Stanhope Kaitlyn K, Picon Michelle, Schlusser Courtney, Haddad Lisa B, Jamieson Denise J, Comeau Dawn L, Suglia Shakira F, Leon Juan S, Hogue Carol J R, Green Victoria L, Kramer Michael R
Department of Epidemiology, Emory University Rollins School of Public Health, 1518 Clifton Road NE, Atlanta, GA, 30322, USA.
Department of Gynecology and Obstetrics, Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA.
Matern Child Health J. 2021 Jul;25(7):1147-1155. doi: 10.1007/s10995-021-03164-w. Epub 2021 Apr 28.
Underserved subgroups are less likely to have optimal health prior to pregnancy. We describe preconception health indicators (behavior, pregnancy intention, and obesity) among pregnant Latina women with and without chronic stress in metro Atlanta.
We surveyed 110 pregnant Latina women enrolled in prenatal care at three clinics in Atlanta. The survey assessed chronic stress, pregnancy intention, preconception behavior changes (taking folic acid or prenatal vitamins, seeking healthcare advice, any reduction in smoking or drinking), and previous trauma.
Specific behaviors to improve health prior to pregnancy were uncommon (e.g., taking vitamins (25.5%) or improving nutrition (20.9%)). Just under half of women were experiencing a chronic stressor at the time of conception (49.5%). Chronically stressed women were more likely to be obese (aOR: 3.0 (1.2, 7.4)), less likely to intend their pregnancy (aOR: 0.3 (0.1, 0.7)), and possibly less likely to report any PHB (45.5% vs. 57.4%; aOR: 0.5 (0.2-1.1)).
Chronically stress women were less likely to enter prenatal care with optimal health. However, preconception behaviors were uncommon overall.
医疗服务不足的亚群体在怀孕前不太可能拥有最佳健康状况。我们描述了大亚特兰大地区有慢性应激和无慢性应激的怀孕拉丁裔女性的孕前健康指标（行为、怀孕意愿和肥胖情况）。
我们对在亚特兰大三家诊所接受产前护理的110名怀孕拉丁裔女性进行了调查。该调查评估了慢性应激、怀孕意愿、孕前行为变化（服用叶酸或产前维生素、寻求医疗建议、吸烟或饮酒量的任何减少）以及既往创伤情况。
怀孕前改善健康的特定行为并不常见（例如，服用维生素（25.5%）或改善营养（20.9%））。受孕时近半数女性正经历慢性应激源（49.5%）。长期处于应激状态的女性更有可能肥胖（调整后比值比：3.0（1.2，7.4）），怀孕意愿较低（调整后比值比：0.3（0.1，0.7）），并且可能报告任何孕前行为变化的可能性较小（45.5%对57.4%；调整后比值比：0.5（0.2 - 1.1））。
长期处于应激状态的女性不太可能以最佳健康状态进入产前护理。然而，总体而言，孕前行为并不常见。
