Prenatal subjective social status and birth weight.

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-09-01 DOI:10.1080/0167482X.2020.1864728

Dana K Goplerud, Raquel G Hernandez, Sara B Johnson

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引用次数: 2

Abstract

Purpose: Subjective social status (SSS), perceived social standing relative to others, has been associated with health status, independent of objective socioeconomic status (SES). Few studies have examined the relationship of prenatal maternal SSS with birth outcomes. We evaluated the association of SSS in pregnancy with low birth weight (LBW) and high birth weight (HBW).

Methods: A total of 378 pregnant women rated their SSS from 1 (low) to 10 (high) compared to others in the United States (SSS-US) and compared to their community (SSS-Comm). Multivariable logistic regression was used to examine the relationship between SSS and odds of LBW or HBW.

Results: Higher SSS-US was associated with lower odds of HBW in unadjusted models (OR 0.76, 95% CI 0.60-0.96; p < 0.05); this relationship persisted after controlling for objective SES, health, and demographic factors (OR 0.73, 95% CI 0.53-0.99; p < 0.05). Neither SSS measure was associated with LBW.

Conclusions: Pregnant women who view themselves as having lower status than others in the US have greater odds of HBW, over and above the influence of factors known to be associated with birth weight. SSS, a brief and non-stigmatizing measure, might help identify women at elevated social risk for adverse birth outcomes.

查看原文本刊更多论文

产前主观社会地位与出生体重。

目的:主观社会地位(SSS)，即相对于他人的感知社会地位，与健康状况相关，独立于客观社会经济地位(SES)。很少有研究调查产前母体SSS与分娩结局的关系。我们评估了妊娠期SSS与低出生体重(LBW)和高出生体重(HBW)的关系。方法:378名孕妇将自己的SSS与美国其他人(SSS- us)和所在社区(SSS- comm)的SSS评分从1(低)到10(高)不等。采用多变量logistic回归检验SSS与LBW或HBW几率之间的关系。结果:在未调整的模型中，较高的SSS-US与较低的HBW几率相关(OR 0.76, 95% CI 0.60-0.96;结论:在美国，认为自己地位较低的孕妇患HBW的几率更大，这超出了与出生体重相关的已知因素的影响。SSS是一种简短而非污名化的措施，可能有助于识别不良分娩结果社会风险较高的妇女。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosomatic Obstetrics & Gynecology 医学-妇产科学

CiteScore

6.10

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.