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Risk factors associated with postpartum depression in immigrants in the U.S.: A systematic scoping review
Background
Meta analysis has shown that immigrant women are twice as likely to display postpartum depression (PPD) symptoms than non-immigrant women yet, the reason behind this increased risk is unknown. This review sets out to synthesize existing research on PPD in immigrant women and illuminate gaps for future research.
The research question guiding this review is: what are the factors that impact postpartum depression (PPD) risk among immigrant women in the U.S.?
Methods
APA PsychInfo was searched on 24 February 2025 for studies assessing the risk factors of PPD in immigrant women in the U.S at any time. Only primary, observational studies were included. Results were narratively synthesized, grouped by risk factor type and further divided by specific risk factor.
Results
Five studies were included, representing 506 participants. The mean age of participants ranged from 29-33.4 and the mean years living in the U.S. ranged from 5.56-10. All included studies focused on immigrant populations originating from Asian and Middle Eastern countries. All studies utilized validated PPD measurements.
Two of five studies reported on acculturation; one reported that lower levels of acculturation related to higher levels of PPD symptoms, whereas the other found no significant correlation. Two of the five included studies reported on social support and all found that lower levels of social support were associated with higher levels of PPD symptoms, suggesting social support may be an important risk factor to consider. Two studies reported on family dynamic descriptors including marital relationship, in-law relationship, arranged marriage, and child’s gender. Only marital relationship scores had significant associations with PPD scores. Two studies reported on mother’s mental health and confidence. One study found antenatal anxiety, antenatal depression, life stress, and maternity blues all increase PPD symptoms; while the other study found that low maternal self-efficacy was related to higher PPD symptoms.
Conclusion
The literature examining risk factors for PPD in immigrant women living in the U.S. is minimal. Data suggests strong associations between low social support and increased PPD symptoms. More research should be conducted to assess the impact of acculturation of PPD, as results are conflicting. Finally, future research should be done in immigrant populations from various countries of origin as current research heavily focuses on Asian and Middle Eastern countries.Master of Public Health (MPH
Lightning Talks: It Could Be Wonderful: OER Collaboration with Students
OER textbooks already offer many advantages for our moral emotions. By removing cost and offering greater accessibility, they alleviate anxiety. By encouraging authors to create open resources for students in need, they foster empathy and sympathy, while reducing fear and anger over stolen intellectual property. This talk will address another step that can further promote the moral emotions of care and wonder: collaboration with students. These emotions are essential for keeping students engaged in their own learning, but often OER textbooks fall short in these areas. Care can be fostered by inviting students into the process of creating content for textbooks, such as student artists who could offer their works to liven up otherwise monotonous pages. Wonder is likewise fostered by challenging students to act as knowledge makers and content creators, while simultaneously offering perspectives that more directly inspire their generational peers
Ready for take-off? How emerging technologies are fueling new approaches around OER in the UK & the US
Today we are faced with emerging technologies such as (Gen)AI, which have incredible potential - yet also significant risks and challenges. During this panel session, we will hear from two forward-looking universities in the UK and the US about their views and experiences with (Gen)AI and OER. While both are unique in terms of their local context, challenges and levels of experience with OER, they are unified by their ambition to locally grow OER success and by their high expectations for its future.
From this session, expect to learn more about practical and real-world examples of (Gen)AI use at these two universities and their library today: how it is used to identify OER gaps, how to understand local OER potential as well as convincing senior leadership to get behind this. Moreover, expect to walk away with concrete ideas for how we can fuel a scaleable OER future at any institution and why now is the time really for this to take off.
During this panel session, we will hear from two different institutions in the UK and the US about their views and experiences with (Gen)AI and OER. While both are unique in terms of their local context, challenges and levels of experience with OER, they are unified by their ambition to locally grow OER success and by their high expectations for its future. You’ll hear practical and real-world examples of (Gen)AI use, such as how it is used to identify OER gaps and to understand the potential of OER.
We’ll hear from each of the panelists about where they are with OER today and why they feel now is the time for OER to take off
Student Overboard: Rescuing One Discipline at a Time
Take a behind-the-scenes look at this Louisiana team's innovative approach to developing an Introduction to Practical Nursing course. By collaboratively adapting an open licensed textbook, the team is working to enhance LPN education and training in the state. With federal grant support from LOUIS: The Library Network, eighteen cohorts are working to create courses for high-demand CTE programs. The Practical Nursing cohort stands out by incorporating recorded interviews with nursing students and practitioners into both the textbook and Moodle course. Discover how they’re making it happen and learn more about the Building a Competitive Workforce: Career and Technical Education (CTE) OER with Embedded Digital Skills grant
Textual Flows of 'Visitors': Mediatization, Positioning Bodyscapes, and Multiple Semblances of Place
With nationalistic sentiment on the rise around the world over the past decade, politicians have sought to estrange groups of people who ether or settle in a region, often deeming migrants or refugees as ‘others’. Stereotyping and orienting negative perceptions towards particular groups of people can threaten social sustainability in tourism regions. This work takes a geographical and socio-spatial justice lens to understand discriminate labeling through mediatized communications. This work helps us understand how different ‘visitors’ (refugees and tourists) are perceived in relation to each other in a tourism region (Mediterranean Europe). Where one group feels welcomed, another faces marginalization and discrimination. There is a need to consider this dichotomy in relation to how inbound mobility towards tourism destinations shapes not only perceptions of places, but how places are imagined as ideal for some groups, yet (almost) intentionally unmade for another group. This ‘othering’ of particular groups of people is increasingly apparent in the media. The paper looks at a point in time from 2015 to 2019 concerning Mediterranean European countries as popular destinations that saw visitors come from different directions and for vastly different purposes. Tourists would ascend to Greece, Italy, Malta, Republic of Cyprus, and Spain year-round, as did refugees whose destination entry-point is most commonly one of these five European countries according to the United Nations High Commissioner for Refugees. Since 2015, rapid increases in arriving refugees led to the deemed “European Refugee Crisis”, also referred to as the “European Migrant Crisis”. The media began popularizing the arrival of refugees as an apparent crisis, and thus acted to marginalize refugees by associating their presence as a threat to tourism. This papers positions these overlapping communications of visitors as different constructions of bodyscapes in papers that offers narratives of tourists and refugees. Findings show that newspapers emphasis on spatial awareness, as storylines and narratives sought to ensure separation between visitors and refugees mediatization
