• The Pinoy-Pinay

    Health Project

    WELCOME

     

    The Pinoy-Pinay Health (PH) Project aims to examine how ecological stressors, including socio-political conditions, influence maternal-fetal dynamics and their biological systems among pregnant Filipina women, an under-researched group and susceptible to poor health outcomes. We explore the political landscape and the range of political beliefs, connecting it to pregnancy and birth outcomes. The overarching goal is to understand what causes preterm birth, which can be used to inform public health recommendations and social policies worldwide. Policy implications include driving equitable access to healthcare and antenatal services for underserved populations.

    MABUHAY

     

    Nilalayon ng Proyekto ng Pinoy-Pinay Health (PH) na suriin kung paano nakakaimpluwensya ang mga ecological stressors, kabilang ang mga kondisyong sosyo-pampulitika, sa dinamika sa pagitan ng mga ina at sanggol at kanilang mga biological system sa mga buntis na kababaihang Pilipina, isang grupong under-researched at madaling kapitan ng mga hindi kagusto-gustong kalusugan. Sinisiyasat namin ang politika at ang hanay ng mga paniniwalang pampolitika, para maikonekta ito sa mga kalabasan ng pagbubuntis at kapanganakan. Ang pangkalahatang layunin ay maunawaan ang mga sanhi ng preterm birth, na maaaring magamit upang ipabatid ang mga rekomendasyong pangkalusugang pampubliko at mga patakaran ng lipunan sa buong mundo. Kabilang sa mga implikasyon ng patakaran ang pagtataguyod ng makatarungan na access sa pangangalagang pangkalusugan at mga serbisyong antenatal para sa mga populasyong hindi nabibigyan ng pangangalaga.

  • ABOUT / TUNKOL SA PROYEKTO

    PROJECT OVERVIEW & GOALS

    The Pinoy-Pinay Health Project is a research study that aims to examine how stress from the environment can affect mental and physical health as well as the health of newborns. Little work has been done to understand biological and psychological underpinnings in parental and fetal health in countries outside of Europe and the United States. Thus, the initial step is to first understand the current state of affairs in the Philippines using surveys and associating them with biological markers. We collaborate with Mariano Marcos State University, Northwestern University, Laoag City, and organizations like the Save the Ifugao Rice Terraces Movement to recruit women from Governor Roque B. Ablan Sr. Memorial Hospital to begin addressing these questions. These findings will have wide relevance and provide further insight in how the exposure to risks of mortality influences fetal development and epidemiology, as well as its effects on parental mental health from underdeveloped countries.

    PANGKALAHATANG-IDEYA NG PROYEKTO AT MGA LAYUNIN

    Ang Pinoy-Pinay Health Project ay isang pagsusuri tungkol sa kung paano naapektuhan ng stress mula sa kapaligiran ang kalusugan ng kaisipan at pisikal pati na rin ang kalusugan ng mga sanggol na bagong silang. Kaunti pa lang ang nagagawang pag-aaral upang maunawaan ang mga batayang biyolohikal at sikolohikal sa kalusugan ng magulang at sanggol sa mga bansa sa labas ng Europa at Amerika. Ang unang hakbang ay unawain ang kasalukuyang kalagayan ng Pilipinas gamit ang mga “survey” at iugnay ang mga ito sa mga “biological markers.” Nakikipagtulungan kami sa Mariano Marcos State University, Northwestern University, Laoag City, at mga organisasyon katulad ng Save the Ifugao Rice Terraces Movement, at nagre-rekrut kami ng mga babae na nagboboluntaryo sa Governor Roque B. Ablan Sr. Memorial Hospital upang masagot ang mga katanungang ito. Ang natuklasan ng pag-susuring ito ay magkakaroon ng malaking kaugnayan at magbibigay ng karagdagang pananaw tungkol sa kung paano nakakaapekto ang pagkakalantad sa mga panganib na nakakamatay sa paglaki ng sanggol at “epidemiology,” pati na rin ang mga epekto nito sa kalusugan ng kaisipan ng magulang mula sa mga hindi pa maunlad na mga bansa.

    TRANSLATORS IN TAGALOG AND ILOCANO ARE ALWAYS WELCOME.

    MALUGOD NA TINATANGGAP ANG MGA TAGA-TRANSLATE NG TAGALOG AT ILOCANO.

