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1.
Health Aff (Millwood) ; 43(4): 573-581, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38560793

RESUMO

Latina women in the US were disproportionately affected by the COVID-19 pandemic because of structural racism, including discrimination, reduced care access, and elevated risk for illness and death. Although several US policies were implemented to offset the economic toll of the pandemic, few addressed complex stressors, particularly those among Mexican-descent mothers. This qualitative study with thirty-eight perinatal women and mothers of young children who were of Mexican descent sought to identify pandemic-related stressors and solicit recommendations for addressing them during future large-scale crises. Identified stressors included food access issues, mental health needs, and health and safety concerns. The women's recommendations revealed feasible and actionable strategies, including increased access to behavioral and health care services and accessible information about food-related resources. The findings highlight the critical need for responsive policies and programs to ensure the well-being of Mexican-descent perinatal women and mothers of young children during large-scale crises.


Assuntos
Saúde Mental , Pandemias , Gravidez , Criança , Feminino , Humanos , Pré-Escolar , Mães/psicologia , Pesquisa Qualitativa , México
2.
J Exp Biol ; 226(24)2023 12 15.
Artigo em Inglês | MEDLINE | ID: mdl-38009222

RESUMO

Animals may limit the cost of stress responses during key life history stages such as breeding and molting by reducing tissue sensitivity to energy-mobilizing stress hormones (e.g. cortisol). We measured expression of genes encoding glucocorticoid receptor (GR, NR3C1), GR inhibitor (FKBP5) and cortisol-inactivating enzyme (HSD11B2) in blubber and muscle of northern elephant seals before and after stress axis stimulation by adrenocorticotropic hormone (ACTH) early and late in a fasting period associated with molting. ACTH elevated cortisol levels for >24 h and increased FKBP5 and HSD11B2 expression while downregulating NR3C1 expression in blubber and muscle, suggesting robust intracellular negative feedback in peripheral tissues. This feedback was maintained over prolonged fasting, despite differences in baseline cortisol and gene expression levels between early and late molt, suggesting that fasting-adapted animals use multiple tissue-specific, intracellular negative feedback mechanisms to modulate downstream impacts of acute stress responses during key life history stages.


Assuntos
Hidrocortisona , Focas Verdadeiras , Animais , Hidrocortisona/metabolismo , Retroalimentação , Focas Verdadeiras/fisiologia , Jejum , Músculos , Hormônio Adrenocorticotrópico
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