Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Rd, 30329, Atlanta, Georgia.
Matern Child Health J. 2020 Apr;24(4):447-455. doi: 10.1007/s10995-020-02886-7.
Prior research has identified psychosocial stress as a risk factor for adverse maternal and infant outcomes for non-Hispanic Black and White women. However, whether psychosocial stress differs in its profile and association with preterm birth across diverse racial-ethnic-nativity groups in the Southeast remains unexamined. Both foreign-born and Hispanic women represent important proportions of new mothers in many Southeastern states. The objective of this paper is to describe the prevalence of categories of prenatal life events among Georgia mothers, the variation across race, ethnicity and nativity, and the association of prenatal stress with prevalence of preterm birth.
We calculated racial-ethnic-nativity specific prevalence of stress categories (emotional/traumatic, financial, or partner-related) with data from the 2012 to 2015 Georgia PRAMS. Maternal race, ethnicity, and nativity were reported on birth certificates. We used logistic regression to examine the association of different categories of stress with preterm birth. We conducted a bias analysis to estimate the potential impact of recall bias on observed associations.
The sample was 20.2% foreign born overall, 15.5% non-Hispanic White, 45.7% non-Hispanic Black, 32.3% Hispanic, and 6.5% non-Hispanic other. The prevalence of specific stressors varied by race-ethnicity-nativity. Women who experienced financial stress had a slightly elevated prevalence of preterm birth (prevalence ratio: 1.32 (0.97-1.79)).
Prenatal and preconception stress were common among women who gave birth between 2012 and 2015 in Georgia and may have implications for preterm and postpartum maternal mental health.
先前的研究已经确定，对于非西班牙裔黑人和白种女性，心理社会压力是导致不良母婴结局的一个风险因素。然而，在东南部，不同种族-族裔-原籍群体中，心理社会压力的状况和与早产的关联是否存在差异，这一点尚未得到检验。在许多东南州，外国出生和西班牙裔女性都代表了新妈妈的重要比例。本文的目的是描述佐治亚州母亲产前生活事件的类别发生率，以及不同种族、族裔和原籍国之间的差异，以及产前压力与早产发生率之间的关联。
我们使用 2012 年至 2015 年佐治亚州 PRAMS 的数据，计算了压力类别（情绪/创伤、财务或伴侣相关）的种族-族裔-原籍国特定发生率。母亲的种族、族裔和原籍国在出生证明上报告。我们使用逻辑回归来检查不同类别的压力与早产的关联。我们进行了偏差分析，以估计回忆偏差对观察到的关联的潜在影响。
样本总体上有 20.2%是外国出生的，15.5%是非西班牙裔白人，45.7%是非西班牙裔黑人，32.3%是西班牙裔，6.5%是非西班牙裔其他。特定压力源的发生率因种族-族裔-原籍国而异。经历经济压力的女性早产的发生率略有升高（流行率比：1.32（0.97-1.79））。
2012 年至 2015 年期间在佐治亚州分娩的女性中，产前和孕前压力很常见，这可能对早产和产后产妇心理健康产生影响。
