ArticleBMC psychiatry2024
Factors associated with stress among pregnant women with a second child in Hunan province under China's two-child policy: a mixed-method study.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 12 citations in OpenAlex.
- Analysis of adverse pregnancy outcomes among pregnant women in Hunan Province from 2015 to 2023: Incidence, temporal trends, and risk factors.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026Article
- Factors Associated with Pregnancy Stress in High-Risk Pregnant Women Before Invasive Prenatal Diagnosis: A Cross-Sectional Study.International journal of women's health · 2026Article
- Cultural Perceptions and Emotional Well-Being Among Married Women with Polycystic Ovary Syndrome Experiencing Fertility Difficulties in Southern Punjab, Pakistan: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Impact of socio-economic, demographic and cultural factors on the development of children's mental health: a cross-sectional study in Bangladesh.Discover mental health · 2025Article
- Evaluation and dynamic evolution of maternal and child health services in township health centers in ethnic minority areas of Guangxi, China.Primary health care research & development · 2025Article
- Determinants of child physical health development in Bangladesh: a study of key socioeconomic and cultural influences.BMC public health · 2025Article
- The relationship between pregnancy stress and antepartum depression in Chinese pregnant women: the mediating effect of social support and maternal health literacy.Frontiers in psychiatry · 2025Article
- Association between food insecurity and mental health outcomes among a convenient sample of Lebanese pregnant women.PloS one · 2025Article
- The association between subjective socioeconomic status and depressive symptoms in women of reproductive age: the chain mediating effects of marital satisfaction and well-being.Frontiers in psychology · 2025Article
- Psychometric properties of the perceived stress scale (PSS-10) among pregnant women in China.Frontiers in psychiatry · 2024Article
- Oral Health Knowledge, Attitudes, and Practices among Pregnant Women in Routine Prenatal Care in South China: A Cross-Sectional Survey.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryArticle
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveThe purpose of the study was to investigate the status of pregnancy stress and to explore factors associated with pregnancy stress among women by China's two-child policy.
methodsA mixed-method study involving both quantitative and qualitative methods was conducted using questionnaires and semi-structured interviews. The questionnaires encompassed socio-demographic and obstetric characteristics, as well as the Pregnancy Stress Rating Scale (PSRS) and the Social Support Rating Scale (SSRS). Initially, the participants were required to complete the questionnaires, enabling us to assess their respective pregnancy stress statuses. Subsequently, we selectively interviewed pregnant women with a second child and exhibited at least mild pregnancy stress. The qualitative study sought to uncover the factors contributing to their stress during pregnancy.
resultsA total of 463 subjects were enrolled; of the subjects, 22 (4.8%) had no stress, 407 (87.9%) had mild stress, 34 (7.3%) had moderate stress. Generalized linear regression analysis revealed significant factors (P<0.05) related to pregnancy stress, including family financial burden, subjective support, fertility desire, gender of the first child, and gender preference. Additionally, 16 subjects were interviewed, and through analysis, three major themes emerged, each comprising 12 sub-themes associated with pregnancy stress. These themes were identified as fertility factors (worry about maternal and child health, birth experience, and parenting stress), family factors ( financial burden, second child care problems, first child's acceptance of the second child, family concerns, fertility desire, and gender preference) and social factors (involving life events, career development and workload).
conclusionThe diver factors contribute to pregnancy stress among pregnant women under China's two-child policy. Our study could be used to develop appropriate interventions to reduce pregnancy stress and to enhance the mental health of women pregnant with a second child.
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