Document Detail


Psychosocial factors and preterm birth among African American and White women in central North Carolina.
MedLine Citation:
PMID:  15284044     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We assessed associations between psychosocial factors and preterm birth, stratified by race in a prospective cohort study.
METHODS: We surveyed 1898 women who used university and public health prenatal clinics regarding various psychosocial factors.
RESULTS: African Americans were at higher risk of preterm birth if they used distancing from problems as a coping mechanism or reported racial discrimination. Whites were at higher risk if they had high counts of negative life events or were not living with a partner. The association of pregnancy-related anxiety with preterm birth weakened when medical comorbidities were taken into account. No association with preterm birth was found for depression, general social support, or church attendance.
CONCLUSIONS: Some associations between psychosocial variables and preterm birth differed by race.
Authors:
Nancy Dole; David A Savitz; Anna Maria Siega-Riz; Irva Hertz-Picciotto; Michael J McMahon; Pierre Buekens
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of public health     Volume:  94     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-30     Completed Date:  2004-09-14     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1358-65     Citation Subset:  AIM; IM    
Affiliation:
Carolina Population Center, CB 8120, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-8120, USA. nancy_dole@unc.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adult
African Americans* / education,  ethnology,  psychology,  statistics & numerical data
Anxiety / complications,  ethnology,  psychology
Attitude to Health / ethnology
Birth Rate / ethnology*
Educational Status
European Continental Ancestry Group* / education,  ethnology,  psychology,  statistics & numerical data
Female
Health Behavior / ethnology
Health Knowledge, Attitudes, Practice
Humans
Life Change Events
North Carolina / epidemiology
Obstetric Labor, Premature* / ethnology,  psychology
Pregnancy
Pregnancy Outcome / ethnology,  psychology
Problem Solving
Prospective Studies
Questionnaires
Risk Factors
Social Support
Stress, Psychological / complications,  ethnology,  psychology
Grant Support
ID/Acronym/Agency:
HD28684/HD/NICHD NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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