{"title":"孕妇的生活质量:与人口、社会经济、产科和健康状况因素的关系","authors":"Ângela Luiza Cunha Legey, D. A. Höfelmann","doi":"10.17711/sm.0185-3325.2022.036","DOIUrl":null,"url":null,"abstract":"Introduction. During pregnancy, there are changes that influence a woman’s quality of life. Objective. To analyze the quality of life and its association with demographic, socioeconomic, obstetric, and health conditions in pregnant women. Method. Quality of life was measured using the WHOQOL-BREF, and to evaluate the association between quality of life domains and exposure variables (demographics, socioeconomic, obstetrics, and health conditions) the inflated beta regression was used. Results. In the physical domain, pregnant women had lower scores: with higher parity (OR = .71; 95% CI = [.59, .84]), third pregnancy trimester (OR = .74; 95% CI [.61, .89]), reported common symptom (OR = .80; 95% CI = [.67, .95]), or morbidity (OR = .67; 95% CI [.57, .79]). In the psychological domain, women with planned pregnancy had higher scores (OR = 1.20; 95% CI= [1.04, 1.37]), while those who reported common symptoms (OR = .75; 95% CI = [.63, .89]), or morbidity (OR = .82; 95% CI = [.70, .95]) had the worst scores. Higher income was associated with higher scores in the social relationships domain (OR = 1.22; 95% CI = [1.03, 1.45]). Women in their second pregnancy had lower scores in the environment domain (OR = .84; 95% CI = [.72, .98]), while those with intermediate income had higher scores (OR = 1.23; 95% CI = [1.05, 1.43]). Discussion and conclusion. Lower quality of life scores were associated with obstetrics and health conditions variables, while higher scores were related with demographics and socioeconomics variables. The multidimensionality of factors associated with the domains of quality of life during pregnancy is also highlighted, which stresses the importance of intersectoral actions for women in social vulnerability.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"38 1","pages":""},"PeriodicalIF":0.9000,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Quality of life in pregnant women: Association with demographic, socioeconomic, obstetric, and health conditions factors\",\"authors\":\"Ângela Luiza Cunha Legey, D. A. Höfelmann\",\"doi\":\"10.17711/sm.0185-3325.2022.036\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction. During pregnancy, there are changes that influence a woman’s quality of life. Objective. To analyze the quality of life and its association with demographic, socioeconomic, obstetric, and health conditions in pregnant women. Method. Quality of life was measured using the WHOQOL-BREF, and to evaluate the association between quality of life domains and exposure variables (demographics, socioeconomic, obstetrics, and health conditions) the inflated beta regression was used. Results. In the physical domain, pregnant women had lower scores: with higher parity (OR = .71; 95% CI = [.59, .84]), third pregnancy trimester (OR = .74; 95% CI [.61, .89]), reported common symptom (OR = .80; 95% CI = [.67, .95]), or morbidity (OR = .67; 95% CI [.57, .79]). In the psychological domain, women with planned pregnancy had higher scores (OR = 1.20; 95% CI= [1.04, 1.37]), while those who reported common symptoms (OR = .75; 95% CI = [.63, .89]), or morbidity (OR = .82; 95% CI = [.70, .95]) had the worst scores. Higher income was associated with higher scores in the social relationships domain (OR = 1.22; 95% CI = [1.03, 1.45]). Women in their second pregnancy had lower scores in the environment domain (OR = .84; 95% CI = [.72, .98]), while those with intermediate income had higher scores (OR = 1.23; 95% CI = [1.05, 1.43]). Discussion and conclusion. Lower quality of life scores were associated with obstetrics and health conditions variables, while higher scores were related with demographics and socioeconomics variables. The multidimensionality of factors associated with the domains of quality of life during pregnancy is also highlighted, which stresses the importance of intersectoral actions for women in social vulnerability.\",\"PeriodicalId\":46510,\"journal\":{\"name\":\"Salud Mental\",\"volume\":\"38 1\",\"pages\":\"\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2022-11-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Salud Mental\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.17711/sm.0185-3325.2022.036\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Salud Mental","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.17711/sm.0185-3325.2022.036","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
介绍。在怀孕期间,有一些变化会影响妇女的生活质量。目标。分析孕妇的生活质量及其与人口、社会经济、产科和健康状况的关系。方法。使用WHOQOL-BREF测量生活质量,并使用膨胀β回归来评估生活质量领域与暴露变量(人口统计学、社会经济、产科和健康状况)之间的关联。结果。在身体方面,孕妇的得分较低:胎次较高(OR = .71;95% ci =[。59, 0.84]),妊娠晚期(OR = 0.74;95% ci[。61, 0.89]),报告的常见症状(OR = 0.80;95% ci =[。67, 0.95])或发病率(or = 0.67;95% ci[。57岁的.79])。在心理方面,计划怀孕的女性得分较高(OR = 1.20;95% CI=[1.04, 1.37]),而报告常见症状的患者(OR = .75;95% ci =[。63, 0.89])或发病率(or = 0.82;95% ci =[。[70, 0.95])的分数最差。收入越高,社会关系得分越高(OR = 1.22;95% ci =[1.03, 1.45])。第二次怀孕的女性在环境领域得分较低(OR = 0.84;95% ci =[。72, .98]),而中等收入家庭的得分更高(OR = 1.23;95% ci =[1.05, 1.43])。讨论与结论。较低的生活质量得分与产科和健康状况变量有关,而较高的得分与人口统计学和社会经济学变量有关。报告还强调了与怀孕期间生活质量有关的多方面因素,强调了对处于社会弱势地位的妇女采取部门间行动的重要性。
Quality of life in pregnant women: Association with demographic, socioeconomic, obstetric, and health conditions factors
Introduction. During pregnancy, there are changes that influence a woman’s quality of life. Objective. To analyze the quality of life and its association with demographic, socioeconomic, obstetric, and health conditions in pregnant women. Method. Quality of life was measured using the WHOQOL-BREF, and to evaluate the association between quality of life domains and exposure variables (demographics, socioeconomic, obstetrics, and health conditions) the inflated beta regression was used. Results. In the physical domain, pregnant women had lower scores: with higher parity (OR = .71; 95% CI = [.59, .84]), third pregnancy trimester (OR = .74; 95% CI [.61, .89]), reported common symptom (OR = .80; 95% CI = [.67, .95]), or morbidity (OR = .67; 95% CI [.57, .79]). In the psychological domain, women with planned pregnancy had higher scores (OR = 1.20; 95% CI= [1.04, 1.37]), while those who reported common symptoms (OR = .75; 95% CI = [.63, .89]), or morbidity (OR = .82; 95% CI = [.70, .95]) had the worst scores. Higher income was associated with higher scores in the social relationships domain (OR = 1.22; 95% CI = [1.03, 1.45]). Women in their second pregnancy had lower scores in the environment domain (OR = .84; 95% CI = [.72, .98]), while those with intermediate income had higher scores (OR = 1.23; 95% CI = [1.05, 1.43]). Discussion and conclusion. Lower quality of life scores were associated with obstetrics and health conditions variables, while higher scores were related with demographics and socioeconomics variables. The multidimensionality of factors associated with the domains of quality of life during pregnancy is also highlighted, which stresses the importance of intersectoral actions for women in social vulnerability.
期刊介绍:
Salud Mental receives original manuscripts dealing with various mental health-related topics (such as psychiatry, neurosciences, psychology, epidemiology, and addictions). The submission of a manuscript must be exclusively carried out through this website.