Date of Award
Master of Public Health
Social and Behavioral Health
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.
Dissertation or thesis originally submitted to the local University of Memphis Electronic Theses & dissertation (ETD) Repository.
Harris, Brandon, "Associations of Psychosocial Stress and Pregnancy Complications Among Low Income Pregnant Women" (2021). Electronic Theses and Dissertations. 2198.