Dataset Information

Acculturation and Syndemic Risk: Longitudinal Evaluation of Risk Factors Among Pregnant Latina Adolescents in New York City.

ABSTRACT: Background:Syndemics are co-occurring epidemics that synergistically contribute to specific risks or health outcomes. Although there is substantial evidence demonstrating their existence, little is known about their change over time in adolescents. Purpose:The objectives of this paper were to identify longitudinal changes in a syndemic of substance use, intimate partner violence, and depression and determine whether immigration/cultural factors moderate this syndemic over time. Methods:In a cohort of 772 pregnant Latina adolescents (ages 14-21) in New York City, we examined substance use, intimate partner violence, and depression as a syndemic. We used longitudinal mixed-effect modeling to evaluate whether higher syndemic score predicted higher syndemic severity, from pregnancy through 1 year postpartum. Interaction terms were used to determine whether immigrant generation and separated orientation were significant moderators of change over time. Results:We found a significant increasing linear effect for syndemic severity over time (? = 0.0413, P = 0.005). Syndemic score significantly predicted syndemic severity (? = -0.1390, P ? 0.0001), as did immigrant generation (?Immigrant = -0.1348, P ? 0.0001; ?1stGen = -0.1932, P = 0.0005). Both immigrant generation (?Immigrant = -0.1125, P = 0.0035; ?1stGen = -0.0135, P = 0.7279) and separated orientation (? = 0.0946, P = 0.0299) were significantly associated with change in severity from pregnancy to 1 year postpartum. Conclusion:Pregnancy provides an opportunity for reducing syndemic risk among Latina adolescents. Future research should explore syndemic changes over time, particularly among high-risk adolescents. Prevention should target syndemic risk reduction in the postpartum period to ensure that risk factors do not increase after pregnancy.

SUBMITTER: Martinez I

PROVIDER: S-EPMC6367896 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature

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Publications

Acculturation and Syndemic Risk: Longitudinal Evaluation of Risk Factors Among Pregnant Latina Adolescents in New York City.

Martinez Isabel I Kershaw Trace S TS Keene Danya D Perez-Escamilla Rafael R Lewis Jessica B JB Tobin Jonathan N JN Ickovics Jeannette R JR

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine 20180101 1

<h4>Background</h4>Syndemics are co-occurring epidemics that synergistically contribute to specific risks or health outcomes. Although there is substantial evidence demonstrating their existence, little is known about their change over time in adolescents.<h4>Purpose</h4>The objectives of this paper were to identify longitudinal changes in a syndemic of substance use, intimate partner violence, and depression and determine whether immigration/cultural factors moderate this syndemic over time.<h4 ...[more]

PMID: 28707175

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Dataset Information

Acculturation and Syndemic Risk: Longitudinal Evaluation of Risk Factors Among Pregnant Latina Adolescents in New York City.

Publications

Acculturation and Syndemic Risk: Longitudinal Evaluation of Risk Factors Among Pregnant Latina Adolescents in New York City.

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