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首页> 外文期刊>Journal of women’s health >Prepregnancy depressive mood and preterm birth in black and white women: findings from the CARDIA Study.
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Prepregnancy depressive mood and preterm birth in black and white women: findings from the CARDIA Study.

机译：黑人和白人女性的孕前抑郁情绪和早产：CARDIA研究的发现。

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OBJECTIVES: We examine associations among race, prepregnancy depressive mood, and preterm birth (<37 weeks gestation) in a cohort study of black and white women. METHODS: We tested for mediation of the association between race and preterm birth by prepregnancy depressive mood among 555 women enrolled in the Coronary Artery Risk Development in Young Adults (CARDIA) Study. RESULTS: Black women had significantly higher levels of prepregnancy depressive mood (modified CES-D score 13.0 vs. 9.5, t = -4.64, p < 0.001). After adjustment for covariates, black women had 2.70 times the odds of preterm birth as white women (95% confidence interval [CI] 1.41, 5.17). When adding prepregnancy depressive mood to this model, higher depressive mood was associated with greater odds of preterm birth (odds ratio [OR] 1.04; 95% CI 1.01, 1.07), and the effect of black race was attenuated (OR 2.47, 95% CI 1.28, 4.77). CONCLUSIONS: Our data suggest that prepregnancy depressive mood may be a risk factor for preterm birth among black and white women.
机译：目的：在一项针对黑人和白人妇女的队列研究中，我们检查了种族，孕前抑郁情绪和早产（妊娠<37周）之间的关联。方法：我们在555名参加成年人冠状动脉风险发展研究（CARDIA）的妇女中，通过妊娠前抑郁情绪测试了种族与早产之间的关系。结果：黑人妇女的孕前抑郁情绪明显更高（修改后的CES-D评分为13.0对9.5，t = -4.64，p <0.001）。调整协变量后，黑人妇女的早产几率是白人妇女的2.70倍（95％置信区间[CI] 1.41，5.17）。在该模型中添加孕前抑郁情绪时，抑郁情绪越高，早产几率越高（比值比[OR] 1.04; 95％CI 1.01，1.07），黑人的影响减弱（OR 2.47，95％） CI 1.28，4.77）。结论：我们的数据表明，孕前抑郁情绪可能是黑人和白人女性早产的危险因素。

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