Electronic Theses and Dissertations

Identifier

6738

Date

2021

Date of Award

7-28-2021

Document Type

Thesis

Degree Name

Master of Public Health

Major

Public Health

Concentration

Social and Behavioral Health

Committee Chair

Kenneth Ward

Committee Member

Jennifer Turchi

Committee Member

Satish Kedia

Abstract

AbstractObjective: Associations of psychosocial stress and pregnancy complications among low-income pregnant women were examined. Methods: We administered a self-report survey to 107 obstetrics patients. Exposures included global stress, discrimination, and stressful life events (financial, relationship, and traumatic). Outcomes included number and type of complications reported. Associations were assessed in multivariable Poisson or logistic models adjusting for gravidity, gestational age, and pre-pregnancy substance use.Results: Total events (beta=0.32, SE=0.10, p=0.002), financial events (beta=0.28, SE=0.10, p=0.002), and relationship events (beta=0.24, SE=.10, p=0.016) were positively associated with number of complications. Life events also were associated with vaginal bleeding (adjusted odds ratio [aOR] = 1.85, 95% confidence interval [CI]= 1.08-3.15, p=0.02), and hypertension (aOR = 2.06, 95% CI = 1.17-3.61, p=0.01). Global stress and discrimination were positively associated with kidney/bladder infections (aOR = 1.66, 95% CI= 1.02-2.72, p=0.04, and aOR= 1.66, 95% CI= 1.00-2.74, p=0.05, respectively). Conclusion: Psychosocial stress is associated with pregnancy complications.

Comments

Data is provided by the student.

Library Comment

dissertation or thesis originally submitted to the local University of Memphis Electronic Theses & dissertation (ETD) Repository.

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