Abstract
Despite the alarming number of Spanish-speaking and Latina/Latinx birthing people suffering from depressive and anxiety symptoms during the perinatal period, there is a significant shortage of perinatal mental health professionals prepared to work with this diverse population. This chapter discusses barriers to mental health-seeking behaviors among Spanish-speaking and Latina/Latinx birthing people in the U.S. It also discusses why current and future mental health professionals must be responsive to the diverse needs of Latina/Latinx perinatal population in the U.S. Therefore, language, cultural diversity, and economic factors are discussed. The importance of training a workforce to engage with transgender and non-binary Latinx people is also addressed. The chapter also describes the role of paraprofessionals in addressing the perinatal mental health needs of the perinatal Latina/Latinx community in the U.S. The chapter also reports on barriers to obtaining much-needed specialty training in reproductive mental health and provides recommendations for addressing them.
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References
Alegría, M., NeMoyer, A., Falgàs Bagué, I., Wang, Y., & Alvarez, K. (2018). Social determinants of mental health: Where we are and where we need to go. Current Psychiatry Reports, 20, 1–13.
American Association of University women. (2021). AAUW Latina initiative: Status of Latinas in the United States. https://www.aauw.org/app/uploads/2021/07/StatusOfLatinas_2.0.pdf
American Psychological Association. (2019). Race and Ethnicity Guidelines in Psychology: Promoting Responsiveness and Equity. http://www.apa.org/about/policy/race-and-ethnicity-in-psychology.pdf
American Psychological Association. (2021). Data tool: Demographics of the U.S. Psychology Workforce. https://www.apa.org/workforce/data-tools/demographics
American Psychological Association. (2024). Minority Fellowship Program. Retrieved February 13, 2024 from https://www.apa.org/pi/mfp
Anastasia, E. A., Guzman, L. E., & Bridges, A. J. (2022). Barriers to integrated primary care and specialty mental health services: Perspectives from Latinx and non-Latinx white primary care patients. Psychological Services. https://doi.org/10.1037/ser0000639
Anastasia, E. A., Guzman, L. E., & Bridges, A. J. (2023). Barriers to integrated primary care and specialty mental health services: Perspectives from Latinx and non-Latinx white primary care patients (Vol. 20). Educational Publishing Foundation.
Baer, R. D., Weller, S. C., de Alba Garcia, J. G., Glazer, M., Trotter, R., Pachter, L., & Klein, R. E. (2003). A cross-cultural approach to the study of the folk illness nervios. Culture, Medicine and Psychiatry, 27(3), 315–337. https://doi.org/10.1023/a:1025351231862
Barnett, M. L., Gonzalez, A., Miranda, J., Chavira, D. A., & Lau, A. S. (2018). Mobilizing community health workers to address mental health disparities for underserved populations: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research, 45, 195–211.
Casanova Dias, M., Sonmez Gungor, E., Naughton, S., Ryland, H., Gargot, T., Pinto da Costa, M., Kanellopoulos, A., Baessler, F., & De Picker, L. (2022). Psychiatric training in perinatal mental health across Europe. Archives of Womens Mental Health, 25(2), 501–506. https://doi.org/10.1007/s00737-022-01216-w
Da Silva, N., Dillon, F. R., Rose Verdejo, T., Sanchez, M., & De La Rosa, M. (2017). Acculturative stress, psychological distress, and religious co** among Latina young adult immigrants. The Counseling Psychologist, 45(2), 213–236. https://doi.org/10.1177/0011000017692111
Daw, J. R., Kolenic, G. E., Dalton, V. K., Zivin, K., Winkelman, T., Kozhimannil, K. B., & Admon, L. K. (2020). Racial and ethnic disparities in perinatal insurance coverage. Obstetrics and Gynecology, 135(4), 917.
Espinoza-Kulick, M. A. V., & Cerdeña, J. P. (2022). “We need health for all”: Mental health and barriers to care among Latinxs in California and Connecticut. International Journal of Environmental Research and Public Health, 19(19), 12817.
Fairbrother, N., Janssen, P., Antony, M. M., Tucker, E., & Young, A. H. (2016). Perinatal anxiety disorder prevalence and incidence. Journal of Affective Disorders, 200, 148–155.
Field, T. (2017). Prenatal anxiety effects: A review. Infant Behavior and Development, 49, 120–128.
