Evidence map›Paper›PMID 31994297›Full record

ArticleStress and health : journal of the International Society for the Investigation of Stress2020

Associations between lifetime stress exposure and prenatal health behaviors.

Teresa Smith, Elaina Johns-Wolfe, Grant S Shields, Jennifer Malat, Farrah Jacquez, George M Slavich

Abstract readMulticenter Study
In one paragraph

Article in Stress and health : journal of the International Society for the Investigation of Stress, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Article
  2. Lifetime stressor exposure is related to suicidality in autistic adults: A multinational study.Autism : the international journal of research and practice · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Lifetime and perceived stress, social support, loneliness, and health in autistic adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
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

6 authors.

Teresa SmithDepartment of Psychology, University of Cincinnati, Cincinnati, Ohio.ORCID https://orcid.org/0000-0003-0569-4948
Elaina Johns-WolfeDepartment of Sociology, University of Cincinnati, Cincinnati, Ohio.
Grant S ShieldsCenter for Mind and Brain, University of California, Davis, California.
Jennifer MalatOffice of the Dean, University of Cincinnati, Cincinnati, Ohio.
Farrah JacquezDepartment of Psychology, University of Cincinnati, Cincinnati, Ohio.
George M SlavichCousins Center for Psychoneuroimmunology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California.ORCID https://orcid.org/0000-0001-5710-3818

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
Neural, Inflammatory, and Genomic Mechanisms Underlying Risk for Depression in AdolescenceK08MH103443 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SLAVICH, GEORGE MICHAEL · 2015 to 2018
$772k
George Slavich was supported by a Society in Science-Branco Weiss Fellowship, NARSAD Young Investigator 23958Institutional Clinical and Translational Science Award, and National Institutes of Health/National Center for Research Resources 5UL1RR026314-03NCRR NIH HHS UL1 RR026314NIH HHS K08 MH103443NIMH NIH HHS K08 MH103443This study was supported by March of Dimes 134267 \ 22-FY14-470
6 · The paper itself

Abstract

Prenatal health behaviors can strongly influence risk of poor pregnancy birth outcomes. Although stress has been implicated in structuring the likelihood that individuals will engage in various prenatal health behavior patterns, no studies to date have examined life stress exposure occurring across the entire lifespan, and few have investigated how different types of stressors are comparatively associated with these outcomes. To address these issues, we interviewed 164 women at one of two large Midwestern, urban hospitals after delivering their first infant. We used the Stress and Adversity Inventory (STRAIN) to assess women's lifetime stress exposure severity and ordinary least squares regression models to examine associations between participants' life stress exposure and prenatal health behaviors. As hypothesized, greater lifetime stress exposure was associated with engaging in more negative prenatal health behaviors and fewer positive prenatal health behaviors while controlling for relevant sociodemographic factors and current perceived stress levels. These effects were stronger for negative versus positive health behaviors, and they differed substantially as a function of stressor type, exposure timing, and primary life domain. Stressors occurring over the life course thus have negative consequences for prenatal health behaviors, but these effects are not uniform across different types of life stress exposure.

Indexed as

Health BehaviorLife Change EventsMaternal ExposureAdolescentAdultFemaleHumansModels, PsychologicalPregnancyPregnancy OutcomeRegression AnalysisStress, PsychologicalYoung Adult

Identifiers

PMID31994297
PMCPMC7384940

What OpenQuestion holds

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Registered trials

None linked

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.