Perceived stress and associated factors in pregnant women: a cross-sectional study nested within a population-based cohort

Q3 Medicine

Revista Brasileira de Saude Materno Infantil Pub Date : 2023-04-14 DOI:10.1590/1806-9304202300000169-en

Bárbara Cerqueira Santos Lopes, Cássio de Almeida Lima, Talyta Sâmara Batista Ferreira, Wesley Miranda Lourenço de Freitas, Thalita Bahia Ferreira, L. Pinho, M. Brito, M. Silveira

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Abstract

Abstract Objectives: to estimate the prevalence of perceived stress and verify the associated factors in pregnant women assisted by Family Health teams in Montes Claros, Minas Gerais - Brazil. Methods: epidemiological, cross-sectional, and analytical study, nested in a population-based cohort. Sociodemographic and obstetric characteristics and physical and mental health conditions were assessed. The stress level was estimated by the Perceived Stress Scale (PSS-14). Descriptive and bivariate analyses were conducted, followed by the Poisson Regression model with robust variance. Results: a total of 1,279 pregnant women participated. The prevalence of high-stress levels was 23.5% (CI95%=20.8%-26.2%). The outcome was more prevalent among pregnant women aged above 35 years (PR=1.38; CI95%=1.09-1.74) and less than or equal to 19 (PR=1.41; CI95%=1.13-1.77); without a partner (PR=1.33; CI95%=1.09-1.62); with low social support (PR=1.42; CI95%=1.18-1.70); multiparous (PR=1.30; CI95%=1.02-1.66); with current unplanned pregnancy (PR=1.23; CI95%=1.00-1.52); urinary tract infection (PR=1.35; CI95%=1.12-1.62); high level of anxiety symptoms (PR=1.42; CI95%=1.18-1.71); severe (PR=4.74; CI95%=3.60-6.26) and moderate (PR=3.19; CI95%=2.31-4.39) symptoms of depression; and neurological complaints (PR=1.77; CI95%=1.27-2.47). Conclusions: there was a significant prevalence of high perceived stress among pregnant women, an outcome associated with sociodemographic, clinical, obstetric, and emotional factors, which demonstrates the need for comprehensive care of pregnant women’s health.

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孕妇的感知压力和相关因素:一项基于人群的横断面研究

摘要目的:评估在巴西米纳斯吉拉斯州蒙特斯克拉罗斯市家庭健康小组协助下的孕妇中感知压力的患病率，并验证相关因素。方法:流行病学、横断面和分析性研究，以人群为基础的队列嵌套。对社会人口和产科特征以及身心健康状况进行了评估。采用感知压力量表(PSS-14)评估压力水平。进行了描述性和双变量分析，然后建立了具有鲁棒方差的泊松回归模型。结果:共有1279名孕妇参与。高应激水平患病率为23.5% (CI95%=20.8% ~ 26.2%)。该结果在35岁以上的孕妇中更为普遍(PR=1.38;CI95%=1.09-1.74)且小于或等于19 (PR=1.41;CI95% = 1.13 - -1.77);没有伴侣(PR=1.33;CI95% = 1.09 - -1.62);社会支持度低(PR=1.42);CI95% = 1.18 - -1.70);多产的(公关= 1.30;CI95% = 1.02 - -1.66);目前有计划外妊娠(PR=1.23;CI95% = 1.00 - -1.52);尿路感染(PR=1.35);CI95% = 1.12 - -1.62);高度焦虑症状(PR=1.42;CI95% = 1.18 - -1.71);严重(公关= 4.74;CI95%=3.60-6.26)和中度(PR=3.19;CI95%=2.31-4.39)抑郁症状;神经系统疾病(PR=1.77);CI95% = 1.27 - -2.47)。结论:孕妇普遍存在高度感知压力，这一结果与社会人口、临床、产科和情感因素有关，这表明需要对孕妇的健康进行全面护理。

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来源期刊

Revista Brasileira de Saude Materno Infantil Medicine-Obstetrics and Gynecology

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Brazilian Journal of Mother and Child Health is published every three months (March, June, September and December) by Institute of Mother and Child Health, continuing the Revista do IMIP. Aiming at publishing scientific research articles in the field of mother and child health. Contributions should approach different aspects of mother’s health, women’s health and children’s health, covering biomedical, sociocultural and epidemiological determinants.