  •  

    TEAM/GRUPO

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    Kristine Joy Chua, Ph.D.
    (University of California, Santa Barbara)

    Dr. Chua is the lead researcher at UCSB. Her research interests broadly center around perceptions of mortality risk, evolutionary developmental psychology, individual differences and social behavior, and gestational health. See website for more info.

     

    Si Dr. Chua ay ang nangungunang mananaliksik sa UCSB. Ang kanyang mga interes ay malawak na nakasentro sa mga pananaw sa panganib ng nakakamatay, “evolutionary developmental psychology,” mga pagkakaiba ng indibidwal at pag-uugali sa lipunan, at kalusugan ng panganganak. See website.

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    Zoe Pamonag
    (Johns Hopkins University)

    Ms. Pamonag is a recent graduate of UCLA and holds a B.S. in Neuroscience. She is interested in how culture impacts health and biology. She enjoys learning about her Filipina heritage and spending time with her dog.

     

    Si Ms. Pamonag ay nakapagtapos ng B.S. sa Neuroscience sa UCLA. Interesado siya sa kung paano nakakaapekto ang kultura sa kalusugan at biyolohiya. Nasisiyahan siyang matuto tungkol sa kanyang kultura at magpalipas ng oras kasama ang kanyang aso.

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    Jessica Asuncion
    (Mariano Marcos State University)

    Ms. Asuncion is a lecturer in the Biology Department at Mariano Marcos State University. She is currently finishing up her Master of Science in Biology. Her research interests include immunology and physiology of milk using pig models. Outside of research, she enjoys cooking and traveling.

     

    Si Ms. Asuncion ay isang lektor ng Kagawaran ng Biyolohiya sa Mariano Marcos State University. Kasalukuyan niyang tinatapos ang kanyang Master of Science in Biology. Kasama sa kanyang mga interes ang pananaliksik ng imyolohiya at pisyolohiya ng gatas gamit ang mga modelo ng baboy. Sa labas ng pananaliksik, nasisiyahan siya sa pagluluto at paglilibot.

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    Sherazade G. Guindayan, M.S.W.
    (Save the Ifugao Terraces Movement)

    Ms. Guindayan graduated with a B.S. in Social Work at St. Louis University, Baguio City and completed her Masters in Public Administration at Ifugao State University Main, Lamut, Ifugao. She is currently employed at LGU Asipulo and volunteers her time with the Asipulo Youth Leaders Organization and with the Save the Ifugao Terrace Movement.

     

    Nagtapos si Ms. Guindayan na may B.S. sa Social Work sa St. Louis University, Baguio City at nakumpleto niya ang kanyang Masters in Public Administration sa Ifugao State University Main, Lamut, Ifugao. Siya ay kasalukuyang nagtatrabaho sa LGU Asipulo at nagboboluntaryo ng kanyang oras sa Asipulo Youth Leaders Organization at sa Save the Ifugao Terrace Movement.

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    Previous Research Assistants /
    Nakaraang mga Katulong sa Pananaliksik

    Marianne Mae Enciso

    Verronica Joyce Rico

    Alyssa Bettina Arbolant

  • PARTNERSHIPS

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    Mariano Marcos State University

    Batac, Ilocos Norte, Philippines

    Dr. Shirley Agrupis

    Dr. Doreen Domingo

    Dr. Mee Jay Domingo

    Dr. Prima Fe R. Franco

    Dr. Rhoda Beth M. Santos

    Dr. Matet Arzadon Blanco

    Dr. Flordeliz Rapacon-Estira

    James Paul Madigal

    Mıc Albano Mac

    Junel A. Biding

    Deo Cadalzo

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    Northwestern University, Laoag City

    Laoag City, Ilocos Norte, Philippines

    Atty. Ferdinand S. Nicolas, President

    Maria Liza Nicolas, MBA, EVP

    Karl Lenin C. Benigno, VPA

    Dr. Charlie Bulalayao, Dean of CAHS

    Dr. Roseli Aurelio

    Prof. Imelda Dawang

    Jenny Abadilla, Director of CBDEA

    Verna Ragonjan, Facilities Director

    Celine Hernandez, MCMC Director

    Claire Reynon-Saturnino

    Charmie Nemalyn G. Malto

    Cetelou S. Corado

     

