Racial/Ethnic Disparities in Measures of Self-reported Psychosocial States and Traits during Pregnancy.

Racial/Ethnic Disparities in Measures of Self-reported Psychosocial States and Traits during Pregnancy.
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DOI:
10.1055/s-0036-1586510
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发表时间:
2016-12
影响因子:
2
通讯作者:
Eunice Kennedy Shriver National Institute of Child Health Human Development nuMoM2b Network, Bethesda, MD
Eunice Kennedy Shriver National Institute of Child Health Human Development nuMoM2b Network, Bethesda, MD
中科院分区:
医学4区
文献类型:
--
作者:
Grobman WA;Parker C;Wadhwa PD;Willinger M;Simhan H;Silver B;Wapner RJ;Parry S;Mercer B;Haas D;Peaceman AM;Hunter S;Wing D;Caritis S;Esplin S;Hoffman M;Ludmir J;Iams J;Long E;Saade G;Reddy UM;Eunice Kennedy Shriver National Institute of Child Health Human Development nuMoM2b Network, Bethesda, MD

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本研究的目的是确定在大量未婚孕妇中是否存在独立于经济地位的心理社会测量的种族/民族差异。在2010年10月至2013年9月期间,对美国8个医疗中心的未生育妇女进行了孕期纵向随访,并完成了一些经验证的心理社会领域量化工具:科恩感知压力量表、斯皮尔伯格焦虑量表的特质子量表、康纳-戴维森弹性量表、感知社会支持多维量表、克里格种族主义量表、爱丁堡产后抑郁量表和怀孕体验量表。分数按自我报告的种族、民族和收入进行分层和比较。在10038名参与研究的女性中,有8128人有完整的数据。对于所有测量,种族和民族与调查得分显著相关(p < 0.001)。除怀孕经历量表外,非西班牙裔黑人(NHB)妇女最有可能在所有措施中得分为最不利类别。除了在Krieger种族主义调查和爱丁堡抑郁调查中,这些差异的程度在高收入的NHB女性中加剧(相互作用,p < 0.001)之外,这些差异的程度没有因收入状况而差异(相互作用,p < 0.05)。怀孕期间的社会心理测量存在显著的种族/民族差异,与收入状况无关。
The aim of this study was to determine whether racial/ethnic differences in psychosocial measures, independent of economic status, exist among a large population of pregnant nulliparas. Between October 2010 and September 2013, nulliparous women at eight U.S. medical centers were followed longitudinally during pregnancy and completed validated instruments to quantify several psychosocial domains: Cohen Perceived Stress Scale, trait subscale of the Spielberger Anxiety Inventory, Connor–Davidson Resilience Scale, Multidimensional Scale of Perceived Social Support, Krieger Racism Scale, Edinburgh Postnatal Depression Scale, and the Pregnancy Experience Scale. Scores were stratified and compared by self-reported race, ethnicity, and income. Complete data were available for 8,128 of the 10,038 women enrolled in the study. For all measures, race and ethnicity were significantly associated (p < 0.001) with survey scores. Non-Hispanic black (NHB) women were most likely to score in the most unfavorable category for all measures, with the exception of the Pregnancy Experience Scale. The magnitude of these differences did not differ by income status (interaction, p > 0.05) except on the Krieger racism survey and the Edinburgh depression survey, which were exacerbated among NHB women with higher income (interaction, p < 0.001). Significant racial/ethnic disparities, independent of income status, exist in psychosocial measures during pregnancy.
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