Hill Briony, Awoke Mamaru A, Bergmeier Heidi, Moran Lisa J, Mishra Gita D, Skouteris Helen
Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, 43-51 Kanooka Grove, Clayton 3168, Australia.
School of Public Health, Faculty of Medicine, University of Queensland, 288 Herston Road, Herston, Brisbane 4006, Australia.
J Clin Med. 2021 Feb 12;10(4):725. doi: 10.3390/jcm10040725.
Preconception lifestyle and psychological factors are associated with maternal and offspring outcomes. Both are important considerations for women planning pregnancy. The aim of this study was to explore associations between lifestyle/psychological factors and long-term pregnancy intentions in women who go on to become pregnant. Data from the cohort born 1973-1978 from the Australian Longitudinal Study of Women's Health were utilised. Women were included if they had a new pregnancy occurring between Waves 3 and 5, resulting in 2203 women for analysis. Long-term pregnancy intentions (aspirations for children in 5-10 years), demographic, anthropometric, lifestyle (sedentary behaviour, physical activity, diet quality, smoking, alcohol use), and psychological factors (depression, anxiety, stress) were assessed at Wave 3. Multivariable logistic regression was employed to evaluate the associations between pregnancy intentions and lifestyle/psychological factors, adjusting for other explanatory variables. Younger age and being married were associated positively with pregnancy intentions, while living with obesity was associated negatively with pregnancy intentions. No lifestyle or psychological factors were significantly associated with pregnancy intentions. Our findings highlight potential opportunities to identify women who have longer-term pregnancy intentions during clinical care, offering a pivotal moment for preconception care relating to lifestyle health, psychological wellbeing, and family planning.
孕前生活方式和心理因素与母婴结局相关。对于计划怀孕的女性来说，这两者都是重要的考虑因素。本研究的目的是探讨生活方式/心理因素与最终怀孕女性的长期怀孕意愿之间的关联。我们使用了来自澳大利亚女性健康纵向研究中1973 - 1978年出生队列的数据。如果女性在第3波和第5波之间有新的怀孕情况，则将其纳入，最终有2203名女性可供分析。在第3波时评估长期怀孕意愿（5 - 10年内生育子女的愿望）、人口统计学、人体测量学、生活方式（久坐行为、体育活动、饮食质量、吸烟、饮酒）和心理因素（抑郁、焦虑、压力）。采用多变量逻辑回归来评估怀孕意愿与生活方式/心理因素之间的关联，并对其他解释变量进行调整。年龄较小和已婚与怀孕意愿呈正相关，而肥胖则与怀孕意愿呈负相关。没有生活方式或心理因素与怀孕意愿有显著关联。我们的研究结果突出了在临床护理中识别有长期怀孕意愿女性的潜在机会，这为与生活方式健康、心理健康和计划生育相关的孕前护理提供了一个关键时机。