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    Governor Roque B. Ablan Sr. Memorial Hospital

    Laoag City, Ilocos Norte, Philippines

    Dr. Arlene Ragasa, Chief of Hospital

    Dr. Michelle Braceros-Panaligan

    Dr. Lucky Faith A. Dequina

    Dr. Mona Liza Hernando-Abadilla

    Dr. Charina Nacion

    Dr. Marcelle Leaño

    Dr. Miriam Donna Valdez-Caroy

    Prof. Gohmer G. Guillermo, R.N., MAN, Head Nurse

    Prof. Maris Pichay, R.N., MAN, Head of OR

    Kathlyn Joy Doropan, R.N.

    Mariel Fuentes, R.N.

    April Zjanri Domingo, R.N.

    Mariel Fuentes, R.N.

    Babyruth Santos, R.N.

    Maria Lux S. Bonoan, R.N.

    Sharlyn T. Agtang, R.N. 

    Eunice Twinkle de la Cruz, R.N.

    Lerma Bermas, R.N.

    Jesus Walter Josue Jr., R.N.

    William Dimagiba, R.N.

    Richard Allan Lao, R.N.

    Mary Anne B. Malvar, R.N.

    Lovella B. Salvador, R.N.

    Heidi S. Tingco, R.N.

    Antonio Basilio, R.N.

    Richelle Puyaoan, R.N.

    April Zjanri Domingo, R.N.

    Mariel Fuentes, R.N.

    Babyruth Santos, R.N.

    Maria Lux S. Bonoan, R.N.

    Sharlyn T. Agtang, R.N.

    Mary Anne B. Malvar, R.N.

    Lovella B. Salvador, R.N. 

    Heidi S. Tingco, R.N.

    Antonio Basilio, R.N.

    Richelle Puyaoan, R.N.

    Tristan De La Cruz

    Angie M. Quitog

    Shilly S. Salle

    Leila S. Domingsil

    Mary Jean Q. Arcucan

    Robert J. Cadiw-Cadiw

    Ronald Pablo

    Jimmy L. Que

    Marino Bartolome

    Rando Liao 

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    Save the Ifugao Terraces Movement

    Ifugao, Philippines

    Marlon Martin, COO

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    University of California, Los Angeles

    Los Angeles, CA, U.S.A.

    Dr. Abigail Bigham

    Dr. Cindy Sangalang

    Dr. H. Clark Barrett

    Dr. Stephen Acabado

    A.J. Estrella

    Allene De Castro

    Daneille Mangaliag

    Erika Acepcion

    Jocelyn Mendoza

    Claire (Meredith) Art

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    University of California, Santa Barbara

    Los Angeles, CA, U.S.A.

    Dr. Amy Boddy

    Molly Morgan

    Lucia Leporte

    Thanh Thach

  • RELEVANT RESEARCH / NAUUNGAY NA PAG-AARAL

    WHAT ARE OUR STUDY GOALS? / ANO ANG ATING MGA LAYUNIN SA PANANALIKSIK?

    We examine how pregnant and recently pregnant Filipino mothers view the political climate and how much these mothers experience stress from their environment. We also examine how Filipino culture can serve as a coping strategy to help reduce stress.

     

    Sinusurinamin kung paano tinitingnan ng mga buntis at kamakailang buntis ang klima sa politika ng Pilipinas at kung paano sila nakakaranas ng stress mula sa kanilang kapaligiran. Sinusuri din namin kung paano magsisilbing diskarte sa pagharap ang kulturang Pilipino upang makatulong ito sa pagbabawas ng stress.

    HOW WAS THIS DONE? / PAANO ITO GINAWA?

    We recruited 21 pregnant and recently pregnant Filipino mothers from all over the Philippines. We conducted virtual interviews. The average mother was 28 years old, high school graduate, with more than 1 child. About half of the mothers were pregnant at the time of the interviews.

     

    Nag-recruitkami ng 21 buntis at kamakailang buntis na mga nanay mula sa buong Pilipinas. Nagsagawa kami ng mga virtual na panayam. Ang karaniwang ina ay 28 taong gulang, nakapagtapos ng high school, at may higit sa 1 anak. Halos kalahati ng mga ina ay buntis sa panahon ng mga panayam.

    WHY IT MATTERS? / BAKIT ITO MAHALAGA?

