Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Andhavarapu, Maheshwari, Orwa, James, Temmerman, Marleen, Musana, Joseph Wangira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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
_version_ 1783725811843465216
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
work_keys_str_mv AT andhavarapumaheshwari maternalsociodemographicfactorsandantenatalstress
AT orwajames maternalsociodemographicfactorsandantenatalstress
AT temmermanmarleen maternalsociodemographicfactorsandantenatalstress
AT musanajosephwangira maternalsociodemographicfactorsandantenatalstress