Evidence map›Paper›PMID 40181318›Full record

ArticleBMC public health2025

Maternal health disparities linked to stressful life events: a cross-sectional study of industrialized Italian cities.

Esha Bansal, Alessandra Patrono, Stefano Renzetti, Roberto G Lucchini, Yueh-Hsiu Mathilda Chiu, Michele Conversano, Miriana Montemurro, Deborah Bruno, Carmen Franco, Augusto Giorgino and 4 more

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Esha BansalDepartment of Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, United States. esha.bansal@pennmedicine.upenn.edu.
Alessandra PatronoDepartment of Molecular and Translational Medicine, University of Brescia, Viale Europa 11, Brescia, 25121, Italy.
Stefano RenzettiDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11. 25121, Brescia, Italy.
Roberto G LucchiniDepartment of Environmental Health Sciences, College of Public Health and Social Work, Florida International University Robert Stempel, 11200 SW 8th St #500, Miami, FL, 33174, United States.
Yueh-Hsiu Mathilda ChiuDepartment of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, New York, NY, 10029, United States.
Michele ConversanoDepartment of Prevention, Azienda Sanitaria Locale of Taranto, Viale Virgilio 31, Taranto, 74121, Italy.
Miriana MontemurroDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11. 25121, Brescia, Italy.
Deborah BrunoDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11. 25121, Brescia, Italy.
Carmen FrancoDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11. 25121, Brescia, Italy.
Augusto GiorginoDepartment of Prevention, Azienda Sanitaria Locale of Taranto, Viale Virgilio 31, Taranto, 74121, Italy.
Giuseppa CagnaDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11. 25121, Brescia, Italy.
Chiara FedrighiDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11. 25121, Brescia, Italy.
Maurizio MemoDepartment of Molecular and Translational Medicine, University of Brescia, Viale Europa 11, Brescia, 25121, Italy.
Donatella PlacidiDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11. 25121, Brescia, Italy.

Funding

University of Brescia, Health & Wealth Program UNBSCLE 9015
6 · The paper itself

Abstract

backgroundUnderstanding the impact of family life stressors on maternal health is crucial, particularly in highly industrialized areas. This study assessed the validity of an Italian-language version of the Crisis in Family Systems-Revised (CRISYS-R) survey in Northern and Southern Italian cohorts.

methodsMothers (n = 252) completed an Italian version of CRISYS-R, translated from English using the forward-backward method. At least 14 days after initial survey completion, a random subset of mothers (n = 44) retook CRISYS-R. Information about family demographics, socioeconomic status, and maternal health were collected by self-report on structured surveys. Statistical analyses were performed in R.

resultsTest-retest analysis yielded a Pearson coefficient of 0.714 (Brescia: 0.845, Taranto: 0.726). Cronbach's alpha coefficient for internal consistency was 0.765 (Brescia: 0.718, Taranto: 0.784). In multivariable regression, the total number of stressors reported on the initial CRISYS-R test was positively associated with: poor maternal mental health (p < 0.001), poor maternal physical health (p < 0.01), and residence in Southern rather than Northern Italy (p = 0.02). Univariate correlations yielded similar results, plus a negative correlation between annual family income and total life stressors (p < 0.05).

conclusionsStatistical analyses support the validity and reliability of an Italian-language CRISYS-R in industrialized areas, while highlighting relationships between family stress and maternal mental and physical health. This survey instrument has the potential to inform public health policies and interventions serving families in Italian-speaking areas with high burdens of industrial pollution.

Indexed as

Health Status DisparitiesLife Change EventsMaternal HealthMothersStress, PsychologicalAdultCitiesCross-Sectional StudiesFemaleHumansItalyReproducibility of ResultsSurveys and QuestionnairesYoung AdultCrisis in family systemsEnvironmental pollutionFamily healthItalyMaternal mental healthPsychological determinants of healthPublic health practiceSocial determinants of healthWomen’s health

Identifiers

PMID40181318
PMCPMC11969740

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LicenceCC BY-NC-ND
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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.