     

    Most research on stress and pregnancy are done in the U.S. in other European countries. Cultural values are often not addressed. As a result, there is a lot that we don't know about how mothers cope with stress and whether cultural values act as a coping strategy.

     

    Karamihan sa mga pananaliksik sa stress at pagbubuntis ay ginagawa sa U.S. at sa ibang mga bansa sa Europa. Ang kultura ay kadalasang hindi madalas sinasaliksik . Bilang resulta, marami tayong hindi alam kung paano hinaharap ng mga ina ang stress at kung ang kultura ay nagsisilbing pamamaraan sa pagharap.

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    WHAT WAS FOUND? / ANO ANG NATAGPUAN?

    While most women reported feeling stressed due to their environment, there was a wide range in these reports. Using thematic analysis to systematically identify themes, we found that mothers who reported stress from their environments were shaped by three major categories. This ranged from aspects of themselves that we could visibly like the amount of interaction mothers have with the media (e.g., news, Facebook) to the aspects that are deeply rooted within us like the cultural values and attitudes that we believe in that make us respond differently. Between these two categories is the unseen culture which is how much mothers consider themselves to be directly affected by their environment. Altogether, our results suggest that how pregnant and recently pregnant mothers respond and cope with stress is deeply rooted in Filipino cultural values and norms, specifically, the "bahala na" culture.

     

    Habang ang karamihan ng mga babae ay nag-ulat na nakakaramdam ng stress dahil sa kanilang kapaligiran, nakita namin na may maraming iba’t ibang mga karanasan sa kanilang mga sagot. Gamit ang thematic analysis upang sistematikong matukoy ang mga tema, natutunan namin na ang mga ina na nag-ulat ng stress mula sa kanilang mga kapaligiran ay bahagi ng tatlong pangunahing kategorya. Ito ay mula sa mga aspeto ng kanilang mga sarili na kitang-kita natin tulad ng paggamit ng mga ina ng media (e.g., nanonood or nakikinig ng balita, bumabasa ng posts sa Facebook), hanggang sa mga aspeto na malalim sa atin, tulad ng mga kultural na halaga at pinaniniwalaan natin. Sa pagitan ng dalawang kategoryang ito ay kultura na hindi nakikita kung saan itinuturing ng mga ina ang kanilang sarili na direktang apektado ng kanilang kapaligiran. Iminumungkahi ng aming mga resulta na kung paano tumugon at nakakaharap sa stress ang mga buntis at kamakailang buntis na mga ina ay malalim na nakaugat sa mga halaga at pamantayan ng kulturang Pilipino, partikular, ang kulturang "bahala na".

    WHAT DOES IT MEAN? / ANONG IBIG SABIHIN NITO?

    Our findings contribute to the cross-cultural nature of prenatal stress and how the socio-political climate might impact maternal health during pregnancy. More research is needed to understand what are the different kinds of coping strategies for women experiencing stressful environments and their effects on pregnancy biology.

     

    Ang aming mga natuklasan ay nag-aambag sa cross-cultural na kalikasan ng prenatal stress at kung paano maaaring makaapekto ang sosyo-politikal na klima sa kalusugan ng ina sa panahon ng pagbubuntis. Marami pang pananaliksik ang kailangan upang maunawaan ang iba't ibang uri ng mga pamamaraan para sa kahirapan ng mga babae na nakakaranas ng mga nakaka-stress na kapaligiran at ang kanilang mga epekto sa biology ng pagbubuntis.

    This summary describes the work of:

     

    Chua, K. J., *Pamonag, Z., Francisco, L. L., Asuncion, J. G., Bigham, A. W., & Boddy, A. "Embodiment of the socio-political climate among pregnant Filipina women. For more information, please contact Dr. Kristine Joy Chua at kristinechua@ucsb.edu.

     

     

    Inilalarawan ng buod na ito ang gawain ni:

     

    Chua, K. J., *Pamonag, Z., Francisco, L. L., Asuncion, J. G., Bigham, A. W., & Boddy, A. "Embodiment of the socio-political climate among pregnant Filipina women. Para sa karagdagang impormasyon, mangyaring makipag-ugnayan Dr. Kristine Joy Chua at kristinechua@ucsb.edu.

