Sociodemographic Influences on Perceived Stress during Pregnancy: Results from the CCREOH Environmental Epidemiologic Study, Suriname

Koendjbiharie, Aloysius Ph.; Hindori-Mohangoo, Ashna D.; Zijlmans, Wilco; Shankar, Arti; Wahid, F.Z. Abdoel; Covert, Hannah; Lichtveld, Maureen Y.; Drury, Stacy S.

doi:10.3390/women2020014

Cited by 4 publications

(1 citation statement)

References 32 publications

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“…We hypothesized that younger women may be more likely to experience stress and live in more disadvantaged neighborhoods. Age was negatively correlated with stress among women in our study, which is consistent with results from other studies (Koendjbiharie et al., 2022; Woods et al., 2010). We were unable to identify literature on associations between age and neighborhood environment but hypothesized that younger women may have fewer resources.…”

Section: Methodssupporting

confidence: 93%

The associations of objective and perceived neighborhood disadvantage with stress among pregnant black women

Vaughan

Misra

Gohar

et al. 2023

Public Health Nursing

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Background Neighborhood disadvantage may impact risk of preterm birth through stress. Few studies have examined how neighborhood disadvantage relates to stress during pregnancy, especially for Black women. Methods Secondary data analysis of 572 women in a prospective cohort in Detroit, MI and Columbus, OH. Participants completed questionnaires including the ROSS Neighborhood Disorder Scale, the crime subscale of the Perceived Neighborhood Scale (PNS), and the Perceived Stress Scale. An objective neighborhood disadvantage index (NDI) was created using principal components analysis after geocoding residential addresses and linking to Census data. Results All models used logistic regression. Adjusted for maternal age and annual household income, perceived stress was positively associated with perceived neighborhood disorder (p < .01). In a separate model, perceived neighborhood crime was positively associated with perceived neighborhood disorder (p = .005). In a joint model adjusted for age and income, the association of disorder with stress was similar in magnitude (p < .01) but the association between crime and stress weakened. The NDI was not associated with perceived stress before or after adjustment for confounders. Conclusions Perceived neighborhood disadvantage may capture a different dimension than objective neighborhood disadvantage. Future studies should test stress as a pathway by which neighborhood environment increases risk of preterm birth.

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Section: Methodssupporting

confidence: 93%

The associations of objective and perceived neighborhood disadvantage with stress among pregnant black women

Vaughan

Misra

Gohar

et al. 2023

Public Health Nursing

View full text Add to dashboard Cite

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Perceived Stress and Related Factors in Iranian High-Risk Pregnant Mothers: A Cross-Sectional Study

Aliabadi,

Jafari,

Kazemi

et al. 2025

CWHR

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Background: Pregnancy with high-risk factors can lead to adverse emotional experiences for the expectant mother. Objective: This study aimed to explore perceived stress and contributing factors among expectant mothers with high-risk pregnancies. Methods: In 2022, a descriptive-analytical study was conducted on 150 high-risk pregnant mothers in comprehensive health centers in Hamadan, Iran. Convenience sampling was used to select participants. The study involved pregnant women between 24-36 weeks of gestation. The participants completed the demographic questionnaire and Cohen's perceived stress scale in a self-reported and written form. The cut point of 21.8 indicated a high stress level. Univariate and multivariate regression were used to determine the relationship between demographic-obstetric variables and perceived stress levels. Statistical analysis was carried out using Stata-13 software. A significance level of 0.05 was utilized in the analysis. Results: The mean stress score was 33.32 (9.51). Maternal perceived stress was higher with longer gestational age, history of COVID-19 infection, or renting a house, increasing the stress score by 0.85, 7.68, and 6.54, respectively. Conclusion: The study findings indicated that mothers with high-risk pregnancies experience high levels of perceived stress, which intensifies as their gestational age progresses or if they contract COVID-19 or have unstable housing. The results of this study can help policymakers, planners, and healthcare providers, such as midwives and nurses, in creating and implementing programs to decrease stress and its adverse effects in women with high-risk pregnancies.

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The Single and Combined Effects of Prenatal Nonchemical Stressors and Lead Exposure on Neurodevelopmental Outcomes in Toddlers: Results from the CCREOH Environmental Epidemiologic Study in Suriname

et al. 2023

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The primary aim of this prospective study was to examine the single and combined effect of prenatal exposure to perceived stress, probable depression, and lead on toddlers’ neurodevelopment using the Bayley Scales of Infant and Toddler Development, third edition. Data from 363 mother-toddler pairs enrolled in the Caribbean Consortium for Research in Environmental and Occupational Health prospective cohort study were analyzed. A prenatal lead exposure of ≥3.5 µg/dL was associated with significantly lower receptive (p = 0.008) and expressive (p = 0.006) communication scaled scores. Moderate and severe maternal prenatal probable depression scores were associated with significantly lower fine (p = 0.009) and gross (p = 0.009) motor scaled scores. However, a maternal report of prenatal stress was not associated with neurodevelopmental outcomes. After adjusting for maternal demographics, prenatal stress and lead exposure, prenatal probable depression remained predictive of the toddlers’ gross motor scaled scores (β −0.13, 95% CI [−0.24–−0.02]). Similarly, when adjusting for demographics, prenatal stress and probable depression, prenatal lead exposure remained a significant predictor of their receptive communication scaled scores (β −0.26, 95% CI [−0.49–−0.02]). An analysis testing combined exposure to perceived stress, probable depression, and lead exposure, measured using a cumulative risk index, significantly predicted the child fine motor scaled scores after adjusting for other covariates (β −0.74, 95% CI: [−1.41–−0.01]).

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Sociodemographic Influences on Perceived Stress during Pregnancy: Results from the CCREOH Environmental Epidemiologic Study, Suriname

Cited by 4 publications

References 32 publications

The associations of objective and perceived neighborhood disadvantage with stress among pregnant black women

The associations of objective and perceived neighborhood disadvantage with stress among pregnant black women

Perceived Stress and Related Factors in Iranian High-Risk Pregnant Mothers: A Cross-Sectional Study

The Single and Combined Effects of Prenatal Nonchemical Stressors and Lead Exposure on Neurodevelopmental Outcomes in Toddlers: Results from the CCREOH Environmental Epidemiologic Study in Suriname

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