Fox, M. (2022). How demographics and concerns about the Trump administration relate to prenatal mental health among Latina women. Social Science and Medicine, 307, 115171. https://doi.org/10.1016/j.socscimed.2022.115171
Fryer, K., Lewis, G., Munoz, C., & Stuebe, A. M. (2021). Identifying barriers and facilitators to prenatal care for Spanish-speaking women. North Carolina Medical Journal, 82(1), 7–13. https://doi.org/10.18043/ncm.82.1.7
Funk, C., & Lopez, M. H. (2022). A brief statistical portrait of US Hispanics. Pew Research Center https://www.pewresearch.org/science/2022/06/14/a-brief-statistical-portrait-of-u-s-hispanics/.
García, S. J. (2018). Living a deportation threat: Anticipatory stressors confronted by undocumented Mexican immigrant women. Race and Social Problems, 10(3), 221–234. https://doi.org/10.1007/s12552-018-9244-2
Gemmill, A., Catalano, R., Casey, J. A., Karasek, D., Alcalá, H. E., Elser, H., & Torres, J. M. (2019). Association of preterm births among US Latina women with the 2016 presidential election. JAMA Network Open, 2(7), e197084. https://doi.org/10.1001/jamanetworkopen.2019.7084
Haywood, J. M. (2017). ‘Latino spaces have always been the most violent’: Afro-Latino collegians’ perceptions of colorism and Latino intragroup marginalization. International Journal of Qualitative Studies in Education, 30(8), 759–782. https://doi.org/10.1080/09518398.2017.1350298
Henry, L. A., & Stahl, N. A. (2017). Dismantling the developmental education pipeline: Potent pedagogies and promising practices that address the college readiness gap. Journal of Adolescent & Adult Literacy, 60(6), 611–616.
Hilty, D. M., Crawford, A., Teshima, J., Nasatir-Hilty, S. E., Luo, J., Chisler, L. S., Gutierrez Hilty, Y. S., Servis, M. E., Godbout, R., & Lim, R. F. (2021). Mobile health and cultural competencies as a foundation for telehealth care: Sco** review. Journal of Technology in Behavioral Science, 6, 197–230.
Howat, A., Masterson, C., & Darwin, Z. (2023). Non-birthing mothers’ experiences of perinatal anxiety and depression: Understanding the perspectives of the non-birthing mothers in female same-sex parented families. Midwifery, 120, 103650. https://doi.org/10.1016/j.midw.2023.103650
Ibaraki, A. Y., & Hall, G. C. N. (2014). The components of cultural match in psychotherapy. Journal of Social and Clinical Psychology, 33(10), 936–953.
Keisler-Starkey, K., & Bunch, L. N. (2020). Health insurance coverage in the United States: 2019. US Census Bureau.
Kiehne, E., & Hafen, Q. (2022). State and local integrationist policies and the physical and psychological health of undocumented immigrants. Current Opinion in Psychology, 48, 101453. https://doi.org/10.1016/j.copsyc.2022.101453
Koech, J. M., Sostre, J. P., Lockett, G. M., Gonzalez, K. A., & Abreu, R. L. (2022). Resisting by existing: Trans Latinx mental health, well-being, and resilience in the United States. In R. A. Chaparro & M. A. M. Prado (Eds.), Latinx queer psychology: Contributions to the study of LGBTIQ+, sexual and gender diversity issues (pp. 43–67). Springer. https://doi.org/10.1007/978-3-030-82250-7_4
Krogstad, J. M., & Gonzalez-Barrera, A. (2015). A majority of English-speaking Hispanics in the U.S. are bilingual. Pew Reseach Center. https://www.pewresearch.org/short-reads/2015/03/24/a-majority-of-english-speaking-hispanics-in-the-u-s-are-bilingual/#:~:text=Hispanics%20in%20the%20United%20States,and%2038%25%20mainly%20use%20Spanish.
Lara-Cinisomo, S., Girdler, S. S., Grewen, K., & Meltzer-Brody, S. (2016). A biopsychosocial conceptual framework of postpartum depression risk in immigrant and U.S.-born Latina mothers in the United States. Womens Health Issues, 26(3), 336–343. https://doi.org/10.1016/j.whi.2016.02.006
Lara-Cinisomo, S., Clark, C. T., & Wood, J. (2018). Increasing diagnosis and treatment of perinatal depression in Latinas and African American women: Addressing stigma is not enough. Womens Health Issues, 28(3), 201–204. https://doi.org/10.1016/j.whi.2018.01.003
Lara-Cinisomo, S., D’Anna-Hernandez, K., Fujimoto, E. M., & Pedersen, C. A. (2019). Exploring associations between perinatal depression, anxiety, and urinary oxytocin levels in Latinas. Archives of Women’s Mental Health, 22, 447–455.
