Psychosocial factors and pregnancy outcome: A review with emphasis on methodological issues

Paarlberg, K.M.; Vingerhoets, A.J.J.M.; Passchier, Jan; Dekker, Gustaaf A.; Geijn, H.P. van

doi:10.1016/0022-3999(95)00018-6

Cited by 331 publications

(205 citation statements)

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“…Epel et al for example, found that stress was associated with increased telomere shortening and higher oxidative stress, which are both known determinants of cell aging and longevity (Epel, Blackburn, Lin, Dhabhar, Adler, Morrow et al, 2004). A lower density of social networks could also limit access to types of information and tangible aid that can improve use of and compliance with medical care, as well as positive health-care behaviors Cohen, 1988;Paarlberg, Vingerhoets, Passchier, Dekker, & Vangeijn, 1995). More disadvantaged neighborhoods may also suffer from reduced availability of health care services (S. W. Raudenbush & Bryk, 2002).…”

Section: Discussionmentioning

confidence: 99%

Neighborhood influences on the association between maternal age and birthweight: A multilevel investigation of age-related disparities in health

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Rich‐Edwards

2008

Social Science & Medicine

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It was hypothesized that the relationship between maternal age and infant birthweight varies significantly across neighborhoods and that such variation can be predicted by neighborhood characteristics. We analyzed 229,613 singleton births of mothers aged 20-45 from Chicago, USA in 1997USA in -2002. Random coefficient models were used to estimate the between-neighborhood variation in age-birthweight slopes, and both intercepts-and-slopes-as-outcomes models were used to evaluate area-level predictors of such variation.The crude maternal age-birthweight slopes for neighborhoods ranged from a decrease of 17 grams to an increase of 10 grams per year of maternal age. Adjustment for individual-level covariates reduced but did not eliminate this between-neighborhood variation. Concentrated poverty was a significant neighborhood-level predictor of the age-birthweight slope, explaining 44.4 percent of the between-neighborhood variation in slopes. Neighborhoods of higher economic disadvantage showed a more negative age-birthweight slope. The findings support the hypothesis that the relationship between maternal age and birthweight varies between neighborhoods. Indicators of neighborhood disadvantage help to explain such differences. Keywords birth weight; maternal age; poverty; social environment; socioeconomic factors; multi-level modeling Low birthweight presents an important public health concern. Weight at birth is a good indicator of a mother's and an infant's nutritional status, as well as the newborn's chances for survival, growth, and long term health and psychosocial development. Studies have linked low birthweight to intellectual and cognitive delays (Boardman, Powers, Padilla, & Hummer, Corresponding Author: mcerda@umich.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. The risk of low birthweight is unevenly distributed along social and economic lines, such as race and socioeconomic position. Infants of African-American women, for example, are twice as likely to be low birthweight as infants of White women (CDC, 2002). Much less investigated are the social disparities found in the risk of low birthweight associated with increasing maternal age. In this paper, we bring together research on the impact of urban neighborhoods on the health and development of residents with research on racial/ethnic and social disparities in health across the life course, to explore the systematic geographic patterning of the association between maternal age and birthweight. NIH Public AccessNeighborhoods constitute a key determinant of racial and socioeconomic disparities in...

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Section: Discussionmentioning

confidence: 99%

Neighborhood influences on the association between maternal age and birthweight: A multilevel investigation of age-related disparities in health

Cerdá

Buka

Rich‐Edwards

2008

Social Science & Medicine

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“…36 Perhaps most concerning was the degree to which women expressed either transient or persistent feelings of heightened pregnancy burden and stress as well as decreased attachment to the fetus. Both are cause for concern, given that psychological distress during pregnancy has been associated with a range of deleterious outcomes [37][38][39] and prenatal psychological attachment to the fetus has important implications for subsequent maternal attachment to and interaction with the child. 40 Consistent with our other studies of fetal development, women who participate as volunteers tend to be relatively highly educated.…”

Section: Discussionmentioning

confidence: 99%

Women's response to fetal choroid plexus cysts detected by prenatal ultrasound

et al. 2006

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Objectives: To determine maternal responses to detection of a minor structural variant, the choroid plexus cyst (CPC), in their fetus on prenatal ultrasound. Study design:We interviewed 34 pregnant women with an isolated CPC detected on mid-pregnancy ultrasound about their objective experience at diagnosis, emotional response and subsequent reactions. Audiotaped, transcribed responses were evaluated by two independent raters and analyzed qualitatively and quantitatively.Results: All women reported negative emotional responses including shock, distress, fear and decreased attachment, despite counseling by 82% of providers that the CPC was probably benign. Three women underwent amniocentesis purely for reassurance after CPC detection. Most (79%) sought information beyond what their physician provided, frequently on the internet. One half of women reported that intense negative responses were temporary. However, weeks after diagnosis, 62% continued to believe that the CPC presented some danger to their baby.Conclusions: Detection of CPC prenatally can evoke profound, negative maternal emotional responses despite accurate provider counseling. Practitioners should consider these responses when counseling parents about these and other structural variants of unclear functional significance.Sponsor: The Thomas Wilson Sanitarium for the Children of Baltimore City.

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“…21,22 Most women detained in jails live in poverty, and more than half reported past experiences of physical or sexual abuse. 1,3 Jail stays are reported to be extremely stressful, even for those with previous jail experience.…”

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confidence: 99%