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Testing a sociomedical model for preterm delivery
Abstract
The study purpose was to contribute to the development of a model for preterm birth that brings together social, psychosocial and biomedical factors. The three research questions were: (a) Which social and psychosocial factors influence the risk of preterm delivery? (b) Are the effects of social and psychosocial factors independent? (c) Do the biomedical factors identified and measured here explain the effect of social and psychosocial factors? The sample comprised 739 low‐income black non‐Hispanic women. Interviews were conducted after delivery, and medical records were abstracted. Nearly a quarter of the women delivered preterm (23.5%). Two social factors strongly predicted risk of preterm delivery: inadequacy of time and money for non‐essentials. The effect of both was stronger than expected from each alone and was partially mediated by psychosocial factors. Several psychosocial factors also predicted preterm delivery risk but only stress and locus of control were independent predictors. With the inclusion of biomedical factors, stress (OR = 1.86, P = 0.005) and locus of control (OR = 1.75, P = 0.007) continued to be strongly associated with preterm delivery. The effect of inadequate resources for non‐essentials was no longer significant, suggesting mediation. These strong effects of social and psychosocial factors should be examined in future studies.
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“Difference-of-coefficients between models was the most common mediation analysis approach”
From Mediators of socioeconomic inequalities in preterm birth: a systematic review (2022) · cites this paper as [41]
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“Of the cross-sectional studies, three showed low risk of bias, but the others showed potential selection bias (1/8) [52] and response bias (4/8) [37, 39, 41, 45].”
From Mediators of socioeconomic inequalities in preterm birth: a systematic review (2022) · cites this paper as [41]
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“They were measured synchronously in four studies,[39, 41, 43, 45]”
From Mediators of socioeconomic inequalities in preterm birth: a systematic review (2022) · cites this paper as [41]
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“11 studies included graphical representation (DAG) of the mediated pathway [33–41, 51, 54]”
From Mediators of socioeconomic inequalities in preterm birth: a systematic review (2022) · cites this paper as [41]
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“Of the three confounders identified (maternal age, parity, and race or ethnicity – see below), three studies adjusted for none [40, 51, 54], 17 adjusted for one or two [33, 35, 37–39, 41–50, 52, 53], and two adjusted for all three variables [34, 36].”
From Mediators of socioeconomic inequalities in preterm birth: a systematic review (2022) · cites this paper as [41]
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Cited by
Pregnancy-specific stress, prenatal health behaviors, and birth outcomes.
Lobel, M., Cannella, D. L., Graham, J. E., DeVincent, C., Schneider, J., & Meyer, B. A. (2008) · Health Psychology · doi:10.1037/a0013242 · Cited by 587
Psychoneuroendocrine processes in human pregnancy influence fetal development and health
Wadhwa, P. D. (2005) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2005.02.004 · Cited by 420
Duncan, L. G., & Bardacke, N. (2010) · Journal of Child and Family Studies · doi:10.1007/s10826-009-9313-7 · Cited by 352
Integrated perinatal health framework
Misra, D. P., Guyer, B., & Allston, A. (2003) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(03)00090-4 · Cited by 235
Self-citationAre Maternal Cortisol Levels Related to Preterm Birth?
Giurgescu, C. (2009) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2009.01034.x · Cited by 116
Metadata
- Authors
- Misra, D. P., O'Campo, P., & Strobino, D.
- Venue
- Paediatric and Perinatal Epidemiology
- Publisher
- Wiley
- Published
- 2001-04
- Volume
- 15
- Issue
- 2
- Pages
- 110-122
- ISSN
- 0269-5022
- 1365-3016
- Cited by
- 117
- References
- 1
- Language
- en
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