Lara-Cinisomo, S., Fujimoto, E. M., Oksas, C., Jian, Y., & Gharheeb, A. (2019a). Pilot study exploring migration experiences and perinatal depressive and anxiety symptoms in immigrant Latinas. Maternal and Child Health Journal, 23(12), 1627–1647.
Lara-Cinisomo, S., Wood, J., & Fujimoto, E. (2019b). A systematic review of cultural orientation and perinatal depression in Latina women: Are acculturation, Marianismo, and religiosity risks or protective factors? Archives of Women’s Mental Health, 22(5), 557–567.
Lebron, C. N., Mitsdarffer, M., Parra, A., Chavez, J. V., & Behar-Zusman, V. (2023). Latinas and maternal and child health: Research, policy, and representation. Maternal and Child Health Jouranl. https://doi.org/10.1007/s10995-023-03662-z
Long, S. K. (2013). Physicians may need more than higher reimbursements to expand Medicaid participation: Findings from Washington state. Health Affairs, 32(9), 1560–1567. https://doi.org/10.1377/hlthaff.2012.1010
López, S. R., Barrio, C., Kopelowicz, A., & Vega, W. A. (2012). From documenting to eliminating disparities in mental health care for Latinos. American Psychologist, 67(7), 511–523. https://doi.org/10.1037/a0029737
Marty, L., Myrick, O., Perelman, A., Kotlyar, A., & Vernon, J. (2024). Filling a gap in OBGYN education: A pilot lecture series on perinatal mental health. Archives of Women’s Mental Health, 27(1), 137–143.
Matthews, K., Morgan, I., Davis, K., Estriplet, T., Perez, S., & Crear-Perry, J. A. (2021). Pathways to equitable and antiracist maternal mental health care: Insights from black women stakeholders. Health Affairs, 40(10), 1597–1604. https://doi.org/10.1377/hlthaff.2021.00808
Mendez-Luck, C. A., & Anthony, K. P. (2016). Marianismo and caregiving role beliefs among US-born and immigrant Mexican women. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 71(5), 926–935.
Moore, C., Coates, E., Watson, A., de Heer, R., McLeod, A., & Prudhomme, A. (2023). “It’s important to work with people that look like me”: Black Patients’ preferences for patient-provider race concordance. Journal of Racial and Ethnic Health Disparities, 10(5), 2552–2564. https://doi.org/10.1007/s40615-022-01435-y
Mora, L., & Lopez, M. H. (2023). Latinos’ views of and experiences with the Spanish language. Pew Research Center. https://www.pewresearch.org/race-ethnicity/wp-content/uploads/sites/18/2023/09/RE_2023.09.20_Latinos-Speaking-Spanish_Report.pdf
Moslimani, M., Lopez, M. H., & Noe-Bustamante, L. (2023). 11 facts about Hispanic origin groups in the US. The Pew Research Center. Retrieved February 15, 2024 from https://www.pewresearch.org/short-reads/2023/08/16/11-facts-about-hispanic-origin-groups-in-the-us/
Muzik, M., & Borovska, S. (2010). Perinatal depression: Implications for child mental health. Mental Health in Family Medicine, 7, 239–247.
National Immigration Law Center. (2024). Immigrants and the Affordable Care Act (ACA). Retrieved February 15, 2024 from https://www.nilc.org/issues/health-care/immigrantshcr/
Newport, F. (2018). In US, estimate of LGBT population rises to 4.5%. Gallup. https://news.gallup.com/poll/234863/estimate-lgbt-population-rises.aspx
Noonan, M., Doody, O., Jomeen, J., O’Regan, A., & Galvin, R. (2018). Family physicians perceived role in perinatal mental health: An integrative review. BMC Family Practice, 19(1), 1–22.
