Traditional postpartum rituals among immigrant and non-immigrant Chinese women.

Autor:	Dennis CL; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.; Department of Psychiatry, University of Toronto, Toronto, Canada.; Lunenfeld-Tannenbaum Research Institute, Mount Sinai Hospital, Toronto, Canada., Brennenstuhl S; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada., Brown HK; Department of Psychiatry, University of Toronto, Toronto, Canada.; Department of Health and Society, University of Toronto Scarborough, Toronto, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, Canada., Grigoriadis S; Department of Psychiatry, University of Toronto, Toronto, Canada.; Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Canada., Vigod SN; Department of Psychiatry, University of Toronto, Toronto, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, Canada., Marini FC; Lunenfeld-Tannenbaum Research Institute, Mount Sinai Hospital, Toronto, Canada., Fung K; Department of Psychiatry, University of Toronto, Toronto, Canada.
Jazyk:	angličtina
Zdroj:	Transcultural psychiatry [Transcult Psychiatry] 2024 Feb; Vol. 61 (1), pp. 85-94. Date of Electronic Publication: 2023 Nov 22.
DOI:	10.1177/13634615231213829
Abstrakt:	Due to cultural and systemic factors, Chinese-Canadians tend to use mental health services less or when mental health problems are more severe. Services need to be more culturally responsive in their treatment of mental illness. Around important life events, when there may be heightened vulnerability to mental illness, this is especially important. In this study, postpartum cultural practices were examined among recent immigrant, longer-term immigrant, and Canadian-born Chinese women. We conducted a longitudinal cohort study of 493 women in Toronto, Ontario, with livebirths in 2011-2014. Participants completed a demographic survey and Postpartum Rituals Questionnaire. Most women (82.2%) practiced at least one postpartum ritual. Younger age (OR 0.93; 95% CI 0.87-0.99) and greater participation in the heritage culture (OR 1.28; 95% CI 1.02-1.61) were associated with ritual practice. From among five types of postpartum rituals identified (i.e., avoidance of homeostatic disturbances, dietary practices, wind avoidance, organized support, and cold avoidance), dietary practices were most commonly undertaken and cold avoidance was least commonly undertaken. There were differences in postpartum ritual patterns by immigration status, with immigrant women being more likely to undertake a greater number of rituals, to attribute these rituals to Chinese culture, and to ascribe health benefits to these rituals and being less likely to feel forced into performing these rituals. Our findings underscore the importance of clinicians becoming more aware of Chinese postpartum rituals to provide women with culturally competent and patient-centered care. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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