Background: Adverse childhood experiences (ACEs) are associated with prenatal mental health and negative pregnancy outcomes in high income countries, but whether the same association exists in Pakistan, a low- to middle-income (LMI) country, remains unclear. Methods: Secondary data analyses of a prospective longitudinal cohort study examining biopsychosocial measures of 300 pregnant women at four sites in Karachi, Pakistan. A predictive multiple logistic regression model for preterm birth (PTB; i.e., <37 weeks' gestation) was developed from variables significantly (P < 0.05) or marginally (P < 0.10) associated with PTB in the bivariate analyses. Results: Of the 300 women, 263 (88%) returned for delivery and were included in the current analyses. The PTB rate was 11.1%. We found no association between ACE and PTB. Mother's education (P = 0.011), mother's ethnicity (P = 0.010), medications during pregnancy (P = 0.006), age at birth of first child or current age if primiparous (P = 0.049) and age at marriage (P = 0.091) emerged as significant in bivariate analyses. Mother's ethnicity and taking medications remained predictive of PTB in the multivariate model. Limitations: Findings are limited by the relatively small sample size which precludes direct testing for possible interactive effects. Conclusions: In sum, pathways to PTB for women in LMI countries may differ from those observed in high-income countries and may need to be modelled differently to include behavioural response to emotional distress and socio-cultural contexts.
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Murray D., 1990, J. Reprod. Infant Psychol, V8, P99, DOI [DOI 10.1080/02646839008403615, 10.1080/02646839008403615]
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Univ Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Univ Calgary, Fac Med, Dept Community Hlth Sci, Calgary, AB T2N 4Z6, Canada
Alberta Childrens Hosp Res Inst, Calgary, AB T2N 1N4, CanadaUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
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Univ Calif Irvine, Dept Psychol & Social Behav, Irvine, CA 92697 USAUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Yim, Ilona S.
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Dosani , Aliyah
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Mt Royal Univ, Sch Nursing & Midwifery, Calgary, AB T3E 6K6, CanadaUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Dosani , Aliyah
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Kanji, Zeenatkhanu
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Sulaiman, Salima
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Aga Khan Univ, Sch Nursing & Midwifery, Karachi 74800, PakistanUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
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Musana, Joseph W.
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Aga Khan Univ Nairobi, Fac Hlth Sci, Dept Obstet & Gynecol, Nairobi 00100, KenyaUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Musana, Joseph W.
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Samia, Pauline
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Shaikh, Kiran
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Aga Khan Univ, Sch Nursing & Midwifery, Karachi 74800, PakistanUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Shaikh, Kiran
;
Letourneau, Nicole
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Univ Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Alberta Childrens Hosp Res Inst Child & Maternal, Calgary, AB T2N 4N1, CanadaUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
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Univ Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Univ Calgary, Fac Med, Dept Community Hlth Sci, Calgary, AB T2N 4Z6, Canada
Alberta Childrens Hosp Res Inst, Calgary, AB T2N 1N4, CanadaUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
机构:
Univ Calif Irvine, Dept Psychol & Social Behav, Irvine, CA 92697 USAUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Yim, Ilona S.
;
Dosani , Aliyah
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机构:
Mt Royal Univ, Sch Nursing & Midwifery, Calgary, AB T3E 6K6, CanadaUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Dosani , Aliyah
;
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Kanji, Zeenatkhanu
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Sulaiman, Salima
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h-index: 0
机构:
Aga Khan Univ, Sch Nursing & Midwifery, Karachi 74800, PakistanUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Sulaiman, Salima
;
Musana, Joseph W.
论文数: 0引用数: 0
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Aga Khan Univ Nairobi, Fac Hlth Sci, Dept Obstet & Gynecol, Nairobi 00100, KenyaUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Musana, Joseph W.
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Samia, Pauline
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Shaikh, Kiran
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Aga Khan Univ, Sch Nursing & Midwifery, Karachi 74800, PakistanUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Shaikh, Kiran
;
Letourneau, Nicole
论文数: 0引用数: 0
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Univ Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada
Alberta Childrens Hosp Res Inst Child & Maternal, Calgary, AB T2N 4N1, CanadaUniv Calgary, Fac Nursing, Calgary, AB T2N 1N4, Canada