intervals
PSYCHOLOGICAL vulnerability
HISPANIC Americans
DISCRIMINATION (Sociology)
CROSS-sectional method
EMIGRATION & immigration
PUBLIC health
SOCIAL isolation
INCOME
GOVERNMENT policy
EMPLOYMENT
CENTER for Epidemiologic Studies Depression Scale
DESCRIPTIVE statistics
QUESTIONNAIRES
POSTNATAL care
DATA analysis
LOGISTIC regression analysis
DATA analysis software
ODDS ratio
COVID-19 pandemic
LONGITUDINAL method
PSYCHOLOGICAL distress
Subjects
Details
- Language :
- English
- ISSN :
- 17455057
- Volume :
- 18
- Database :
- Complementary Index
- Journal :
- Women's Health (17455057)
- Publication Type :
- Academic Journal
- Accession number :
- 161881516
- Full Text :
- https://doi.org/10.1177/17455057221125103