Dados Bibliográficos

AUTOR(ES) Hilary K Brown , Kenneth Fung , Cindy-Lee Dennis , Sarah Brennenstuhl , Sophie Grigoriadis , Simone N. Vigod , Flavia C. Marini
AFILIAÇÃO(ÕES) University of Toronto Faculty of Medicine, Lunenfeld-Tannenbaum Research Institute, Mount Sinai Hospital, Toronto, Canada
ANO 2024
TIPO Artigo
PERIÓDICO Transcultural Psychiatry
ISSN 1363-4615
E-ISSN 1461-7471
EDITORA SAGE Publications
DOI 10.1177/13634615231213829
ADICIONADO EM 2025-08-18

Resumo

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.

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