The association of life events to gestational age at delivery among low-income, urban, African American women

被引:13
作者
Barbosa G.A. [1 ]
机构
[1] College of Nursing, Medical University of South Carolina, Charleston, SC 29425
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D O I
10.1038/sj.jp.7200423
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摘要
OBJECTIVE: To investigate the relationship of life events stress to gestational age at delivery for a cohort of low income, African-American women. STUDY DESIGN: Four hundred seventy-two African-American women from three public prenatal clinics were interviewed about life events, emotional support, and health habits. Pregnancy and birth data were collected from a clinical data base. The contribution of life events stress and other study variables to length of pregnancy was determined using linear regression models for primiparous and multiparous women. RESULTS: Frequency of life events was not related to gestational age at delivery, directly or indirectly. An unexpected finding was that women who experienced a death of a mother or sister delivered on average 4.6 weeks earlier than other women in the study. Complications of pregnancy also explained lower gestational age for both primiparas and multiparas. CONCLUSION: Among low-income women, the acute stressor of losing a mother or sister during pregnancy was significantly related to shorter pregnancy, although total number of events was not.
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页码:438 / 442
页数:4
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共 39 条
[1]  
Hoffman H.J., Bakketeig L.S., Risk factors associated with the occurrence of preterm birth, Clin Obstet Gynecol, 27, 3, pp. 539-552, (1984)
[2]  
Blackman G.U.I., Neonatal intensive care: Is it worth it?, Pediatr Clin North Am, 38, 6, pp. 1497-1509, (1991)
[3]  
McGrady G.A., Sung J.C., Rowley D.L., Hogue C.J.R., Preterm delivery and low birth weight among first-born infants of black and white college graduates, Am J Epidemiol, 135, pp. 266-276, (1992)
[4]  
Schoendorf K., Hogue C.J., Kleinman J.C., Rowley D., Mortality among infants of black as compared with white college-educated parents, New Engl J Med, 326, pp. 1522-1526, (1992)
[5]  
Parker J.D., Schoendorf K.C., Kiely J.L., Associations between measures of socioeconomic status and low birthweight, small for gestational age and premature delivery in the United States, Ann Epidemiol, 4, pp. 271-278, (1994)
[6]  
Kleinman J.C., Kessel S.S., Racial differences in low birthweight trends and risk factors, New Engl J Med, 317, pp. 749-753, (1987)
[7]  
David R.J., Collins J.W., Bad outcomes in black babies: Race or racism?, Ethn Dis, 1, pp. 256-1244, (1991)
[8]  
Rutter D.R., Quine L., Inequalities in pregnancy outcome: A review of psychosocial and behavioural mediators, Soc Sci Med, 30, pp. 553-568, (1990)
[9]  
Istvan J., Stress, anxiety, and birth outcomes: A critical review of the evidence, Psychol Bull, 100, pp. 331-348, (1986)
[10]  
Levin J.S., DeFrank R.S., Maternal stress and pregnancy outcomes: A review of the psychosocial literature, J Psychosom Obstet Gynecol, 9, pp. 3-16, (1988)