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Maternal Sociodemographic Factors and Antenatal Stress

Bibliographic Data

ID15467468
AuthorsMaheshwari Andhavarapu (0000-0003-3124-3112, Aga Khan University Nairobi, corresponding author), James Orwa (0000-0001-8717-6073, Aga Khan University Nairobi), Marleen Temmerman (0000-0003-2069-8752, Aga Khan University Nairobi), Joseph W Musana (0000-0002-4572-8543, Aga Khan University Nairobi)
Year2021
Volume18
Issue13
Pages6812-6812
Publication date2021-06-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18136812
OpenAlexW3177461853
LanguageEN
Citations received1
References cited69

Antenatal stress has been associated with adverse birth outcomes such as fetal growth restriction, low birth weight, and preterm birth. Understanding key determinants of stress in a vulnerable pregnant population has the potential of informing development of targeted cost-effective interventions to mitigate against these adverse birth outcomes. We conducted a secondary analysis of data from 150 pregnant women attending antenatal care services at a rural referral hospital in Kenya. The participants completed a sociodemographic and clinical questionnaire, the Cohen’s Perceived Stress Scale (PSS) and gave a hair sample for cortisol and cortisone analysis. The association between selected sociodemographic predictors (age, parity, marital status, maternal education, household income, polygyny, and intimate partner violence) and outcomes (hair cortisol, hair cortisone, and PSS score) was examined using univariate, bivariate and multivariate models. We found a negative association between PSS scores and household income (β = −2.40, p = 0.016, 95% CI = −4.36, −0.45). There was a positive association of the ratio of hair cortisone to cortisol with Adolescent age group (β = 0.64, p = 0.031, 95% CI = 0.06, 1.22), and a negative association with Cohabitation (β = −1.21, p = 0.009, 95% CI = −2.11, −0.31). We conclude that household income influenced psychological stress in pregnancy. Adolescence and cohabitation may have an influence on biological stress, but the nature of this effect is unclear

Environmental health · Marital status · Population · Pregnancy · Psychiatry · Psychological intervention · Socioeconomic status · Child and Adolescent Psychosocial and Emotional Development · Demography · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Stress Responses and Cortisol

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Unique citing works1
Citations per year0,33
Citation span2023 - 2023 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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