Nuñez, A., González, P., Talavera, G. A., Sanchez-Johnsen, L., Roesch, S. C., Davis, S. M., Arguelles, W., Womack, V. Y., Ostrovsky, N. W., Ojeda, L., Penedo, F. J., & Gallo, L. C. (2016). Machismo, Marianismo, and negative cognitive-emotional factors: Findings from the Hispanic community health study/study of Latinos sociocultural ancillary study. Journal of Latina/o Psychology, 4(4), 202–217. https://doi.org/10.1037/lat0000050
O’Connor, K., Stoecklin-Marois, M., & Schenker, M. B. (2015). Examining nervios among immigrant male farmworkers in the MICASA study: Sociodemographics, housing conditions and psychosocial factors. Journal of Immigrant and Minority Health, 17, 198–207.
Ornelas, I. J., & Perreira, K. M. (2011). The role of migration in the development of depressive symptoms among Latino immigrant parents in the USA. Social Science & Medicine, 73(8), 1169–1177. https://doi.org/10.1016/j.socscimed.2011.07.002
Ornelas, I. J., Yamanis, T. J., & Ruiz, R. A. (2020). The health of undocumented Latinx immigrants: What we know and future directions. Annual Review of Public Health, 41, 289.
Phillippi, J. C. (2009). Women’s perceptions of access to prenatal care in the United States: A literature review. Journal of Midwifery & Women’s Health, 54(3), 219–225. https://doi.org/10.1016/j.jmwh.2009.01.002
Peña, J. E., Lowe Jr., R. H., & Ríos-Vargas, M. (September 26, 2023). Columbian and Honduran Populations Surpassed a Million for First Time; Venezuelan Population Grew the Fastest of all Hispanic Groups Since 2010. U.S. Census Bureau. Retrieved on April 18, 2023 from https://www.census.gov/library/stories/2023/09/2020-census-dhc-a-hispanic-population.html
Pineros-Leano, M., Yao, L., Simonovich, S. D., Pineros-Leano, N., & Huang, H. (2021). “I Don’t have time to be sad”: Experiences and perceptions of sadness among Latina mothers. Social Work, 66(2), 119–127. https://doi.org/10.1093/sw/swab008
Preciado, A., & D’Anna-Hernandez, K. (2017). Acculturative stress is associated with trajectory of anxiety symptoms during pregnancy in Mexican-American women. Journal of Anxiety Disorders, 48, 28–35.
Price, J. H., Khubchandani, J., & Webb, F. J. (2018). Poverty and health disparities: What can public health professionals do? Health Promotion Practice, 19(2), 170–174. https://doi.org/10.1177/1524839918755143
Price, M. N., Nath, R., DeChants, J. P., Hobaica, S., & Suffredini, K. (2023). The mental health and well-being of Latinx LGBTQ young people. The Trevor Project. https://www.thetrevorproject.org/research-briefs/the-mental-health-and-well-being-of-latinx-lgbtq-young-people/
Rawlinson, C., Carron, T., Cohidon, C., Arditi, C., Hong, Q. N., Pluye, P., Peytremann-Bridevaux, I., & Gilles, I. (2021). An overview of reviews on Interprofessional collaboration in primary care: Barriers and facilitators. International Journal of Integrated Care, 21(2), 32. https://doi.org/10.5334/ijic.5589
Ro, A., Van Hook, J., & Walsemann, K. M. (2022). Undocumented older Latino immigrants in the United States: Population projections and share of older undocumented Latinos by health insurance coverage and chronic health conditions, 2018–2038. The Journals of Gerontology: Series B, 77(2), 389–395. https://doi.org/10.1093/geronb/gbab189
Robidoux, H., Williams, A., Cormack, C., & Johnson, E. (2023). Maternal postpartum depression screening and referral in a Latinx immigrant population: A quality improvement study. Journal of Immigrant and Minority Health, 1–9.
Salas, L. M., Ayón, C., & Gurrola, M. (2013). Estamos traumados: The effect of anti-immigrant sentiment and policies on the mental health of Mexican immigrant families. Journal of Community Psychology, 41(8), 1005–1020.
Sanchez, G. R., Vargas, E. D., Juarez, M. D., Gomez-Aguinaga, B., & Pedraza, F. I. (2017). Nativity and citizenship status affect Latinos’ health insurance coverage under the ACA. Journal of Ethnic and Migration Studies, 43(12), 2037–2054. https://doi.org/10.1080/1369183x.2017.1323450
Sentell, T., Shumway, M., & Snowden, L. (2007). Access to mental health treatment by English language proficiency and race/ethnicity. Journal of General Internal Medicine, 289–293. https://doi.org/10.1007/s11606-007-0345-7
Siu, A. L., Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M., García, F. A., Gillman, M., Herzstein, J., & Kemper, A. R. (2016). Screening for depression in adults: US Preventive Services Task Force recommendation statement. JAMA, 315(4), 380–387.
