ArticleBJOG : an international journal of obstetrics and gynaecology2013
Sequential screening for psychosocial and behavioural risk during pregnancy in a population of urban African Americans.
Article in BJOG : an international journal of obstetrics and gynaecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Screening women for intimate partner violence in healthcare settings.The Cochrane database of systematic reviews · 2015Pooled it
- Reproductive Health Knowledge among African American Women Enrolled in a Clinic-Based Randomized Controlled Trial to Reduce Psychosocial and Behavioral Risk: Project DC-HOPE.Women's health issues : official publication of the Jacobs Institute of Women's HealthTrial
- Antenatal intimate partner violence and breastfeeding practices: Evidence from a national longitudinal study in Ethiopia.PloS one · 2026Article
- Interventions Addressing Social Needs in Perinatal Care: A Systematic Review.Health equity · 2021Review
- Intimate partner violence and suicidal ideation in pregnant women.Archives of women's mental health · 2015Article
- Intimate partner violence during pregnancy: maternal and neonatal outcomes.Journal of women's health (2002) · 2015Article
- Participant Retention in a Longitudinal National Telephone Survey of African American Men and Women.Ethnicity & disease · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveScreening for psychosocial and behavioural risks, such as depression, intimate partner violence, and smoking, during pregnancy is considered to be state of the art in prenatal care. This prospective longitudinal analysis examines the added benefit of repeated screening, compared with a single screening, in identifying such risks during pregnancy.
designData were collected as part of a randomised controlled trial to address intimate partner violence, depression, smoking, and environmental tobacco smoke exposure in African American women.
settingPrenatal care sites in the District of Columbia serving mainly women of minority background. POPULATION: A cohort of 1044 African American pregnant women in the District of Columbia.
methodsMothers were classified by their initial response (acknowledgement of risks), and these data were updated during pregnancy. Risks were considered new if they were not previously reported. Standard hypothesis tests and logistic regression were used to predict the acknowledgment of any new risk(s) during pregnancy.
main outcome measuresNew risks: psychosocial variables to understand what factors might help identify the acknowledgement of additional risk(s).
resultsRepeated screening identified more mothers acknowledging risk over time. Reported smoking increased by 11%, environmental tobacco smoke exposure increased by 19%, intimate partner violence increased by 9%, and depression increased by 20%. The psychosocial variables collected at the baseline that were entered into the logistic regression model included relationship status, education, Medicaid, illicit drug use, and alcohol use during pregnancy. Among these, only education less than high school was associated with the acknowledgement of new risk in the bivariate analyses, and significantly predicted the identification of new risks (OR 1.39, 95% CI 1.01-1.90).
conclusionsIt is difficult to predict early on who will acknowledge new risks over the course of pregnancy, and thus all women should be screened repeatedly to allow for the identification of risks and intervention during prenatal care.
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