产前主观社会地位与出生体重。
Prenatal subjective social status and birth weight.
机构信息
Johns Hopkins School of Medicine, Baltimore, MD, USA.
Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.
出版信息
J Psychosom Obstet Gynaecol. 2022 Sep;43(3):279-284. doi: 10.1080/0167482X.2020.1864728. Epub 2021 Jan 5.
PURPOSE
Subjective social status (SSS), perceived social standing relative to others, has been associated with health status, independent of objective socioeconomic status (SES). Few studies have examined the relationship of prenatal maternal SSS with birth outcomes. We evaluated the association of SSS in pregnancy with low birth weight (LBW) and high birth weight (HBW).
METHODS
A total of 378 pregnant women rated their SSS from 1 (low) to 10 (high) compared to others in the United States (SSS-US) and compared to their community (SSS-Comm). Multivariable logistic regression was used to examine the relationship between SSS and odds of LBW or HBW.
RESULTS
Higher SSS-US was associated with lower odds of HBW in unadjusted models (OR 0.76, 95% CI 0.60-0.96; < 0.05); this relationship persisted after controlling for objective SES, health, and demographic factors (OR 0.73, 95% CI 0.53-0.99; < 0.05). Neither SSS measure was associated with LBW.
CONCLUSIONS
Pregnant women who view themselves as having lower status than others in the US have greater odds of HBW, over and above the influence of factors known to be associated with birth weight. SSS, a brief and non-stigmatizing measure, might help identify women at elevated social risk for adverse birth outcomes.
目的
主观社会地位（SSS），即相对于他人的感知社会地位，与健康状况有关，而与客观社会经济地位（SES）无关。很少有研究探讨产前母亲 SSS 与出生结局的关系。我们评估了怀孕期间 SSS 与低出生体重（LBW）和高出生体重（HBW）的关系。
方法
共有 378 名孕妇对自己在美国（SSS-US）和在社区（SSS-Comm）与他人相比的 SSS 进行了 1（低）到 10（高）的评分。多变量逻辑回归用于检查 SSS 与 LBW 或 HBW 的几率之间的关系。
结果
在未调整模型中，较高的 SSS-US 与 HBW 的几率较低相关（OR 0.76，95%CI 0.60-0.96；<0.05）；在控制了客观 SES、健康和人口统计学因素后，这种关系仍然存在（OR 0.73，95%CI 0.53-0.99；<0.05）。两个 SSS 测量值均与 LBW 无关。
结论
与在美国其他人相比，认为自己地位较低的孕妇更有可能出现 HBW，这超出了与出生体重相关的已知因素的影响。SSS 是一种简短且非污名化的测量方法，可能有助于识别处于社会风险较高的不良出生结局的妇女。
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