Maternal psychological distress, education, household income, and congenital heart defects: a prospective cohort study from the Japan environment and children's study

被引：3

作者：

Saijo, Yasuaki ^{[1
]}

Yoshioka, Eiji ^{[1
]}

Sato, Yukihiro ^{[1
]}

Azuma, Hiroshi ^{[2
]}

Tanahashi, Yusuke ^{[2
]}

Ito, Yoshiya ^{[3
]}

Kobayashi, Sumitaka ^{[4
]}

Minatoya, Machiko ^{[4
]}

Bamai, Yu Ait ^{[4
]}

Yamazaki, Keiko ^{[4
]}

Itoh, Sachiko ^{[4
]}

Miyashita, Chihiro ^{[4
]}

Ikeda-Araki, Atsuko ^{[4
]}

Kishi, Reiko ^{[4
]}

机构：

[1] Asahikawa Med Univ, Dept Social Med, Div Publ Hlth & Epidemiol, 1-1-1,Midorigaoka Higashi 2 Jo, Asahikawa, Hokkaido 0788510, Japan

[2] Asahikawa Med Univ, Dept Pediat, Asahikawa, Hokkaido, Japan

[3] Japanese Red Cross Hokkaido Coll Nursing, Fac Nursing, Kitami, Hokkaido, Japan

[4] Hokkaido Univ, Ctr Environm & Hlth Sci, Sapporo, Hokkaido, Japan

来源：

BMC PREGNANCY AND CHILDBIRTH | 2021年 / 21卷 / 01期

关键词：

Congenital heart defects; Psychological distress; Education; Birth cohort; COMMON MENTAL-DISORDERS; METAANALYSIS; HEALTH; RISK; INEQUALITIES; PREVALENCE; PREGNANCY; STRESS; WOMEN; K6;

D O I：

10.1186/s12884-021-04001-2

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background The influence of maternal psychological distress on infant congenital heart defects (CHDs) has not been thoroughly investigated. Furthermore, there have been no reports on the combined effect of maternal psychological distress and socioeconomic status on infant CHDs. This study aimed to examine whether maternal psychological distress, socioeconomic status, and their combinations were associated with CHD. Methods We conducted a prospective cohort study using data from the Japan Environment and Children's Study, which recruited pregnant women between 2011 and 2014. Maternal psychological distress was evaluated using the Kessler Psychological Distress Scale in the first trimester, while maternal education and household income were evaluated in the second and third trimesters. The outcome of infant CHD was determined using the medical records at 1 month of age and/or at birth. Crude- and confounder-adjusted logistic regression analyses were performed to evaluate the association between maternal psychological distress and education and household income on infant CHD. Results A total of 93,643 pairs of mothers and infants were analyzed, with 1.1% of infants having CHDs. Maternal psychological distress had a significantly higher odds ratio in the crude analysis but not in the adjusted analysis, while maternal education and household income were statistically insignificant. In the analysis of the combination variable of lowest education and psychological distress, the P for trend was statistically significant in the crude and multivariate model excluding anti-depressant medication, but the significance disappeared in the full model (P = 0.050). Conclusions The combination of maternal psychological distress and lower education may be a possible indicator of infant CHD.

引用

页数：10

共 30 条

[21] Education, but not occupation or household income, is positively related to favorable dietary intake patterns in pregnant Japanese women: the Osaka Maternal and Child Health Study [J].