IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0282582.html
   My bibliography  Save this article

Individual and collective contribution of antenatal psychosocial distress conditions and preterm birth in Pakistani women

Author

Listed:
  • Sharifa Lalani
  • Shahirose Sadrudin Premji
  • Kiran Shaikh
  • Salima Sulaiman
  • Ilona S Yim
  • Ntonghanwah Forcheh
  • Neelofur Babar
  • Sidrah Nausheen
  • Nicole Letourneau
  • the Maternal-infant Global Health Team (MiGHT) Collaborators in Research

Abstract

Background: We determined whether dimensions of psychosocial distress during pregnancy individually and collectively predicted preterm birth (PTB) in Pakistani women as it may be misleading to extrapolate results from literature predominantly conducted in high-income countries. Methods: This cohort study included 1603 women recruited from four Aga Khan Hospital for Women and Children in Sindh, Pakistan. The primary binary outcome of PTB (i.e., livebirth before 37 completed weeks’ gestation) was regressed on self-reported symptoms of anxiety (Pregnancy-Related Anxiety (PRA) Scale and Spielberger State-Trait Anxiety Inventory Form Y-1), depression (Edinburgh Perinatal Depression Scale (EPDS)), and covariates such as chronic stress (Perceived Stress Scale) assessed with standardized question and scales with established language equivalency (Sindhi and Urdu). Results: All 1603 births occurred between 24 and 43 completed weeks’ gestation. PRA was a stronger predictor of PTB than other types of antenatal psychosocial distress conditions. Chronic stress had no effect on the strength of association between PRA and PTB and a slight but non-significant effect on depression. A planned pregnancy significantly lowered risk of PTB among women who experienced PRA. Aggregate antenatal psychosocial distress did not improve model prediction over PRA. Conclusions: Like studies in high-income countries, PRA became a strong predictor of PTB when considering interactive effects of whether the current pregnancy was planned. Women’s resilience and abilities to make sexual and reproductive health decisions are important to integrate in future research. Findings should be generalized with caution as socio-cultural context is a likely effect modifier. We did not consider protective/strength-oriented factors, such as resilience among women.