Achieving Hedonic and Eudaimonic Wellbeing Through Value Co-Creation in Tourism: The Role of Positive Emotions, Empowerment, and Social Connectedness
This study investigates how value co-creation in tourism enhances hedonic (HWB) and eudaimonic well-being (EWB). Guided by Self-Determination Theory, it examines the role of positive emotions, empowerment, and social connectedness in mediating the relationship between customer co-creation behaviors and well-being. Data from 410 domestic travelers in North America and China were analyzed using Partial Least Squares Structural Equation Modeling. Results reveal that participation and citizenship behaviors significantly enhance HWB and EWB through positive emotions and social connectedness. Social interactions foster trust and belonging, while empowerment had no significant direct effect on well-being. This study advances the theoretical understanding of co-creation’s psychological outcomes and highlights its transformative potential for tourism practitioners. Practical recommendations include designing personalized, culturally immersive experiences to strengthen emotional and social engagement. Limitations include demographic and cultural biases, suggesting further research across diverse populations and service perspectives
Engaging Careholders in Regenerative Development: Aspirations and Concerns
The Colca Valley in Peru, known for its rich cultural, natural, and historical assets, is a significant tourism destination. This research explores regenerative tourism, a transformative framework that enhances ecological integrity, cultural heritage, and community well-being. Central to this approach is the co-creation process, integrating indigenous knowledge and systems thinking. The study introduces "careholders," community members with a moral and ethical responsibility for tourism development. The primary research question is: How do the people of the Colca Valley understand their tourism assets, and what are their aspirations for the future of tourism? The literature review highlights the dual impacts of tourism, emphasizing both benefits and challenges. It underscores the synergy between community-based tourism and participatory planning in advancing regenerative principles. Recent discussions emphasize engaging community members as essential for sustainable and regenerative tourism outcomes. This study aims to fill the gap in understanding local residents' perceptions of their tourism assets and aspirations. Using a qualitative methodology, semi-structured interviews with stakeholders in the Colca Valley will be conducted. Thematic analysis will identify recurring patterns and insights. Expected findings include diverse understandings of tourism assets, aspirations for cultural preservation, economic equity, and ecological sustainability, and concerns about over-tourism and exclusion from decision-making processes. These insights will inform strategies for aligning tourism development in the Colca Valley with regenerative principles
Sustainable Skiing - How do locals and tourists perceive sustainable development of ski tourism?
Global warming poses major challenges for Alpine tourism and ski resorts in particular. Consequences such as shifts of seasons or technical snowmaking raise doubts about the sustainability of the industry. This study investigates the perceived economic, ecological, and socio-cultural impacts of ski tourism on the residents’ and tourist support for tourism development. The perception theory serves as a theoretical basis for this study. Following a quantitative research design, 340 local and tourist skiers in a major Tyrolean glacier ski resort were interviewed using an online survey. The results reveal that perceived ecological and socio-cultural benefits of sustainability positively affect the support for tourism development. This study could not confirm any significant differences between the perceptions of locals and tourists. The study's findings provide valuable insights into how ski resorts can more effectively communicate their sustainability efforts to locals and tourists
The Production of Dignity: Ideological Creativity For and Against Empire
Recent debates over “the concept of dignity” have tended to posit it as a potential legitimating principle for what Jürgen Habermas terms “just political orders.” Within these debates, theorists have tended to represent dignity as an essentially singular idea whose immanence in the so-called Western tradition was broadly “discovered” in the 1940s against the backdrop of the Holocaust.
Breaking this frame, I develop an approach that considers “dignity” primarily as keyword rather than concept—that is, as a word around which the language of a particularly salient vector of political struggle has come to be structured in a given historical conjuncture; a site of ideological creativity through which social conditions or transformations are represented in a variety of conflicting ways to motivate and/or justify political institutions/actions. On this approach, “dignity” is recast as a means of interpreting/representing the dynamism of historical transformation rather than as a concept to be clarified and stabilized as legitimating principle for putatively liberal- democratic institutions.
Applying this interpretive method, dignity’s landmark codification in the preamble to the United Nations Charter in relation to “the human person” is re-cognized, not as a discovery, but as the product of an elite project spearheaded by Jan Smuts to shore up imperial social relations in a moment of crisis by means of an effort to universalize the colonial strategy of indirect rule. It also becomes salient that, in direct opposition to this project, “dignity” was subsequently appropriated by figures like Gamal Abdel Nasser and Frantz Fanon and reconfigured to attach, not to the paradigmatic subject of colonial regulation, but to the anticolonial nation. This dissertation undertakes to trace the genesis and dialectical development of these contradictory and antagonistic usages.
In developing this alternative interpretive method and historical account, the question arises of whether academic political theorists should be legislating the correct conceptualization of keywords in the first place. Turning to Palestine, I conclude by demonstrating how such projects continue to facilitate a disavowal of the violence underpinning the very institutions on which the claimed authority of the academic political theorist is founded—a disavowal that forecloses on meaningful anticolonial solidarity.W. E. B. Du Bois Centre
Mellon FoundationDoctor of Philosophy (Ph.D.)2026-05-1