ArticleBMC pregnancy and childbirth2016
Stressful events, social health issues and psychological distress in Aboriginal women having a baby in South Australia: implications for antenatal care.
Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors associated with preeclampsia and the hypertensive disorders of pregnancy amongst Indigenous women of Canada, Australia, New Zealand, and the United States: A systematic review and meta-analysis.Current hypertension reports · 2025Pooled it
- What factors are associated with resilient outcomes in children exposed to social adversity? A systematic review.BMJ open · 2019Pooled it
- Breastfeeding experiences and infant feeding decisions for women birthing Aboriginal children in Adelaide, South Australia: a qualitative study.International breastfeeding journal · 2025Article
- 'It gives me purpose': stories shared by Aboriginal mothers and their perspectives on nurturing resilience.Australian journal of psychology · 2025Article
- Article
- Patterns of Health and Health Service Use in a Prospective Cohort of Aboriginal and Torres Strait Islander Children Aged 5-9 Years Living in Urban, Regional and Remote Areas of South Australia.International journal of environmental research and public health · 2023Article
- Perinatal Depression in Australian Women during the COVID-19 Pandemic: The Birth in the Time of COVID-19 (BITTOC) Study.International journal of environmental research and public health · 2022Article
- "When I got the news": Aboriginal fathers in the Kimberley region yarning about their experience of the antenatal period.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2021Article
- Perinatal mental health and the COVID-19 pandemic.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2020Article
- Psychosocial disadvantage and residential remoteness is associated with Aboriginal women's mental health prior to childbirth.International journal of population data science · 2020Article
- Stress beyond coping? A Rasch analysis of the Perceived Stress Scale (PSS-14) in an Aboriginal population.PloS one · 2019Article
- The role of indigenous health workers in promoting oral health during pregnancy: a scoping review.BMC public health · 2018Article
- A Novel Approach to Transforming Smoking Cessation Practice for Pregnant Aboriginal Women and Girls Living in the Pilbara.Healthcare (Basel, Switzerland) · 2018Review
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAround 6% of births in Australia are to Aboriginal and Torres Strait Islander families. Aboriginal and Torres Strait Islander women are 2-3 times more likely to experience adverse maternal and perinatal outcomes than non-Aboriginal women in Australia.
methodsPopulation-based study of mothers of Aboriginal babies born in South Australia, July 2011 to June 2013. Mothers completed a structured questionnaire at a mean of 7 months postpartum. The questionnaire included measures of stressful events and social health issues during pregnancy and maternal psychological distress assessed using the Kessler-5 scale.
resultsThree hundred forty-four women took part in the study, with a mean age of 25 years (range 15-43). Over half (56.1%) experienced three or more social health issues during pregnancy; one in four (27%) experienced 5-12 issues. The six most commonly reported issues were: being upset by family arguments (55%), housing problems (43%), family member/friend passing away (41%), being scared by others people's behavior (31%), being pestered for money (31%) and having to leave home because of family arguments (27%). More than a third of women reporting three or more social health issues in pregnancy experienced high/very high postpartum psychological distress (35.6% versus 11.1% of women reporting no issues in pregnancy, Adjusted Odds Ratio = 5.4, 95% confidence interval 1.9-14.9).
conclusionsThe findings highlight unacceptably high rates of social health issues affecting Aboriginal women and families during pregnancy and high levels of associated postpartum psychological distress. In order to improve Aboriginal maternal and child health outcomes, there is an urgent need to combine high quality clinical care with a public health approach that gives priority to addressing modifiable social risk factors for poor health outcomes.
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