Nordentoft M, Lou H C, Hansen D, Nim J, Pryds O A, Rubin P J, Hemmingsen R P
Bispebjerg Hospital, psykiatrisk afdeling, John F. Kennedy Instituttet, Glostrup.
Ugeskr Laeger. 1997 May 26;159(22):3393-400.
The purpose of the study is to investigate the influence of psychosocial stress, maternal schooling, social support, psychological well-being, alcohol and smoking on intrauterine growth retardation and premature delivery. At a Copenhagen university hospital 2432 consecutive Danish-speaking women in 20th week of pregnancy completed a questionnaire including the General Health Questionnaire and Severity of Psychosocial Stressor Scale and questions about social network, education, smoking and drinking habits. In 212 cases (8.7%) the women delivered before day 259 of gestation. In a multiple logistic regression model, pre-term delivery proved to be associated with psychosocial stress and poor school education. In 152 cases (6.3%) infants had a birth weight below the defined 10th percentile. In a multiple logistic regression model, IUGR was associated with smoking. In preventive programmes, such as anti-smoking campaigns, it should be kept in mind that women who smoke are also the least educated and have the poorest support from a social network.
本研究的目的是调查心理社会压力、母亲受教育程度、社会支持、心理健康、饮酒和吸烟对胎儿宫内发育迟缓及早产的影响。在哥本哈根一家大学医院，2432名怀孕20周、说丹麦语的女性填写了一份问卷，其中包括一般健康问卷、心理社会压力源严重程度量表以及有关社交网络、教育、吸烟和饮酒习惯的问题。212例（8.7%）女性在妊娠第259天之前分娩。在多元逻辑回归模型中，早产被证明与心理社会压力和低学历有关。152例（6.3%）婴儿出生体重低于规定的第10百分位数。在多元逻辑回归模型中，胎儿宫内发育迟缓与吸烟有关。在诸如反吸烟运动等预防项目中，应记住吸烟女性也是受教育程度最低且社会网络支持最差的群体。
