Document Detail


Psychosocial thriving during late pregnancy: relationship to ethnicity, gestational weight gain, and birth weight.
MedLine Citation:
PMID:  12033539     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To test the relationships between psychosocial thriving (depressive symptoms, health-related lifestyle) and gestational weight gain and birth weight. To test the influences of ethnicity on the relationships between psychosocial thriving and gestational weight gain and birth weight. DESIGN: Baseline data taken from the Austin New Mothers Study. SETTING: A community hospital in Texas. PARTICIPANTS: 305 low-risk African American, Hispanic, and White women with full-term pregnancies, singleton births, and Medicaid coverage. MAIN MEASURES: Center for Epidemiologic Studies Depression Scale, Self Care Inventory, Food Habits Questionnaire, gestational weight gain, and birth weight. RESULTS: Newborns of African American women had lower birth weights (3,240 g) than newborns of Hispanic (3,422 g) or White women (3,472 g), even though no ethnic differences were found among the mothers on psychosocial variables. Late in pregnancy, women had high levels and prevalence (> 70%) of depressive symptoms regardless of ethnicity, and 50% exceeded recommended gestational weight gains. In full regression models, psychosocial variables were not significant predictors of gestational weight gain or birth weight. Ethnicity also was not a significant moderator of weight outcomes. CONCLUSIONS: Psychosocial thriving late in pregnancy was unrelated to gestational weight gain or birth weight. Ethnicity did not moderate psychosocial-weight relationships. Although ethnic differences were not found on psychosocial variables, high levels of depressive symptoms and greater than recommended gestational weight gains were prevalent. These findings have implications for maternal health during and beyond pregnancy.
Authors:
Lorraine O Walker; Minseong Kim
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  31     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2002 May-Jun
Date Detail:
Created Date:  2002-05-29     Completed Date:  2002-11-22     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  263-74     Citation Subset:  IM; N    
Affiliation:
School of Nursing, The University of Texas at Austin 78701-1499, USA. lwalker@mail.nur.utexas.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological*
Adolescent
Adult
African Americans / statistics & numerical data
Birth Weight
Cohort Studies
Cultural Characteristics
European Continental Ancestry Group / statistics & numerical data
Female
Gestational Age
Health Behavior / ethnology*
Hispanic Americans / statistics & numerical data
Humans
Middle Aged
Pregnancy
Pregnancy Trimester, Third / ethnology*,  psychology*
Psychology
Risk Factors
Sampling Studies
Texas / epidemiology
Weight Gain
Grant Support
ID/Acronym/Agency:
R01 NR04679/NR/NINR NIH HHS

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


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