Smith, B. L. (2018). Spanish-speaking psychologists in demand. American Psychological Association. https://www.apa.org/monitor/2018/06/spanish-speaking.
Smith, T. B., & Trimble, J. E. (2016). Foundations of multicultural psychology: Research to inform effective practice. American Psychological Association. https://www.apa.org/pubs/books/4318135
Substance Abuse and Mental Health Services Administration. (2024). Minority Fellowship Program (MFP). https://www.samhsa.gov/minority-fellowship-program
Taylor, P., Lopez, M. H., Passel, J. S., & Motel, S. (2011). Unauthorized immigrants: Length of residency, patterns of parenthood. Pew Hispanic Center.
Thiede, B. C., Brooks, M. M., & Jensen, L. (2021). Unequal from the start? Poverty across immigrant generations of Hispanic children. Demography, 58(6), 2139–2167. https://doi.org/10.1215/00703370-9519043
Thierry, G. (2016). Neurolinguistic relativity: How language flexes human perception and cognition. Language Learning, 66(3), 690–713. https://doi.org/10.1111/lang.12186
U.S. Bureau of Labor Statistics. (2022). Community Health Workers. https://www.bls.gov/ooh/community-and-social-service/community-health-workers.htm#:~:text=3%25-,Employment%20of%20community%20health%20workers%20is%20projected%20to%20grow%2014,on%20average%2C%20over%20the%20decade.
Van Niel, M. S., & Payne, J. L. (2020). Perinatal depression: A review. Cleveland Clinic Journal of Medicine, 87(5), 273–277.
Vespa, J., Armstrong, D. M., & Medina, L. (2018). Demographic turning points for the United States: Population projections for 2020 to 2060 (pp. 25–1144). US Department of Commerce, Economics and Statistics Administration, US Census Bureau.
Villatoro, A. P., Morales, E. S., & Mays, V. M. (2014). Family culture in mental health help-seeking and utilization in a nationally representative sample of Latinos in the United States: The NLAAS. American Journal of Orthopsychiatry, 84(4), 353.
Villatoro, A. P., Dixon, E., & Mays, V. M. (2016). Faith-based organizations and the Affordable Care Act: Reducing Latino mental health care disparities. Psychological Services, 13(1), 92–104. https://doi.org/10.1037/a0038515
Walker, J. L., Ruiz, R. J., Chinn, J. J., Marti, N., & Ricks, T. N. (2012). Discrimination, acculturation and other predictors of depression among pregnant Hispanic women. Ethnicity & Disease, 22(4), 497–503.
Wenzel, E. S., Gibbons, R. D., O’Hara, M. W., Duffecy, J., & Maki, P. M. (2021). Depression and anxiety symptoms across pregnancy and the postpartum in low-income Black and Latina women. Archives of Women’s Mental Health, 24(6), 979–986.
Wyse, R., Hwang, W.-T., Ahmed, A. A., Richards, E., & Deville, C. (2020). Diversity by race, ethnicity, and sex within the US psychiatry physician workforce. Academic Psychiatry, 44(5), 523–530. https://doi.org/10.1007/s40596-020-01276-z
Zayas, L. H., Jankowski, K. R. B., & McKee, D. M. (2003). Prenatal and postpartum depression among low-income Dominican and Puerto Rican women. Hispanic Journal of Behavioral Sciences, 25(3), 370–385. https://doi.org/10.1177/0739986303256914
Zeiders, K. H., Umaña-Taylor, A. J., Updegraff, K. A., & Jahromi, L. B. (2015). Acculturative and enculturative stress, depressive symptoms, and maternal warmth: Examining within-person relations among Mexican-origin adolescent mothers. Development and Psychopathology, 27(1), 293–308. https://doi.org/10.1017/S0954579414000637
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Lara-Cinisomo, S., Lopez, G.M., Flores-Carter, K. (2024). Develo** a Culturally Responsive Mental Health Workforce for Spanish-Speaking and Latina/Latinx Birthing People with Perinatal Depression and Anxiety. In: Lara-Cinisomo, S. (eds) An Integrated Approach to Perinatal Depression and Anxiety in Spanish-Speaking and Latina Women. Springer, Cham. https://doi.org/10.1007/978-3-031-57824-3_12
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