PRENATAL MATERNAL STRESS AND PREMATURITY - A PROSPECTIVE-STUDY OF SOCIOECONOMICALLY DISADVANTAGED WOMEN
PRENATAL MATERNAL STRESS AND PREMATURITY - A PROSPECTIVE-STUDY OF SOCIOECONOMICALLY DISADVANTAGED WOMEN
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DOI：
10.1037/0278-6133.11.1.32
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发表时间：
1992-01-01
影响因子：
4.2
通讯作者：
SCRIMSHAW, SCM
中科院分区：
文献类型：
--
作者：
LOBEL, M;DUNKELSCHETTER, C;SCRIMSHAW, SCM
使用结构方程建模程序开发并测试了出生体重和胎龄的生物心理社会模型。该模型在控制了妇女是否生过孩子（胎次）之后，测试了医疗风险和产前压力对这些早产指标的影响。研究对象是130名社会经济地位较低的妇女，她们在怀孕期间接受了采访，并在公立诊所进行了产前护理。大多数女性是拉丁裔或非裔美国人。半数受访者用西班牙语接受采访。早产和产前压力预示着较低的出生体重。医疗风险和产前压力预示着早产。胎次与分娩时间或出生体重无关。讨论了结果对妊娠和压力的生物心理社会研究发展的影响。
Developed and tested a biopsychosocial model of birthweight and gestational age at delivery using structural equation modeling procedures. The model tested the effects of medical risk and prenatal stress on these indicators of prematurity after controlling for whether a woman had ever given birth (parity). Subjects were 130 women of low socioeconomic status interviewed throughout pregnancy in conjunction with prenatal care visits to a public clinic. The majority of women were Latino or African-American. Half were interviewed in Spanish. Lower birthweight was predicted by earlier delivery and by prenatal stress. Earlier delivery was predicted by medical risk and by prenatal stress. Parity was not related to time of delivery or to birthweight. Implications of results for the development of biopsychosocial research on pregnancy and on stress are discussed.