Correlates of High Perceived Stress Among Pregnant Hispanic Women in Western Massachusetts
Correlates of High Perceived Stress Among Pregnant Hispanic Women in Western Massachusetts
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DOI：
10.1007/s10995-012-1106-8
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发表时间：
2013-08-01
影响因子：
2.3
通讯作者：
Chasan-Taber, Lisa
中科院分区：
文献类型：
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作者：
Silveira, Marushka Leanne;Pekow, Penelope S.;Chasan-Taber, Lisa
即使在控制了已知的危险因素之后，产前社会心理压力也与不良妊娠结局相关。本文旨在评估西班牙裔女性（这一群体在怀孕期间压力发生率较高）与高感知压力的相关性。我们使用 Proyecto Buena Salud 的数据对 1,426 名西班牙裔孕妇进行了这项分析，这是一项在马萨诸塞州西部进行的前瞻性队列研究。科恩感知压力量表 (PSS-14) 经英语和西班牙语验证，在妊娠早期（平均 = 妊娠 12.4 周）、中期（平均 = 妊娠 21.3 周）和晚期（平均 = 妊娠 30.8 周）进行测试，此时双语访谈员收集了有关社会人口、文化适应、行为和社会心理因素的数据。高感知压力被定义为 PSS 评分 > 30。年轻产妇年龄（比值比 (OR) = 0.6；< 19 岁 vs. 19-23 岁的 95% 置信区间 (CI) 0.4-0.9）、孕前饮酒量（OR = 2.2；每月饮酒 > 12 杯 vs 不饮酒的 95% CI 1.4-3.5）和吸烟（OR = 2.2；每天抽 10 支以上香烟与不抽香烟相比，95% CI 1.3-3.7 与怀孕早期的高感知压力相关。此外，家庭年收入较高（OR = 0.4；95% CI 0.1-0.9，> 30,000 美元与 30,000 美元以上相比）
Prenatal psychosocial stress has been associated with adverse pregnancy outcomes, even after controlling for known risk factors. This paper aims to evaluate correlates of high perceived stress among Hispanic women, a group with elevated rates of stress during pregnancy. We conducted this analysis among 1,426 pregnant Hispanic women using data from Proyecto Buena Salud, a prospective cohort study conducted in Western Massachusetts. Cohen's Perceived Stress Scale (PSS-14) validated in English and Spanish was administered in early (mean = 12.4 weeks gestation), mid (mean = 21.3 weeks gestation) and late (mean = 30.8 weeks gestation) pregnancy at which time bilingual interviewers collected data on socio-demographic, acculturation, behavioral, and psychosocial factors. High perceived stress was defined as a PSS score > 30. Young maternal age (odds ratio (OR) = 0.6; 95 % confidence interval (CI) 0.4-0.9 for < 19 vs. 19-23 years), pre-pregnancy consumption of alcohol (OR = 2.2; 95 % CI 1.4-3.5 for > 12 drinks/month vs. none) and smoking (OR = 2.2; 95 % CI 1.3-3.7 for > 10 cigarettes/day vs. none) were associated with high perceived stress during early pregnancy. Furthermore, higher annual household income (OR = 0.4; 95 % CI 0.1-0.9 for >$30,000 vs.