Low birthweight in a public prenatal care program : Behavioral and psychosocial risk factors and psychosocial intervention.
A retrospective, observational study of 3073 low income African American, Latina, and White women receiving comprehensive prenatal care at 26 provider sites was completed.
The purpose of the study was to test three hypotheses.
First, after adjustment for biomedical complications. the presence of maternal behavioral and psychosocial factors would be associated with an increased rate of low birthweight infants.
Second, increased time spent in psychosocial services would negate the relationship between maternal psychosocial factors and low birthweight.
Third, after adjusting for biomedical, behavioral, and psychosocial factors, rates of low birthweight would no longer differ by race.
Maternal smoking (over five cigarettes per week), maternal low weight for height and/or weight gain, negative mood (depression, anxiety, and/or hostility) and rejection of the pregnancy were found to be related to an increased rate of low birthweight birth (<2500 g).
Receiving more than 45 min of psychosocial services was related to a reduced rate of low birthweight birth for all women regardless of risk profile.
The rate of low birthweight remained higher in African American women after adjusting for all significant maternal biomedical, behavioral, and psychosocial risk and intervention factors. (...)
Mots-clés Pascal : Poids naissance faible, Nouveau né, Homme, Epidémiologie, Facteur risque, Mère, Etat dépressif, Trouble humeur, Refus, Gestation, Relation familiale, Support social, Programme sanitaire, Californie, Etats Unis, Amérique du Nord, Amérique, Gestation pathologie, Prématurité, Nouveau né pathologie
Mots-clés Pascal anglais : Low birth weight, Newborn, Human, Epidemiology, Risk factor, Mother, Depression, Mood disorder, Denial, Pregnancy, Familial relation, Social support, Sanitary program, California, United States, North America, America, Pregnancy disorders, Prematurity, Newborn diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0374821
Code Inist : 002B20F02. Création : 10/04/1997.