Social determinants of health on attitudes toward childbearing among women with multiple sclerosis: A cross-sectional study

IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES
Nahid Abbasi Khoshsirat, Romina Mokaram, Zohreh Mahmoodi, Ehsan Shahrestanaki, Nooshin Ghavidel
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引用次数: 0

Abstract

Background

Pregnancy and motherhood are very valuable but challenging for women with multiple sclerosis (MS). Given that there are limited studies in this field, this study aimed to determine the social determinants of health on attitudes toward childbearing among women with MS.

Methods

We conducted a cross-sectional study on 206 women with MS in Alborz province, Iran, from February to June 2023 using convenience sampling. The data were collected using the questionnaire, and a linear regression analysis was applied.

Results

The mean age of the participants was 36.80 ± 6.50 years. Participants’ Attitudes toward Fertility and Childbearing (PAFC) had a positive significant association with social support (B = .10, SE = .04, p = .023) and a significant negative association with the total score of depression, anxiety, and stress scale (B = −.13, SE = .06, p = .047) and depression (B = −.40, SE = .18, p = .023). However, the association between anxiety (B = −.25, SE = .20, p = .211), stress (B = −.36, SE = .18, p = .050), MS severity (B = .04, SE = .30, p = .890), and socioeconomic status scale (SES) (B = −.08, SE = .32, p = .806) was nonsignificant with PAFC.

Conclusion

Our results showed that factors, including social support and mental health especially depression, can affect PAFC in women with MS. Therefore, it is necessary to determine specific strategies for policymakers to help MS patients manage pregnancy and motherhood.

Abstract Image

健康的社会决定因素对多发性硬化症妇女生育态度的影响:横断面研究
背景 怀孕和做母亲对患有多发性硬化症(MS)的妇女来说非常有价值,但也具有挑战性。鉴于该领域的研究有限,本研究旨在确定健康的社会决定因素对多发性硬化症女性患者生育态度的影响。 方法 我们于 2023 年 2 月至 6 月采用便利抽样法对伊朗阿尔伯兹省的 206 名多发性硬化症女性患者进行了横断面研究。数据通过问卷收集,并进行了线性回归分析。 结果 参与者的平均年龄为 36.80±6.50 岁。参与者的生育和育儿态度(PAFC)与社会支持(B = .10,SE = .04,p = .023)呈显著正相关,与抑郁、焦虑和压力量表总分(B = -.13,SE = .06,p = .047)和抑郁(B = -.40,SE = .18,p = .023)呈显著负相关。然而,焦虑(B = -.25,SE = .20,p = .211)、压力(B = -.36,SE = .18,p = .050)、多发性硬化症严重程度(B = .04,SE = .30,p = .890)和社会经济地位量表(SES)(B = -.08,SE = .32,p = .806)与 PAFC 的关系不显著。 结论 我们的研究结果表明,包括社会支持和心理健康(尤其是抑郁)在内的因素会影响多发性硬化症女性患者的 PAFC。因此,有必要为政策制定者确定具体的策略,以帮助多发性硬化症患者管理妊娠和生育。
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来源期刊
Brain and Behavior
Brain and Behavior BEHAVIORAL SCIENCES-NEUROSCIENCES
CiteScore
5.30
自引率
0.00%
发文量
352
审稿时长
14 weeks
期刊介绍: Brain and Behavior is supported by other journals published by Wiley, including a number of society-owned journals. The journals listed below support Brain and Behavior and participate in the Manuscript Transfer Program by referring articles of suitable quality and offering authors the option to have their paper, with any peer review reports, automatically transferred to Brain and Behavior. * [Acta Psychiatrica Scandinavica](https://publons.com/journal/1366/acta-psychiatrica-scandinavica) * [Addiction Biology](https://publons.com/journal/1523/addiction-biology) * [Aggressive Behavior](https://publons.com/journal/3611/aggressive-behavior) * [Brain Pathology](https://publons.com/journal/1787/brain-pathology) * [Child: Care, Health and Development](https://publons.com/journal/6111/child-care-health-and-development) * [Criminal Behaviour and Mental Health](https://publons.com/journal/3839/criminal-behaviour-and-mental-health) * [Depression and Anxiety](https://publons.com/journal/1528/depression-and-anxiety) * Developmental Neurobiology * [Developmental Science](https://publons.com/journal/1069/developmental-science) * [European Journal of Neuroscience](https://publons.com/journal/1441/european-journal-of-neuroscience) * [Genes, Brain and Behavior](https://publons.com/journal/1635/genes-brain-and-behavior) * [GLIA](https://publons.com/journal/1287/glia) * [Hippocampus](https://publons.com/journal/1056/hippocampus) * [Human Brain Mapping](https://publons.com/journal/500/human-brain-mapping) * [Journal for the Theory of Social Behaviour](https://publons.com/journal/7330/journal-for-the-theory-of-social-behaviour) * [Journal of Comparative Neurology](https://publons.com/journal/1306/journal-of-comparative-neurology) * [Journal of Neuroimaging](https://publons.com/journal/6379/journal-of-neuroimaging) * [Journal of Neuroscience Research](https://publons.com/journal/2778/journal-of-neuroscience-research) * [Journal of Organizational Behavior](https://publons.com/journal/1123/journal-of-organizational-behavior) * [Journal of the Peripheral Nervous System](https://publons.com/journal/3929/journal-of-the-peripheral-nervous-system) * [Muscle & Nerve](https://publons.com/journal/4448/muscle-and-nerve) * [Neural Pathology and Applied Neurobiology](https://publons.com/journal/2401/neuropathology-and-applied-neurobiology)
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