    SELECTED PUBLICATIONS / NAPILING MGA PUBLIKASYON

    †Chua, K. J., †Knorr, D., Jimenez, J., Rojas, V., Francia, A., Garcia, J. I., & Fox, M. (2023). What do your neighbors think about you? How perceived neighborhood attitudes towards Latinos influence mental health among a pregnant Latina cohort. Journal of Racial and Ethnic Disparities.1-12. [PDF]

    †both authors contributed equally.

     

    Wiley, K.S., Knorr, D., Chua, K. J., Garcia, S. & Fox, M. (2023). Sociopolitical stressors are associated with psychological distress in a cohort of Latina women during early pregnancy. Journal of Community Psychology, 51(7), 3044-3059. [PDF]

     

    Hotez, E., Chua, K.J., Samras, N., Smith, A.M., & Kuo, A. (2023). Preliminary pilot testing of social determinants of health screening for individuals with intellectual and developmental disabilities in Med-Peds. Cureus. 15(5). e38541. [PDF]

     

    Chua, K. J., Lukaszewski, A. W., & Manson, J. (2020). Sex-specific effects of harsh childhood environment on psychometrically assessed life history strategy: No mediation through developmental timing or embodied capital. Adaptive Human Behavior and Physiology. 6(3), 307-333. [PDF]

     

    Sangkhae, V., Fisher, A. L., Chua, K. J., Ruchala, P., Ganz, T., & Nemeth, E. (2020). Maternal hepcidin determines embryo iron homeostais. Blood, 136(19), 2206-2216. [PDF]

     

    Chua, K. J. & Manson, J. (2020). Absence prior to puberty. In Encyclopedia of Evolutionary Psychological Science. https://doi.org/10.1007/978-3-319-16999-6_2037-1 [PDF]

     

    Clauss, N., Byrd-Craven, J., & Kennison, S. M., & Chua, K. J. (2017). The roles of mothers’ partner satisfaction and mother-infant communication duration in mother-infant adrenocortical attunement. Adaptive Human Behavior and Physiology, 1-17. [PDF]

     

    Chua, K. J., Lukaszewski, A. W., Grant, D. M., & Sng, O. Human life history strategies: Calibrated to external or internal cues? (2017). Evolutionary Psychology, 15(1), 1-16. [PDF]

     

    Chua, K. J. (2016). Stress reactivity. In Encyclopedia of Evolutionary Psychological Science. https://doi.org/10.1007/978-3-319-16999-6_1921-1. [PDF]

    SELECTED PRESENTATIONS / NAPILING MGAPAGTATANGHAL

    Chua, K. J., Pamonag, Z., Art, M.C.,Francisco, L. L., Asuncion, J. G., Bigham, A. W. (2023, August). Culture- bound attitudes and the embodiment of socio-political stress in pregnant Filipina women. Poster presentation at the annual meeting of the International Society for Evolution, Medicine and Public Health, Irvine, CA.

     

    Chua, K. J., Knorr, D. A., & Fox, M. M. (2020, October). The role of individual and subjective neighborhood socio-cultural identity and ethnic attitudes in maternal mental health in a pregnant Latina population. Population Centers of the University of California Event, “Race and Inequality: A Collaborative UCPop Event,” Virtual Meeting.

     

    Chua,K. J. (2020, March). Epigenetics of maternal-fetal programming in pregnancy. Invited talk at the Center of Social Human Nature. California State University Fullerton, Fullerton, CA.

     

    Chua,K. J., Manson, J., & Fox, M. M. (2020, April; accepted, conference cancelled due to COVID-19). A life history perspective on perceived mortality risk in the Philippines: The relationship between political dynamics, future safety, and birth outcomes. Poster presented at the annual meeting of the Human Biological Association, Los Angeles, CA.

     

    Chua,K. J. (2019, July). Conducting research in the Philippines and basic quantitative approaches. Invited talk at 1 st Graduate Lecture Series in
    Advanced Biology, Mariano Marcos State University, Batac City, Philippines.

  • MEDIA

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    2023 STAT Wunderkind Award

    Dr. Chua is recognized for being a rising star in science and medicine!

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    UCSB The Current

    Press release showcasing how Dr. Chua is expanding Filipina maternal health research.

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    Philippine Post

    Press release highlighting Dr. Chua's contributions to Filipino scholarship and health research.