Stress across the life course is highly prevalent, particularly among immigrant and racial/ethnic minority women who face adversities associated with structural and interpersonal racism. Understanding how women perceive and describe stress and resilience can provide cultural context to inform interventions to improve health among pregnant women facing adversity. The goal of this project was to examine how external stressors and coping strategies prior to and during pregnancy are reflected in Latina women's narratives about their lives through an Ecosocial framework. This mixed methods research study explores pregnant Latina women's psychosocial well-being before and during pregnancy based on Ecosocial theory. We conducted 111 surveys with Latina women receiving prenatal care in Atlanta, Georgia in 2017–2018. We conducted 24 in-depth interviews, chosen purposively from survey respondents, collecting narratives of stress and resilience over the course of pregnancy. We purposively sampled equal numbers of women who did and did not report an ongoing stressor in the survey. The survey and interview guide were focused on domains of stress, psychosocial being, coping and resilience. The majority of survey participants spoke Spanish (86%) and were born in Mexico (42%) or Guatemala (27%). Less than half (37%) reported ongoing stress, most commonly from a loved one's illness or work-related problem. The majority of women felt they should control emotional responses to external stressors during pregnancy to protect their baby's health. Women described motherhood and previous challenges as sources of maturity and improved coping. Familial financial and emotional support were perceived as critical to women's successful coping.

中文翻译：

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通过生态社会视角在亚特兰大都会区参加产前护理的拉丁裔妇女对压力和适应力的看法

整个生命过程中的压力非常普遍，尤其是在面临与结构性和人际种族主义相关的逆境的移民和种族/少数民族妇女中。了解女性如何看待和描述压力和适应力可以提供文化背景，为干预措施提供信息，以改善面临逆境的孕妇的健康。该项目的目标是通过生态社会框架研究拉丁裔妇女对她们生活的叙述如何反映怀孕前和怀孕期间的外部压力和应对策略。这项混合方法研究基于生态社会理论探讨了拉丁裔孕妇在怀孕前和怀孕期间的社会心理健康状况。2017-2018 年，我们对佐治亚州亚特兰大接受产前护理的拉丁裔妇女进行了 111 项调查。我们进行了 24 次深入访谈，有目的地从调查受访者中选择，收集有关怀孕过程中压力和适应力的叙述。我们有目的地对在调查中报告和未报告持续压力源的女性进行了抽样。调查和访谈指南侧重于压力、社会心理存在、应对和复原力等领域。大多数调查参与者说西班牙语 (86%) 并且出生在墨西哥 (42%) 或危地马拉 (27%)。不到一半 (37%) 报告称有持续压力，最常见的是来自亲人的疾病或与工作相关的问题。大多数女性认为她们应该在怀孕期间控制对外部压力的情绪反应，以保护婴儿的健康。女性将母性和以前的挑战描述为成熟和改善应对的来源。