Pasha Hajar, Faramarzi Mahbobeh, Chehrazi Mohammad, Esfandyari Maria, Shafierizi Shiva
Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Tzu Chi Med J. 2021 Feb 25;33(3):301-306. doi: 10.4103/tcmj.tcmj_156_20. eCollection 2021 Jul-Sep.
The study investigated the role of social capital, self-efficacy, and depression as determinants of stress during pregnancy.
In a cross-sectional study, 200 low-risk pregnant women with at least 5 years of education and ages 18 or more were enrolled in public obstetric clinics of Babol University of Medical Sciences. The participants completed four questionnaires including Social Capital, Revised Prenatal Distress Questionnaire (NuPDQ), Perceived Stress, and General Self-efficacy.
Women at late phase of pregnancy had lower mean scores of total social capital (61.5 ± 17.1 vs. 47.1 ± 18.1) and self-efficacy (60.1 ± 9.7 vs. 55.1 ± 15.2) compared to those at early pregnancy. Social capital was the negative independent variable associated with pregnancy-specific stress in the adjusted model (β = -0.418, = 0.020). Both social capital (β = -0.563, ≤ 0.001) and self-efficacy (β = -0.330, ≤ 0.001) were negative independent variables associated with general stress.
Our findings suggest that health professionals should note the benefits of social capital in stress management and encourage women in establishing stronger relations and neighborhood environments during pregnancy.
本研究调查了社会资本、自我效能感和抑郁作为孕期压力决定因素的作用。
在一项横断面研究中,200名至少接受过5年教育且年龄在18岁及以上的低风险孕妇被纳入巴博尔医科大学的公共产科诊所。参与者完成了四份问卷,包括社会资本问卷、修订版产前困扰问卷(NuPDQ)、感知压力问卷和一般自我效能感问卷。
与孕早期女性相比,孕晚期女性的社会资本总分(61.5±17.1对47.1±18.1)和自我效能感(60.1±9.7对55.1±15.2)的平均得分较低。在调整模型中,社会资本是与特定孕期压力相关的负向独立变量(β=-0.418,P=0.020)。社会资本(β=-0.563,P≤0.001)和自我效能感(β=-0.330,P≤0.001)都是与一般压力相关的负向独立变量。
我们的研究结果表明,健康专业人员应注意社会资本在压力管理中的益处,并鼓励女性在孕期建立更紧密的人际关系和邻里环境。