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首页> 外文期刊>Epidemiology Research International. >Prenatal Maternal Stress and Physical Abuse among Homeless Women and Infant Health Outcomes in the United States
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Prenatal Maternal Stress and Physical Abuse among Homeless Women and Infant Health Outcomes in the United States

机译：美国无家可归妇女的产前产妇压力和身体虐待以及婴儿健康结果

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Background. This study examines whether the relationship between maternal stress or abuse situations and infant birth weight differs between homeless and non-homeless women.Methods. Analyses are based on data from the Pregnancy Risk Assessment Monitoring System (PRAMS), 2002–2007.Results. Homeless women were significantly more likely to experience stressful life events, abusive situations, and poor maternal health than non-homeless women during pregnancy. Birth weight among infants of homeless women was, on average, 17.4 grams lighter than for infants of non-homeless women, after adjusting for maternal age, race, ethnicity, region, education, and marital status. The impact of maternal health, stress, and abuse variables on pregnancy and infant birth weight significantly interacted with homeless status. For example, vaginal bleeding, nausea, kidney/bladder infection, and failure to receive early prenatal care had significantly larger negative impacts on birth weight among homeless women than non-homeless women. Infant birth weight was consistently lower among homeless women, more so when maternal stress and abuse were involved, across all classifications of their prepregnancy weight.Conclusion. Stress and abusive situations among pregnant women have a negative influence on pregnancy-related conditions and infant birth weight. However, this negative influence is even more pronounced among homeless women.
机译：背景。这项研究调查了无家可归和非无家可归的妇女的产妇压力或虐待情况与婴儿出生体重之间的关系是否存在差异。分析基于2002–2007年妊娠风险评估监控系统（PRAMS）的数据。结果。与无家可归的妇女在怀孕期间相比，无家可归的妇女更有可能经历压力大的生活事件，虐待情况和不良的孕产妇健康。在调整了产妇的年龄，种族，族裔，地区，受教育程度和婚姻状况之后，无家可归妇女婴儿的出生体重平均比非无家可归妇女婴儿轻17.4克。孕产妇健康，压力和虐待变量对怀孕和婴儿出生体重的影响与无家可归者状况显着相关。例如，与无家可归的妇女相比，无家可归的妇女阴道流血，恶心，肾脏/膀胱感染以及未能得到早期产前保健对出生体重的负面影响明显更大。在无家可归的妇女中，婴儿出生体重一直较低，在涉及孕产妇压力和虐待时，其出生体重的所有分类均如此。孕妇的压力和虐待情况会对与怀孕有关的状况和婴儿出生体重产生负面影响。但是，这种负面影响在无家可归的妇女中更为明显。

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