Family Support and Pregnancy Behavior among Women in Two Border Mexican Cities

Contenido principal del artículo

Leticia E. Fernández
Alison Newby

Resumen

Given that, on average, immigrant Mexican women in the United States have relatively low socioeconomic status, researchers have sought explanations for their favorable pregnancy outcomes. Strong family support in the Mexican culture has been proposed as a contributing factor that is protective of maternal and child health. However, family support may not be determined exogenously. Complex associations may exist between family support, the circumstances of a pregnancy, and whether the pregnancy was planned or welcomed. In this article, we present findings from a qualitative exploratory study among pregnant women in two Mexican border cities.The goals of this article are to examine the extent to which family and partner support are provided to pregnant women in the Mexican culture, whether such support appears to influence their health-promoting behaviors during pregnancy, and the circumstances under which such support is denied to women. Findings suggest that women who do not cohabit with the baby’s father predating their pregnancy are less likely to welcome the pregnancy and to receive family support. The influence of family support on maternal behavior and health was stronger among primiparous women than among women who have had a previous pregnancy.Apoyo familiar y comportamiento durante el embarazoentre mujeres de dos ciudades mexicanas fronterizasResumenDado que, en promedio, el nivel socioeconómico de las mujeres inmigrantes mexicanas en Estados Unidos es relativamente bajo, investigadores han tratado de explicar el alto porcentaje de nacimientos que presentan. Se ha propuesto que la presencia de un fuerte apoyo familiar en la cultura mexicana es uno de los factores que protegen la salud materna e infantil. Sin embargo, es posible que el apoyo familiar no se genere de forma exógena. Pueden existir asociaciones complejas entre el apoyo familiar, las circunstancias en que ocurre el embarazo, y si éste fue planeado o bien recibido. En este artículo presentamos los resultados de un estudio cualitativo exploratorio que se condujo entre mujeres embarazadas en dos ciudades fronterizas mexicanas.Los objetivos de este artículo fueron examinar hasta qué punto la familia y la pareja proporcionan apoyo a mujeres embarazadas en la cultura mexicana, si tal apoyo parece influir en comportamientos que pudieran afectar la salud durante el embarazo, y las circunstancias en que ese apoyo se les niega a las mujeres. Los resultados sugieren que las mujeres que no cohabitan con el padre del bebé antes del embarazo tienen menor tendencia a desear el embarazo y reciben menos apoyo familiar. La influencia del apoyo familiar sobre el comportamiento y la salud materna fue más fuerte entre las mujeres primíparas que entre las mujeres que han tenido embarazos anteriormente.

Detalles del artículo

Cómo citar
Fernández, L. E., & Newby, A. (2017). Family Support and Pregnancy Behavior among Women in Two Border Mexican Cities. Frontera Norte, 22(43), 7–34. https://doi.org/10.17428/rfn.v22i43.863
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Albrecht, S. L., M. K. Miller and L. L. Clarke, 1994, “Assessing the importance of family structure in understanding birth outcomes”, Journal of Marriage and the Family, núm. 56, November, pp. 987-1003.

Bachrach, C. A. and S. Newcomer, 1999, “Intended pregnancies and unintended pregnancies: distinct categories or opposite ends of a continuum?”, Family Planning Perspectives, vol. 31, núm. 5, pp. 251-252.

Baird, T. L., 1993, “Mexican adolescent sexuality: Attitudes, knowledge, and sources of information”, Hispanic Journal of Behavioral Science, vol. 15, núm. 3, pp. 402-417.

Balcazar, H., G. Peterson and J. A. Cobas, 1996, “Acculturation and health-related risk behaviors among Mexican American pregnant youth”, American Journal of Health Behavior, November-December, pp. 425-433.

Bankole, A. and C. F. Westoff, 1998, “The consistency and validity of reproductive attitudes: evidence from Morocco”, Journal of Biosocial Science, vol. 30, núm. 4, pp. 439-455.

Barraza-Lloréns, M. et al., 2002, “Addressing inequality in health and health care in Mexico”, Health Affairs, vol. 21, núm. 3, pp. 47-56.

Brown, C. J., J. A. Pagán and E. Rodríguez-Oreggia, 2005, “The decision-making process of health care utilization in Mexico”, Health Policy, núm. 72, pp. 81-91.

Brown, S. and L. Eisenberg, eds., 1995, “The best intentions: Unintended pregnancy and the well-being of children and families, Washington, D. C., National Academy Press, pp. 50-90.

Carmichael, S. L. et al., 2003, “Social networks and risk of neural tube defects”, European Journal of Epidemiology, núm. 18, pp. 129-133.

Clark, L., 2001, “La Familia: Methodological issues in the assessment of perinatal social support for Mexicanas living in the United States”, Social Science and Medicine, núm. 53, pp. 1303-1320.

