Effects of Spirituality and Psychosocial Well-Being on Health Risk Behaviors in Appalachian Pregnant Women

Jesse, D. Elizabeth; Reed, Pamela G.

doi:10.1177/0884217504270669

Cited by 112Religion, Spirituality, and PsychologyMaternal Mental Health During Pregnancy and PostpartumWorkplace Spirituality and Leadership

Effects of Spirituality and Psychosocial Well-Being on Health Risk Behaviors in Appalachian Pregnant Women

Jesse, D. Elizabeth, Reed, Pamela G.·2004·Journal of Obstetric, Gynecologic & Neonatal Nursing

DOI 10.1177/0884217504270669

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Abstract

Objective To determine the relationships of spirituality and psychosocial well-being to health risk behaviors in pregnant Appalachian women.Method Descriptive study of 120 women between 16 and 28 weeks of pregnancy. The instruments used were the Spiritual Perspective Scale and religiosity items from the Jarel Well-Being Scale. Psychosocial well-being was measured by the Prenatal Psychosocial Profile. Four items measured health risk behaviors.Results Higher levels of spirituality (spiritual perspective and religiosity) were significantly correlated with greater satisfaction with social support, higher levels of self-esteem, and decreased levels of smoking. Sociodemographic, psychosocial, and spiritual variables explained 25% of the variance in frequency of smoking, and in the logistic regression analysis, psychosocial stress was the only variable that significantly predicted substance use.Conclusion Higher levels of spirituality and lower levels of stress are associated with decreased health risk behaviors among pregnant women from Appalachia. Increasing spiritual resources and decreasing stress during pregnancy offer the potential to improve health promotion efforts in pregnancy with women from Appalachia.

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RS have been related to lower levels of risky health behaviors in diverse samples.
“RS have been related to lower levels of risky health behaviors in diverse samples including inner-city cocaine-using methadone-maintained patients (Avants et al., 2006) and pregnant women in Appalachia (Jesse & Reed, 2006).”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Jesse & Reed, 2006

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Authors: Jesse, D. E., & Reed, P. G.
Affiliations: East Carolina University (US)
University of Arizona (US)
Corresponding author: Jesse, D. Elizabeth
ORCID: Jesse, D. Elizabeth
Reed, Pamela G.
Venue: Journal of Obstetric, Gynecologic & Neonatal Nursing
Publisher: Elsevier BV
Published: 2004-11
Volume: 33
Issue: 6
Pages: 739-747
ISSN: 0090-0311 (ISSN-L)
0884-2175
DOI: 10.1177/0884217504270669
OpenAlex: W2119501663
Cited by: 112
References: 32
Citations by year: 2026: 1 · 2025: 4 · 2024: 3 · 2023: 6 · 2022: 1 · 2021: 8 · 2020: 6 · 2019: 4 · 2018: 5 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 8 · 2013: 7 · 2012: 9
FWCI: 3.81
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion)
PubMed (publishedVersion)
Funders: Sigma Theta Tau International
Topics: Social Sciences › Health › Religion, Spirituality, and Psychology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Social Sciences › Demography › Workplace Spirituality and Leadership
Keywords: spirituality, religiosity, psychosocial well-being, health risk behaviors, pregnant women, Appalachia, maternal smoking, psychosocial stress, social support, self-esteem, substance use, prenatal care
MeSH terms: Adaptation, Psychological, Adolescent, Adult, Appalachian Region, Attitude to Health, Female, Health Status, Humans, Maternal Behavior, Pregnancy, Prenatal Care, Quality of Life, Surveys and Questionnaires, Self Concept, Stress, Psychological, Nursing Methodology Research, Health Behavior, Spirituality

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Effects of Spirituality and Psychosocial Well-Being on Health Risk Behaviors in Appalachian Pregnant Women

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