Pilot Study Exploring Migration Experiences and Perinatal Depressive and Anxiety Symptoms in Immigrant Latinas

Matern Child Health J. 2019 Dec;23(12):1627-1647. doi: 10.1007/s10995-019-02800-w.

Abstract

Introduction: Migration-related experiences can increase Latinas' risk of perinatal depression and anxiety. Few studies have investigated these associations among Latinas due to a lack of survey instruments explicitly assessing migration experiences. This study assessed the feasibility and acceptability of the Migration Experiences Survey (MES), a newly-developed measure of migration and deportation fears and explored associations between those experiences and mental health in a sample of immigrant Latinas in the perinatal period.

Methods: This cross-sectional study recruited women from community health clinics in Chapel Hill, NC between July 2013 and 2014. Twenty-five immigrant women were enrolled in the study during their third trimester of pregnancy. Women were interviewed in English or Spanish during pregnancy and at 8 weeks postpartum. The Edinburgh Postnatal Depression Scale was used to assess depressive symptoms and the Spielberger State-Trait Anxiety Inventory was used to determine anxiety symptoms. The MES was administered at 8 weeks postpartum. Nonparametric tests were conducted to determine associations between deportation fears and maternal mood.

Results: Results show that the MES is acceptable for collecting data on migration experiences and assessing deportation fears among immigrant Latinas, regardless of depressive or anxiety symptoms. More than 40% had migration safety concerns and fears of deportation. Self or family-related fears of deportation were significantly associated with prenatal state anxiety and trait anxiety (p < .05). No significant associations between deportation fears and depressive symptoms were observed.

Discussion: The MES is a useful tool for gathering information about migration experiences associated with perinatal anxiety.

Keywords: Anxiety symptoms; Depressive symptoms; Immigrant; Latinas; Migration; Perinatal.

MeSH terms

  • Adolescent
  • Adult
  • Anxiety / diagnosis*
  • Anxiety / ethnology
  • Anxiety / psychology
  • Depression / diagnosis*
  • Depression / ethnology
  • Depression / psychology
  • Emigrants and Immigrants / psychology*
  • Female
  • Hispanic or Latino / psychology*
  • Humans
  • Interviews as Topic
  • Latin America / ethnology
  • Mexico / ethnology
  • Perinatal Care
  • Postpartum Period
  • Pregnancy
  • Pregnancy Complications / psychology*
  • Pregnancy Trimester, Third
  • Psychiatric Status Rating Scales
  • Social Support
  • Socioeconomic Factors
  • Stress, Psychological / complications
  • United States / epidemiology