Consejo Nacional de Población (Conapo), 1999, La nupcialidad en México: patrones de continuidad, Mexico, Conapo.

D’Angelo, D. et al., 2001, Measuring unintended pregnancy: are women who report mistimed and unwanted pregnancies different?, Atlanta, Division of Reproductive Health, C. D. C.

Dunkel-Schetter, C. et al., 2001, “Stress processes in pregnancy and birth: Psychological, biological, and sociocultural influences”, in Baum A., Revenson T. A., Singer J. E., eds., Handbook of health psychology, Mahwah, N. J., Lawrence Erlbaum Associates.

Feldman, P. J. et al., 2000, “Maternal social support predicts birth weight and fetal growth in human pregnancy”, Psychosomatic Medicine, núm. 62, pp. 715-725.

Finer, L. B. and S. K. Henshaw, 2006, “Disparities in rates of unintended pregnancy in the United States, 1994 and 2001”, Perspectives on Sexual and Reproductive Health, vol. 38, núm. 2, pp. 90-96.

Frenk, J. et al., 1994, “Consequences of the North American Free Trade Agreement for Health Services: A Perspective from Mexico”, American Journal of Public Health, vol. 10, núm. 84, pp. 1591-1597.

Fuller, N., 1995, “En torno a la polaridad marianismo-machismo”, in L. G. Arango, M. León, M. Viveros, eds., Género e identidad: Ensayos sobre lo femenino y lo masculino, Santa Fe de Bogotá, Ediciones Uniandes, pp. 241-264.

Giblin, P. T., M. L. Poland and J. W. Ager, 1990, “Effects of social supports on attitudes, health behaviors and obtaining prenatal care”, Journal of Community Health, vol. 15, núm. 6, pp. 357-368.

Guendelman, S., et al., 2001, “Orientation to motherhood and male partner support among women in Mexico and Mexican-origin women in the United States”, Social Science and Medicine, vol. 52, pp. 1805-1813.

Gutiérrez, Y. M., 1999, “Cultural factors affecting diet and pregnancy outcome of Mexican American adolescents”, Journal of Adolescent Health, vol. 25, núm. 3, pp. 227-237.

Instituto Nacional de Estadística, Geografía e Informática (inegi), 2005, Estadísticas a propósito del Día de la Madre: Datos nacionales, México, inegi.

Joyce, T., R. Kaestner and S. Korenman, 2000, “The stability of pregnancy intentions and pregnancy-related maternal behaviors”, Maternal and Child Health Journal, vol. 4, núm. 3, pp. 171-178.

Kalofonos, I. and L. A. Palinkas, 1999, “Barriers to use of prenatal care by Mexican and Mexican-American women”, Journal of Gender, Culture, and Health, núm. 4, pp. 135-152.

Kopinak, K., 1995, “Gender as a vehicle for the subordination of women maquiladora workers in Mexico”, Latin American Perspectives, vol. 22, núm. 1, pp. 30-48.

Kost, K., D. J. Landry and J. E. Darroch, 1998, “Predicting maternal behaviors during pregnancy: does intention status matter?”, Family Planning Perspectives, vol. 30, núm. 2, pp. 79-88.

Landale, N. S. and R. S. Oropesa, 2001, “Migration, social support and perinatal health: An origin-destination analysis of Puerto Rican women”, Journal of Health and Social Behavior, vol. 42, núm. 2, pp. 166-183.

Livingston, J., 2004, “Murder in Juárez: gender, sexual violence, and the global assembly line”, Frontiers, vol. 25, núm. 1, pp. 59-76.

Macklin, R., 1999, “The doctor-patient relationship in different cultures”, in Macklin R, ed., Against relativism: cultural diversity and the search for ethical universals in medicine, New York, Oxford University Press.

Martínez-Donate, A. P. et al., 2004, “Gender differences in condom-related behaviors and attitudes among Mexican adolescents living on the U.S.-Mexico border”, AIDS Education and Prevention, vol. 16, núm. 2, pp. 172-186.

Módena, M. E. and Z. Mendoza, 2001, Géneros y generaciones. Etnografía de las relaciones entre hombres y mujeres de la ciudad de México, Mexico, Edamex and Population Council, Inc. Ojeda, N., 1992, “La importancia de las uniones consensuales”, Demos, 1:21-22. Mexico.

Page, R. L., 2004, “Positive pregnancy outcomes in Mexican immigrants: What can we learn?”, Journal of Obstetric, Gynecologic, and Neonatal Nursing, vol. 33, núm. 6, pp. 783-790.

Poole, V. L. et al., 2000, “Changes in intendedness during pregnancy in a high-risk multiparous population”, Maternal and Child Health Journal, vol. 4, núm. 3, pp. 179-182.

Portes, A. and M. Zhou, 1993, “The new second generation: Segmented assimilation and its variants”, Annals of the American Academy of Political and Social Science, núm. 530, pp. 74-96.

