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Financial stress as a mediator of the association between maternal childhood adversity and infant birth weight, gestational age, and NICU admission
BACKGROUND: To examine whether financial stress during pregnancy mediates the association between maternal exposure to adverse childhood experiences (ACEs) and three birth outcomes (i.e., gestational age, birth weight, and admission to the neonatal intensive care unit [NICU]). METHODS: Data were obt...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064571/ https://www.ncbi.nlm.nih.gov/pubmed/36997868 http://dx.doi.org/10.1186/s12889-023-15495-0 |
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author | Sosnowski, David W. Ellison-Barnes, Alejandra Kaufman, Joan Hoyo, Cathrine Murphy, Susan K. Hernandez, Raquel G. Marchesoni, Joddy Klein, Lauren M. Johnson, Sara B. |
author_facet | Sosnowski, David W. Ellison-Barnes, Alejandra Kaufman, Joan Hoyo, Cathrine Murphy, Susan K. Hernandez, Raquel G. Marchesoni, Joddy Klein, Lauren M. Johnson, Sara B. |
author_sort | Sosnowski, David W. |
collection | PubMed |
description | BACKGROUND: To examine whether financial stress during pregnancy mediates the association between maternal exposure to adverse childhood experiences (ACEs) and three birth outcomes (i.e., gestational age, birth weight, and admission to the neonatal intensive care unit [NICU]). METHODS: Data were obtained from a prospective cohort study of pregnant women and their infants in Florida and North Carolina. Mothers (n = 531; M(age at delivery) = 29.8 years; 38% Black; 22% Hispanic) self-reported their exposure to childhood adversity and financial stress during pregnancy. Data on infant gestational age at birth, birth weight, and admission to the NICU were obtained from medical records within 7 days of delivery. Mediation analysis was used to test study hypotheses, adjusting for study cohort, maternal race, ethnicity, body mass index, and tobacco use during pregnancy. RESULTS: There was evidence of an indirect association between maternal exposure to childhood adversity and infant gestational age at birth (b = -0.03, 95% CI = -0.06 – -0.01) and infant birth weight (b = -8.85, 95% CI = -18.60 – -1.28) such that higher maternal ACE score was associated with earlier gestational age and lower infant birth weight through increases in financial distress during pregnancy. There was no evidence of an indirect association between maternal exposure to childhood adversity and infant NICU admission (b = 0.01, 95% CI = -0.02–0.08). CONCLUSIONS: Findings demonstrate one pathway linking maternal childhood adversity to a potentially preterm birth or shorter gestational age, in addition to low birth weight at delivery, and present an opportunity for targeted intervention to support expecting mothers who face financial stress. |
format | Online Article Text |
id | pubmed-10064571 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-100645712023-04-01 Financial stress as a mediator of the association between maternal childhood adversity and infant birth weight, gestational age, and NICU admission Sosnowski, David W. Ellison-Barnes, Alejandra Kaufman, Joan Hoyo, Cathrine Murphy, Susan K. Hernandez, Raquel G. Marchesoni, Joddy Klein, Lauren M. Johnson, Sara B. BMC Public Health Research BACKGROUND: To examine whether financial stress during pregnancy mediates the association between maternal exposure to adverse childhood experiences (ACEs) and three birth outcomes (i.e., gestational age, birth weight, and admission to the neonatal intensive care unit [NICU]). METHODS: Data were obtained from a prospective cohort study of pregnant women and their infants in Florida and North Carolina. Mothers (n = 531; M(age at delivery) = 29.8 years; 38% Black; 22% Hispanic) self-reported their exposure to childhood adversity and financial stress during pregnancy. Data on infant gestational age at birth, birth weight, and admission to the NICU were obtained from medical records within 7 days of delivery. Mediation analysis was used to test study hypotheses, adjusting for study cohort, maternal race, ethnicity, body mass index, and tobacco use during pregnancy. RESULTS: There was evidence of an indirect association between maternal exposure to childhood adversity and infant gestational age at birth (b = -0.03, 95% CI = -0.06 – -0.01) and infant birth weight (b = -8.85, 95% CI = -18.60 – -1.28) such that higher maternal ACE score was associated with earlier gestational age and lower infant birth weight through increases in financial distress during pregnancy. There was no evidence of an indirect association between maternal exposure to childhood adversity and infant NICU admission (b = 0.01, 95% CI = -0.02–0.08). CONCLUSIONS: Findings demonstrate one pathway linking maternal childhood adversity to a potentially preterm birth or shorter gestational age, in addition to low birth weight at delivery, and present an opportunity for targeted intervention to support expecting mothers who face financial stress. BioMed Central 2023-03-30 /pmc/articles/PMC10064571/ /pubmed/36997868 http://dx.doi.org/10.1186/s12889-023-15495-0 Text en © The Author(s) 2023, corrected publication 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Sosnowski, David W. Ellison-Barnes, Alejandra Kaufman, Joan Hoyo, Cathrine Murphy, Susan K. Hernandez, Raquel G. Marchesoni, Joddy Klein, Lauren M. Johnson, Sara B. Financial stress as a mediator of the association between maternal childhood adversity and infant birth weight, gestational age, and NICU admission |
title | Financial stress as a mediator of the association between maternal childhood adversity and infant birth weight, gestational age, and NICU admission |
title_full | Financial stress as a mediator of the association between maternal childhood adversity and infant birth weight, gestational age, and NICU admission |
title_fullStr | Financial stress as a mediator of the association between maternal childhood adversity and infant birth weight, gestational age, and NICU admission |
title_full_unstemmed | Financial stress as a mediator of the association between maternal childhood adversity and infant birth weight, gestational age, and NICU admission |
title_short | Financial stress as a mediator of the association between maternal childhood adversity and infant birth weight, gestational age, and NICU admission |
title_sort | financial stress as a mediator of the association between maternal childhood adversity and infant birth weight, gestational age, and nicu admission |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064571/ https://www.ncbi.nlm.nih.gov/pubmed/36997868 http://dx.doi.org/10.1186/s12889-023-15495-0 |
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