African-American mothers' perception of their residential environmental, stressful life events, and very low birthweight

African-American mothers' perception of their residential environmental, stressful life events, and very low birthweight
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DOI:
10.1097/00001648-199805000-00012
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发表时间:
1998-05-01
期刊:
影响因子:
5.4
通讯作者:
Andes, S
Andes, S
中科院分区:
医学2区
文献类型:
--
作者:
Collins, JW;David, RJ;Andes, S

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我们对非裔美国母亲进行了一项以医院为基础的病例对照研究,探讨母亲对自己居住环境的看法与极低出生体重之间的关系。我们对极低出生体重(2,500 gm; N = 52)婴儿的母亲进行了结构化问卷调查。这些群体具有相似的社会人口特征。绝大多数参与者未婚,没有私人医疗保险。非裔美国母亲对她们的社区(在警察保护财产、人身安全、友好、提供市政服务、清洁、安静和学校方面)评价不利,极低出生体重的比值比在1.7和3.2之间波动。此外,母亲在怀孕期间暴露于三个或三个以上的压力生活事件的极低出生体重的比值比为3.1(95%置信区间= 1.2-8.2)。我们的结论是,非洲裔美国母亲的居住环境和压力的生活事件的频率的看法与非常低的出生体重的婴儿。
We performed a hospital-based case-control study of African-American mothers ts explore the relation between a mothers perception of her own residential environment and very low birthweight. We administered a structured questionnaire to mothers of very-low-birthweight (2,500 gm; N = 52) infants. The groups had similar sociodemographic characteristics. The vast majority of participants were unmarried and had no private medical insurance. The odds ratios of very low birthweight fluctuated between 1.7 and 3.2 for African-American mothers who rated their neighbourhoods (in terms of police protection protection of property, personal safety, friendliness, delivery of municipal services, cleanliness, quietness, and schools) unfavorably. Additionally, the odds ratio of very low birthweight for mothers exposed to three or more stressful life events during pregnancy mas 3.1 (95% confidence interval = 1.2-8.2). We conclude that African-American mothers' perception of their residential environment and frequency of stressful life events are associated with very low birthweight in their infants.