Pulley, L. et al., 2002, “The extent of pregnancy mistiming and its association with maternal characteristics and behaviors and pregnancy outcomes”, Perspectives on Sexual and Reproductive Health, vol. 34, núm. 4, pp. 206-211.

Rodríguez, G. A. et al., 1995, “Mitos y dilemas de los jóvenes en tiempos del SIDA”, in M. Bronfman et al., eds., SIDA en México: Migración, adolescencia y genero, Mexico, Conasida/Información Profesional Especializada.

Sable, M. R, 1999, “Pregnancy intentions may not be a useful measure for research on maternal and child health outcomes”, Family Planning Perspectives, vol. 1, núm. 5, pp. 249-250.

Sable, M. R. and M. K. Libbus, 2000, “Pregnancy intentions and pregnancy happiness: are they different?”, Maternal and Child Health Journal, vol. 4, núm. 3, pp. 191-196.

Salles, V. and R. Tuirán, 1996, “Mitos y creencias sobre la vida familiar”, Revista Mexicana de Sociología, vol. 59, núm. 2, pp. 117-144.

Santelli, J. et al., 2003, “The measurement and meaning of unintended pregnancy”, Perspectives on Sexual and Reproductive Health, vol. 35, núm. 2, pp. 94-101.

Scribner, R. and J. Dwyer, 1989, “Acculturation and low birthweight among Latinos in the Hispanic HANES”, American Journal of Public Health, vol. 79, núm. 9, pp. 1263-1267.

Sherraden, M. S. and R. E. Barrera, 1996, “Maternal support and cultural influences among Mexican immigrant mothers”, Families in Society, vol. 77, núm. 5, pp. 298-313.

Sherraden, M. S. and R. E. Barrera, 1997, “Family support and birth outcomes among second-generation Mexican immigrants”, Social Service Review, December, pp. 607-633.

Stewart, H. et al., 2001, Reducing HIV infection among youth: What can schools do? Key baseline findings from Mexico, Thailand, and South Africa, report on the Horizons school-based studies, New York, The Population Council, Inc.

Strauss, A. and J. Corbin, 1990, Basics of qualitative research, Newbury Park, CA, Sage Publications, Inc.

Theodore, F. L. et al., 2004, “El sexo recompensado: Una práctica en el centro de las vulnerabilidades (ITS/VIH/SIDA) de las jóvenes mexicanas”, Salud Pública de México, vol. 46, núm. 2, pp. 104-112.

Tiano, S. and C. Ladino, 1999, “Dating, mating, and motherhood: identity construction among Mexican maquila workers”, Environment and Planning A, vol. 31, núm. 2, pp. 305-325.

Torres, V. M., 2005, “A cultural model of pregnancy: a comparison between Mexican physicians and working-class women in Tijuana, B. C.”, The Social Science Journal, núm. 42, pp. 81-96.

Trussell, J., B. Vaughan and J. Stanford, 1999, “Are all contraceptive failures unintended pregnancies? Evidence from the 1995 National Survey of Family Growth”, Family Planning Perspectives, vol. 31, núm. 5, pp. 246-248.

Turner, R. J., C. F. Grindstaff and N. Phillips, 1990, “Social support and outcome in teenage pregnancy”, Journal of Health and Social Behavior, vol. 31, núm. 1, pp. 43-57.

Wiemann, C. M. et al., 1997, “Factors associated with adolescents’ risk for late entry into prenatal care”, Family Planning Perspectives, vol. 29, núm. 6, pp. 273-276.

Williams, L., J. Abma, W. and L. J. Piccinino, 1999, “The correspondence betweenintention to avoid childbearing and subsequent fertility: a prospective analysis”, Family Planning Perspectives, vol. 31, núm. 5, pp. 220-227.

Wills, T. A. and M. F. Fegan, 2001, “Social networks and social support”, in Baum A., Revenson T. A., Singer J. E., eds., Handbook of health psychology, Mahwah, N. J., Lawrence Erlbaum Associates.

Winston, C. A. and K. S. Oths, 2000, “Seeking early care: The role of prenatal care advocates”, Medical Anthropology Quarterly, vol. 14, núm. 2, pp. 127-137.

Zabin, L. S., 1999, “Ambivalent feelings about parenthood may lead to inconsistent contraceptive use –and pregnancy”, Family Planning Perspectives, vol. 31, núm. 5, pp. 250-251.

Zabin, L. S. et al., 2000, “Partner effects on a woman’s intention to conceive: ‘not with this partner’”, Family Planning Perspectives, vol. 32, núm. 1, pp. 39-45.

Zambrana, R. E. et al., 1997, “Prenatal health behaviors and psychosocial risk factors in pregnant women of Mexican origin: The role of acculturation”, American Journal of Public Health, vol. 87, núm. 6, pp. 1022 -1026.