Surveying social adversity in pregnancy: The antenatal risk burden experienced by Australian women
Surveying social adversity in pregnancy: The antenatal risk burden experienced by Australian women
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DOI：
10.1111/jpc.13860
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发表时间：
2018-07-01
影响因子：
1.7
通讯作者：
Price, Anna M. H.
中科院分区：
文献类型：
--
作者：
Goldfeld, Sharon;D'Abaco, Elise;Price, Anna M. H.
目的：许多不同的产前风险因素会对儿童的健康、行为和认知产生不利影响。了解妇女经历的产前风险因素可以帮助确定哪些家庭最有可能受益于额外的早期支持;然而，澳大利亚缺乏已发表的产前风险数据。本研究的目的是确定澳大利亚孕妇社区样本中广泛的危险因素的患病率和共同发生率。方法：一个简单的风险因素调查（10个项目，包括年龄、社会支持、健康、吸烟、压力或焦虑情绪、教育、家庭收入、就业），2013年5月至2014年8月期间，在维多利亚州和塔斯马尼亚州为社会经济资源较少的地区提供护理。结果：共有5586名妇女参与，平均年龄为29.0岁，妊娠26.9周。最普遍的产前风险因素是整体健康状况较差（38.9%），没有完成高中学业（33.5%）和吸烟（14.9%），所有比例都高于一般人群。大多数妇女报告至少有一个风险因素（68.6%），21.5%报告>= 3。有一个高度的风险因素之间的共同发生，特别是三个最普遍的Conclusions：这项研究揭示了澳大利亚妇女在怀孕期间所经历的相当大的和不同的风险负担。通过了解哪里的需求最大，并相应地提供支持，风险因素评估提供了一个机会，通过医疗保健解决公平问题，最终优化所有儿童的未来发展成果。
Aim: Many, varied, antenatal risk factors can adversely impact children's health, behaviour and cognition. Understanding the antenatal risk factors experienced by women can help identify which families are most likely to benefit from additional early supports; however, there is a dearth of published Australian antenatal risk data. This study aimed to determine the prevalence and co-occurrence of a broad range of risk factors in a community-based sample of pregnant Australian women.Methods: A brief risk factor survey (10 items, including age, social support, health, smoking, stress or anxious mood, education, household income, employment) completed by pregnant women attending the antenatal clinic waiting rooms of 10 public maternity hospitals, which were selected for their provision of care to areas with fewer socio-economic resources in the states of Victoria and Tasmania, between May 2013 and August 2014.Results: A total of 5586 women participated, with an average age of 29.0 years and gestation of 26.9 weeks. The most prevalent antenatal risk factors were poorer global health (38.9%), not finishing high school (33.5%) and smoking (14.9%), all proportions higher than the general population. Most women reported at least one risk factor (68.6%), with 21.5% reporting >= 3. There was a high degree of co-occurrence between risk factors, especially the three most prevalent.Conclusions: This study reveals the considerable and varied risk burden experienced by Australian women during pregnancy. By understanding where need is greatest and tailoring support accordingly, risk factor assessment provides an opportunity to address equity through health care, ultimately optimising the future developmental outcomes of all children.