Psychosocial Factors and Preterm Birth Among Black Mothers and Fathers
Psychosocial Factors and Preterm Birth Among Black Mothers and Fathers
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DOI：
10.1097/nmc.0000000000000458
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发表时间：
2018-09-01
影响因子：
2.4
通讯作者：
Misra, Dawn P.
中科院分区：
文献类型：
--
作者：
Giurgescu, Carmen;Misra, Dawn P.
目的：与白色妇女相比，黑人妇女更有可能生活在弱势社区，遭受种族歧视和心理压力。这些因素与早产（PTB）有关。然而，研究是有限的协会的弱势社区，种族歧视和心理压力之间的准黑人父亲和PTB。这篇评论的重点是什么是已知的心理社会因素与PTB之间的黑人parents.Methods：Scopus数据库被用来搜索研究使用的关键词的不良童年经历，邻里环境，种族歧视，心理压力，抑郁症状/抑郁症，应对，控制点，社会支持，和母亲-父亲的关系。这些关键词中的每一个都与术语早产相结合。本文综述了产前收集的这些心理社会因素与PTB风险的关系。然而，由于缺乏产前期间这些因素的数据，因此纳入了出生后立即进行的研究。本次审查的重点是对黑人准父亲进行的研究，因为父亲的心理社会因素和PTB之间的关联的数据有限。这篇综述只强调了研究孕产妇心理社会因素和PTB的协会。它没有提出一个全面的审查产妇因素的研究程度的研究，研究这些association.Results：怀孕的黑人妇女更有可能报告生活在弱势社区，经历种族歧视，心理压力，抑郁症状，使用回避应对，并报告较低水平的社会支持相比，白色妇女。有限的数据表明，与白色父亲相比，黑人准父亲因种族/民族而遭受日常不公平待遇的比例更高。研究表明，这些心理社会因素已与PTB在怀孕的黑人妇女，但是，研究是有限的，在检查这些协会之间的预期黑人fathers.Clinical影响：母婴护士的位置，以评估这些心理社会因素之间的准父母。护士还应评估风险因素PTB为双方的准父母，并提供支持的夫妇谁是PTB的风险。
Objective: Black women are more likely to live in disadvantaged neighborhoods and experience racial discrimination and psychological stress compared with White women. These factors have been related to preterm birth (PTB). However, research is limited on the associations of disadvantaged neighborhoods, racial discrimination, and psychological stress among expectant Black fathers and PTB. This review focuses on what is known about psychosocial factors in relation to PTB among Black parents.Methods: The Scopus database was used to search for studies using keywords of adverse childhood experiences, neighborhood environment, racial discrimination, psychological stress, depressive symptoms/depression, coping, locus of control, social support, and mother-father relationship. Each of these keywords was combined with the term preterm birth. This review focused on the associations of these psychosocial factors collected during the prenatal period and risk for PTB. However, due to lack of data for some of these factors during the prenatal period, studies conducted in the immediate period after birth were included. The focus of this review was on research conducted with Black expectant fathers given the limited data on the association between paternal psychosocial factors and PTB. This review only highlights studies that examined the associations of maternal psychosocial factors and PTB. It does not present a comprehensive review of studies on maternal factors given the extent of the studies that examined these associations.Results: Pregnant Black women are more likely to report living in disadvantaged neighborhoods; experiencing racial discrimination, psychological stress, and depressive symptoms; using avoidance coping; and reporting lower levels of social support compared with White women. Limited data suggest that Black expectant fathers experience higher rates of everyday unfair treatment because of race/ethnicity compared with White fathers. Research suggests that these psychosocial factors have been related to PTB among pregnant Black women; however, research is limited on examining these associations among expectant Black fathers.Clinical Implications: Maternal-child nurses are in the position to assess these psychosocial factors among expectant parents. Nurses should also assess risk factors for PTB for both expectant parents and provide support to couples who are at risk for PTB.