ABSTRACT
BACKGROUND: Maternal mental health disorders (MMHDs) affect 35% to 40% of low-income, minority, perinatal women and negatively impact these women, their newborns, families, and communities. However, MMHDs are overlooked or stigmatized by medical systems, families, and women themselves. OBJECTIVES: We sought to answer the following research questions: 1) What lessons can we learn about maternal mental health in our local neighborhoods by creating and engaging with a community advisory board (CAB)? 2) What policy recommendations can we formulate with the CAB to address MMHDs among a low-income Latino population? METHODS: We conducted a qualitative research study guided by a community-based participatory research (CBPR) approach. We built on long-term relationships as well as newly identified organizations to develop a CAB of community service providers. We also drew from the perspective of two focus groups of women in the community who had experienced a MMHD. We engaged in an 18-month, iterative process focused on mutual sharing to learn about community perspectives on maternal mental health care barriers and solutions. Researchers and the CAB then created a community policy brief. RESULTS: We developed a CAB and facilitated two focus groups. Together we gleaned a stronger understanding of the importance of education, culture, the patient-provider relationship, and community-based resources. We built on these findings to create specific policy recommendations. CONCLUSIONS: Engaging the CAB and facilitating focus groups informed our understanding of MMHDs from a community perspective, grounding our results and policy in culturally sensitive ways. We developed partnerships between researchers and community providers that can continue to reduce barriers and create solutions to maternal mental health care in our community.
Subject(s)
Health Policy , Mental Disorders/complications , Perinatal Care , Pregnancy Complications/psychology , Advisory Committees , Community Health Services/organization & administration , Community Participation , Community-Based Participatory Research , Culture , Female , Focus Groups , Hispanic or Latino/psychology , Humans , Male , Perinatal Care/organization & administration , Pregnancy , Pregnancy Complications/therapyABSTRACT
La mortalidad por enfermedades cardiovasculares ocupa el primer lugar como causa de mortalidad en trabajadores del IMSS. El objetivo del presente estudio fue identificar los alimentos que se asocian con niveles de lípidos séricos altos o bajos en estos trabajadores (IMSS), analizándose el riesgo relativo y la significancia para cada uno de ellos. Los resultados fueron: los embutidos, tocino, chicharrón, aves con piel, carne roja grasosa, refrescos embotellados, bebidas alcohólicas y la sal estuvieron asociados con triglicéridos (TG) altos y con niveles bajos las verduras y la leche y el yogurth descremados. Para el colesterol de lipoproteínas de alta densidad (CLAD), los alimentos relacionados con niveles altos fueron las verduras y los frijoles. Con niveles bajos de colesterol total (CT) se relacionaron la leche y el yogurt descremados, los quesos frescos y las bebidas alcohólicas secas. Los alimentos asociados con niveles bajos de colesterol de lipoproteínas de baja densidad (CLBD) fueron las bebidas alcohólicas dulces y los quesos frescos, no hubo significancia para ningún alimento como factor de riesgo. Conocer la asociación que tiene el consumo de determinados alimentos con los niveles de lípidos séricos nos puede ayudar a elaborar programas de Educación para la Salud acordes con estos hallazgos
