北卡罗来纳州中部非裔美国女性和白人女性的社会心理因素与早产
Psychosocial factors and preterm birth among African American and White women in central North Carolina.
作者信息
Dole Nancy, Savitz David A, Siega-Riz Anna Maria, Hertz-Picciotto Irva, McMahon Michael J, Buekens Pierre
机构信息
Carolina Population Center, CB 8120, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-8120, USA.
出版信息
Am J Public Health. 2004 Aug;94(8):1358-65. doi: 10.2105/ajph.94.8.1358.
OBJECTIVES
We assessed associations between psychosocial factors and preterm birth, stratified by race in a prospective cohort study.
METHODS
We surveyed 1898 women who used university and public health prenatal clinics regarding various psychosocial factors.
RESULTS
African Americans were at higher risk of preterm birth if they used distancing from problems as a coping mechanism or reported racial discrimination. Whites were at higher risk if they had high counts of negative life events or were not living with a partner. The association of pregnancy-related anxiety with preterm birth weakened when medical comorbidities were taken into account. No association with preterm birth was found for depression, general social support, or church attendance.
CONCLUSIONS
Some associations between psychosocial variables and preterm birth differed by race.
目的
在一项前瞻性队列研究中，我们按种族分层评估了心理社会因素与早产之间的关联。
方法
我们对1898名使用大学和公共卫生产前诊所的女性进行了关于各种心理社会因素的调查。
结果
非裔美国人如果采用回避问题作为应对机制或报告遭受种族歧视，则早产风险较高。白人如果经历大量负面生活事件或未与伴侣同住，则早产风险较高。考虑到合并症时，与早产相关的焦虑与早产之间的关联减弱。未发现抑郁、一般社会支持或参加教会与早产有关联。
结论
心理社会变量与早产之间的一些关联因种族而异。
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