Cited by 26Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareInfant Development and Preterm Care

Prenatal perceived stress and adverse birth outcomes among Puerto Rican women

Open access
Szegda, Kathleen, Bertone-Johnson, Elizabeth R., Pekow, Penelope, Powers, Sally, Markenson, Glenn, Dole, Nancy, Chasan-Taber, Lisa·2018·Journal of Women's Health

Abstract

Background: Preterm birth and low birthweight contribute substantially to the disproportionately high infant mortality rates experienced by Puerto Ricans in the United States. The purpose of this study was to examine whether the timing and pattern of prenatal psychosocial stress increased risk of adverse birth outcomes in this high-risk population. Materials and Methods: Proyecto Buena Salud was a prospective cohort study conducted from 2006 to 2011 among predominantly Puerto Rican women. Participants ( n = 1,267) were interviewed in early, mid-, and late pregnancy. We evaluated associations between early and mid-pregnancy stress (Perceived Stress Scale) and preterm birth and low birthweight, and stress at each pregnancy time point and small for gestational age (SGA). Results: Elevated levels of perceived stress in mid-pregnancy increased risk for preterm birth and low birthweight in adjusted analyses, with a linear trend observed for each increasing quartile of stress ( p trend = 0.01). Women in the highest quartile of stress experienced three times the risk for preterm birth (odds ratio [OR] = 3.50, confidence interval [95% CI]: 1.38–8.87) and low birthweight (OR = 3.53, 95% CI = 1.27–9.86) compared with women in the lowest quartile. Early pregnancy stress was not associated with preterm birth or low birthweight. Increase in stress from early to late pregnancy increased risk for SGA (OR = 1.90, 95% CI = 1.01–3.59); no associations were found between stress at any timepoint and SGA. Conclusion: Elevated levels of mid-pregnancy perceived stress increased risk for preterm birth and low birthweight, and an increase in stress over the course of pregnancy increased risk for SGA in a population of predominantly Puerto Rican women.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1089/jwh.2016.6118

Cites

51 of 52 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 5

  1. [5]Motel S, Patten E. Hispanics of Puerto Rican Origin in the Unites States, 2010. Pew Research Center; 2012. Available at: www.pewhispanic.org/2012/06/27/hispanics-of-puerto-rican-origin-in-the-united-states-2010 Accessed August24, 2016 [Google Scholar]
  2. [25]Cohen S, Williamson G. Perceived stress in a probability sample of the U.S. In: Spacapam S, Oskamp S, eds. The social psychology of health: Claremont Symposium on Applied Social Psychology. Newbury Park, CA: Sage, 1988 [Google Scholar]
  3. [48]Gonzalez-Barrera A, Lopez M. Is being Hispanic a matter of race, ethnicity, or both? Pew Research Center; 2015. Available at: www.pewresearch.org/fact-tank/2015/06/15/is-being-hispanic-a-matter-of-race-ethnicity-or-both Accessed June15, 2017 [Google Scholar]
  4. [50]Institute of Medicine. Preterm birth: Causes, consequences, and prevention. Washington, DC: The National Academies Press, 2007. https://doi.org/10.17226/11622 Accessed June1, 2017 [Google Scholar] · DOI
  5. [56]Adler NE, Cutler DM, Fielding J, et al. Addressing social determinants of health and health disparities. Discussion Paper, Vital Directions for Health and Health Care Series. Washington, DC: National Academy of Medicine, 2016. Available at: https://nam.edu wp-content/uploads/2016/09/addressing-social-determinants-of-health-and-health-disparities.pdf Accessed June1, 2017 [Google Scholar]

Cited by

Sorted by citations

Authors
Szegda, K., Bertone-Johnson, E. R., Pekow, P., Powers, S., Markenson, G., Dole, N., & Chasan-Taber, L.
Affiliations
  • University of Massachusetts Amherst (US)
  • University of Massachusetts
  • Baystate Medical Center (US)
  • University of North Carolina at Chapel Hill (US)
Corresponding author
Szegda, Kathleen
Venue
Journal of Women's Health
Published
2018-05
Volume
27
Issue
5
Pages
699-708
ISSN
  • 1059-7115 (ISSN-L)
  • 1540-9996
  • 1931-843X
OpenAlex
W2772328659
Cited by
26
References
50
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 6 · 2022: 6 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 1
FWCI
1.79
Type
journal article
Language
en
Open access
Locations
  • Journal of Women s Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute of Diabetes and Digestive and Kidney Diseases (DK064902)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (P2CHD050924)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
prenatal stress, perceived stress, preterm birth, low birth weight, small for gestational age, Puerto Rican women, psychosocial stress, pregnancy timing, infant mortality
MeSH terms
Adolescent, Adult, Female, Hispanic or Latino, Humans, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Infant, Small for Gestational Age, Pregnancy, Pregnancy Outcome, Prospective Studies, Puerto Rico, Stress, Psychological, United States, Premature Birth

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review