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Maternal Sociodemographic Factors and Antenatal Stress
Antenatal stress has been associated with adverse birth outcomes such as fetal growth restriction, low birth weight, and preterm birth. Understanding key determinants of stress in a vulnerable pregnant population has the potential of informing development of targeted cost-effective interventions to...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297233/ https://www.ncbi.nlm.nih.gov/pubmed/34201920 http://dx.doi.org/10.3390/ijerph18136812 |
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author | Andhavarapu, Maheshwari Orwa, James Temmerman, Marleen Musana, Joseph Wangira |
author_facet | Andhavarapu, Maheshwari Orwa, James Temmerman, Marleen Musana, Joseph Wangira |
author_sort | Andhavarapu, Maheshwari |
collection | PubMed |
description | Antenatal stress has been associated with adverse birth outcomes such as fetal growth restriction, low birth weight, and preterm birth. Understanding key determinants of stress in a vulnerable pregnant population has the potential of informing development of targeted cost-effective interventions to mitigate against these adverse birth outcomes. We conducted a secondary analysis of data from 150 pregnant women attending antenatal care services at a rural referral hospital in Kenya. The participants completed a sociodemographic and clinical questionnaire, the Cohen’s Perceived Stress Scale (PSS) and gave a hair sample for cortisol and cortisone analysis. The association between selected sociodemographic predictors (age, parity, marital status, maternal education, household income, polygyny, and intimate partner violence) and outcomes (hair cortisol, hair cortisone, and PSS score) was examined using univariate, bivariate and multivariate models. We found a negative association between PSS scores and household income (β = −2.40, p = 0.016, 95% CI = −4.36, −0.45). There was a positive association of the ratio of hair cortisone to cortisol with Adolescent age group (β = 0.64, p = 0.031, 95% CI = 0.06, 1.22), and a negative association with Cohabitation (β = −1.21, p = 0.009, 95% CI = −2.11, −0.31). We conclude that household income influenced psychological stress in pregnancy. Adolescence and cohabitation may have an influence on biological stress, but the nature of this effect is unclear. |
format | Online Article Text |
id | pubmed-8297233 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-82972332021-07-23 Maternal Sociodemographic Factors and Antenatal Stress Andhavarapu, Maheshwari Orwa, James Temmerman, Marleen Musana, Joseph Wangira Int J Environ Res Public Health Article Antenatal stress has been associated with adverse birth outcomes such as fetal growth restriction, low birth weight, and preterm birth. Understanding key determinants of stress in a vulnerable pregnant population has the potential of informing development of targeted cost-effective interventions to mitigate against these adverse birth outcomes. We conducted a secondary analysis of data from 150 pregnant women attending antenatal care services at a rural referral hospital in Kenya. The participants completed a sociodemographic and clinical questionnaire, the Cohen’s Perceived Stress Scale (PSS) and gave a hair sample for cortisol and cortisone analysis. The association between selected sociodemographic predictors (age, parity, marital status, maternal education, household income, polygyny, and intimate partner violence) and outcomes (hair cortisol, hair cortisone, and PSS score) was examined using univariate, bivariate and multivariate models. We found a negative association between PSS scores and household income (β = −2.40, p = 0.016, 95% CI = −4.36, −0.45). There was a positive association of the ratio of hair cortisone to cortisol with Adolescent age group (β = 0.64, p = 0.031, 95% CI = 0.06, 1.22), and a negative association with Cohabitation (β = −1.21, p = 0.009, 95% CI = −2.11, −0.31). We conclude that household income influenced psychological stress in pregnancy. Adolescence and cohabitation may have an influence on biological stress, but the nature of this effect is unclear. MDPI 2021-06-25 /pmc/articles/PMC8297233/ /pubmed/34201920 http://dx.doi.org/10.3390/ijerph18136812 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Andhavarapu, Maheshwari Orwa, James Temmerman, Marleen Musana, Joseph Wangira Maternal Sociodemographic Factors and Antenatal Stress |
title | Maternal Sociodemographic Factors and Antenatal Stress |
title_full | Maternal Sociodemographic Factors and Antenatal Stress |
title_fullStr | Maternal Sociodemographic Factors and Antenatal Stress |
title_full_unstemmed | Maternal Sociodemographic Factors and Antenatal Stress |
title_short | Maternal Sociodemographic Factors and Antenatal Stress |
title_sort | maternal sociodemographic factors and antenatal stress |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297233/ https://www.ncbi.nlm.nih.gov/pubmed/34201920 http://dx.doi.org/10.3390/ijerph18136812 |
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