Sable M R, Wilkinson D S
School of Social Work, University of Missouri, Columbia 65211, USA.
Health Soc Work. 1999 May;24(2):138-46. doi: 10.1093/hsw/24.2.138.
Data from the National Institute of Child Health and Human Development/Missouri Maternal and Infant Health Survey on about 2,828 mothers were used to examine the relationship between perceived stress and prenatal care utilization. Major life events that contribute to stress also were examined in relation to adequacy of prenatal care. Women who received inadequate prenatal care were more likely to have reported that they almost always felt stress during pregnancy. Odds ratios were statistically significant for women who were not black and Medicaid recipients but not for black women and women who were not covered by Medicaid. Social work intervention for stress reduction on behalf of pregnant women has the potential to contribute to improved prenatal care utilization, but further analysis of the kinds of stress women experience will enhance social work's ability to target specific interventions.
美国国立儿童健康与人类发展研究所/密苏里母婴健康调查中约2828名母亲的数据被用于研究感知压力与产前护理利用之间的关系。还研究了导致压力的重大生活事件与产前护理充足性之间的关系。接受产前护理不足的女性更有可能报告称她们在怀孕期间几乎总是感到压力。对于非黑人且领取医疗补助的女性，优势比具有统计学意义，但对于黑人女性和未参加医疗补助的女性则不然。代表孕妇进行减轻压力的社会工作干预有可能促进产前护理利用的改善，但对女性所经历的压力类型进行进一步分析将提高社会工作针对具体干预措施的能力。
