A systematic review of cultural orientation and perinatal depression in Latina women: are acculturation, Marianismo, and religiosity risks or protective factors?

Publisher: Springer Country of Publication: Austria NLM ID: 9815663 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1435-1102 (Electronic) Linking ISSN: 14341816 NLM ISO Abbreviation: Arch Womens Ment Health Subsets: MEDLINE

Original Publication: Wien ; New York : Springer, c1998-

Acculturation* ; Stress, Psychological*; Depression/*ethnology ; Depression/*psychology ; Hispanic or Latino/*psychology ; Pregnancy Complications/*ethnology ; Pregnancy Complications/*psychology; Depression/diagnosis ; Female ; Hispanic or Latino/statistics & numerical data ; Humans ; Language ; Perinatal Care ; Pregnancy ; Religion ; Risk Factors ; Socioeconomic Factors ; United States/epidemiology

Latinas in the USA and Spanish-speaking countries experience elevated rates of perinatal depression (PND) because of high psychosocial stressors. Latinas are heterogeneous and have varying cultural practices. It is unclear whether specific cultural orientations have differential risks for PND. This systematic review aimed to determine whether degree of acculturation, Marianismo, and religiosity are risks or protective factors for PND in Latina women living in the USA, Latin America, and other countries. The review included PubMed, CINAHL, PsycINFO, PsycARTICLES, Academic Search Ultimate (EBSCO), and Social Services Abstracts, and used Boolean combined keywords. English and Spanish language articles were considered. The review was conducted between July 2017 and February 2018, with no boundaries on publication dates. Ten studies were selected for inclusion. Of those, two studies were conducted in Mexico and most studies conducted in the USA included women of Mexican descent. Degree of acculturation (adoption of mainstream values) was inconsistently directly associated with PND; evidence suggest indirect associations. Marianismo, the traditional female role of virtue, passivity, and priority of others over oneself, was inconsistently correlated with risk for depression in pregnancy, but significantly and indirectly associated with postpartum depression. Two of three studies found religiosity to be protective postpartum. Further research on protective and risk factors of specific cultural orientations, particularly degree of acculturation and Marianismo, for PND in Latinas in the USA and abroad is needed. Attention to specific perinatal periods is necessary given the inconsistent findings.

Keywords: Acculturation; Depression; Latina; Marianismo; Perinatal; Religion

Date Created: 20181027 Date Completed: 20200326 Latest Revision: 20211204

20240513

10.1007/s00737-018-0920-4

30361781