Evidence map›Paper›PMID 29600473›Full record

ArticleMaternal and child health journal2018

Psychosocial Stress and Preterm Birth: The Impact of Parity and Race.

Sarahn Wheeler, Pamela Maxson, Tracy Truong, Geeta Swamy

Abstract read
PubMed Publisher
In one paragraph

Article in Maternal and child health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Review
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  8. Article
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  10. Social distancing and extremely preterm births in the initial COVID-19 pandemic period.Journal of perinatology : official journal of the California Perinatal Association · 2024
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  16. Maternal perceived stress and the increased risk of preterm birth in a majority non-Hispanic Black pregnancy cohort.Journal of perinatology : official journal of the California Perinatal Association · 2022
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  17. Life stressors, hypertensive disorders of pregnancy, and preterm birth.Journal of psychosomatic obstetrics and gynaecology · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sarahn WheelerDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University School of Medicine, DUMC Box 3967, Durham, NC, 27710, USA. sarahn.wheeler@duke.edu.ORCID http://orcid.org/0000-0001-8384-3721
Pamela MaxsonClinical and Translational Science Institute, Duke University School of Medicine, Durham, NC, USA.
Tracy TruongDepartment of Biostatistics and Bioinformatics, Biostatistics Core, Duke University of Medicine, Durham, NC, USA.
Geeta SwamyDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University School of Medicine, DUMC Box 3967, Durham, NC, 27710, USA.

Funding

National Institutes of Health 5P2O- RR020782-O3U.S. Environmental Protection Agency RD-83329301-0
6 · The paper itself

Abstract

Objectives Studies examining risk factors for preterm birth (PTB) such as psychosocial stress are often focused on women with a history of PTB; however, most preterm babies are born to women with no history of preterm birth. Our objective was to determine if the relationship between psychosocial stress and PTB is altered by parity. Non-Hispanic black (NHB) women have increased psychosocial stress and PTB; therefore, we further aimed to determine if race alters the relationship between psychosocial stress, parity, and PTB. Methods We performed a secondary analysis of the Healthy Pregnancy, Healthy Baby Study comparing pregnant women who were primiparous (first pregnancy), multiparous with history of preterm birth, or multiparous with history of term birth. Perceived stress, perceived racism, interpersonal support, John Henryism and self-efficacy were measured using validated instruments. Logistic regression was used to model the effect of psychosocial stress on PTB stratified by parity and race. Results The analysis entire cohort included 1606 subjects, 426 were primiparous, 268 had a history of presterm birth, and 912 had a history of term birth. In women with a history of term birth, higher self-efficacy was associated with lower odds of spontaneous PTB, and this association was amplified in NHB women. In women with a history of spontaneous PTB, John Henryism Active Coping was associated with lower odds of spontaneous PTB in the index pregnancy. Conclusions for Practice The relationship between psychosocial stress and PTB may be mediated by parity and race.

Indexed as

ParityAdultEthnicityFemaleHumansInfant, PrematurePregnancyPremature BirthRacial GroupsSocial SupportStress, PsychologicalParityPreterm birthPsychosocial stressRace

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.