Suggested Citation

  • Sharifa Lalani & Shahirose Sadrudin Premji & Kiran Shaikh & Salima Sulaiman & Ilona S Yim & Ntonghanwah Forcheh & Neelofur Babar & Sidrah Nausheen & Nicole Letourneau & the Maternal-infant Global Heal, 2023. "Individual and collective contribution of antenatal psychosocial distress conditions and preterm birth in Pakistani women," PLOS ONE, Public Library of Science, vol. 18(3), pages 1-21, March.
    • Handle: RePEc:plo:pone00:0282582
    DOI: 10.1371/journal.pone.0282582
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0282582
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0282582&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0282582?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Nafisa Insan & Anthony Weke & Simon Forrest & Judith Rankin, 2022. "Social determinants of antenatal depression and anxiety among women in South Asia: A systematic review & meta-analysis," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-25, February.
    2. Hamparsum Bozdogan, 1987. "Model selection and Akaike's Information Criterion (AIC): The general theory and its analytical extensions," Psychometrika, Springer;The Psychometric Society, vol. 52(3), pages 345-370, September.
    3. Denton, Margaret & Prus, Steven & Walters, Vivienne, 2004. "Gender differences in health: a Canadian study of the psychosocial, structural and behavioural determinants of health," Social Science & Medicine, Elsevier, vol. 58(12), pages 2585-2600, June.
    4. repec:plo:pone00:0191002 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chang, Yi-Han & Chang, Shu-Sen & Lu, Jui-fen Rachel & Chiang, Tung-liang, 2025. "Socio-demographic, family, and health-related predictors of maternal mental health trajectories during eight years postpartum in a national cohort of 17,886 mothers in Taiwan," Social Science & Medicine, Elsevier, vol. 373(C).
    2. repec:plo:pone00:0178915 is not listed on IDEAS
    3. Ioana Gutu & Daniela Tatiana Agheorghiesei & Alexandru Tugui, 2023. "Assessment of a Workforce Sustainability Tool through Leadership and Digitalization," IJERPH, MDPI, vol. 20(2), pages 1-30, January.
    4. Daniela Andreini & Diego Rinallo & Giuseppe Pedeliento & Mara Bergamaschi, 2017. "Brands and Religion in the Secularized Marketplace and Workplace: Insights from the Case of an Italian Hospital Renamed After a Roman Catholic Pope," Journal of Business Ethics, Springer, vol. 141(3), pages 529-550, March.
    5. Clémence Kieny & Gabriela Flores & Jürgen Maurer, 2021. "Assessing and decomposing gender differences in evaluative and emotional well-being among older adults in the developing world," Review of Economics of the Household, Springer, vol. 19(1), pages 189-221, March.
    6. S. A. Abu Bakar & Saralees Nadarajah & Z. A. Absl Kamarul Adzhar, 2018. "Loss modeling using Burr mixtures," Empirical Economics, Springer, vol. 54(4), pages 1503-1516, June.
    7. Byrd, T. A. & Marshall, T. E., 1997. "Relating information technology investment to organizational performance: a causal model analysis," Omega, Elsevier, vol. 25(1), pages 43-56, February.
    8. Gyeong-Suk Jeon & Sung-Il Cho & Kyungwon Choi & Kwang-Sim Jang, 2019. "Gender Differences in the Prevalence and Correlates of Elder Abuse in a Community-Dwelling Older Population in Korea," IJERPH, MDPI, vol. 16(1), pages 1-13, January.
    9. Herbert Hoijtink & Meinte Vollema, 2003. "Contemporary Extensions of the Rasch Model," Quality & Quantity: International Journal of Methodology, Springer, vol. 37(3), pages 263-276, August.
    10. Jaewoong Yun, 2023. "Strategies for Improving the Sustainability of Fare-Free Policy for the Elderly through Preferences by Travel Modes," Sustainability, MDPI, vol. 15(20), pages 1-14, October.
    11. Malerba, Martino E. & Connolly, Sean R. & Heimann, Kirsten, 2015. "An experimentally validated nitrate–ammonium–phytoplankton model including effects of starvation length and ammonium inhibition on nitrate uptake," Ecological Modelling, Elsevier, vol. 317(C), pages 30-40.
    12. Kyungwon Choi & Gyeong-Suk Jeon & Kwang-Sim Jang, 2020. "Gender Differences in the Impact of Intergenerational Support on Depressive Symptoms among Older Adults in Korea," IJERPH, MDPI, vol. 17(12), pages 1-13, June.
    13. Fritzell, Sara & Ringbäck Weitoft, Gunilla & Fritzell, Johan & Burström, Bo, 2007. "From macro to micro: The health of Swedish lone mothers during changing economic and social circumstances," Social Science & Medicine, Elsevier, vol. 65(12), pages 2474-2488, December.
    14. Lee, Chioun & Ryff, Carol D., 2016. "Early parenthood as a link between childhood disadvantage and adult heart problems: A gender-based approach," Social Science & Medicine, Elsevier, vol. 171(C), pages 58-66.
    15. Aline Riboli Marasca & Maurício Scopel Hoffmann & Anelise Reis Gaya & Denise Ruschel Bandeira, 2021. "Subjective Well-Being and Psychopathology Symptoms: Mental Health Profiles and their Relations with Academic Achievement in Brazilian Children," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 14(3), pages 1121-1137, June.
    16. Kirsi Talala & Taina Huurre & Hillevi Aro & Tuija Martelin & Ritva Prättälä, 2008. "Socio-demographic Differences in Self-reported Psychological Distress Among 25- to 64-Year-Old Finns," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 86(2), pages 323-335, April.
    17. Orfila, Francesc & Ferrer, Montserrat & Lamarca, Rosa & Tebe, Cristian & Domingo-Salvany, Antonia & Alonso, Jordi, 2006. "Gender differences in health-related quality of life among the elderly: The role of objective functional capacity and chronic conditions," Social Science & Medicine, Elsevier, vol. 63(9), pages 2367-2380, November.
    18. Friederike Paetz, 2016. "Persönlichkeitsmerkmale als Segmentierungsvariablen: Eine empirische Studie [Personality traits for market segmentation: An empirical study]," Schmalenbach Journal of Business Research, Springer, vol. 68(3), pages 279-306, August.
    19. Emre Demirkaya & Yang Feng & Pallavi Basu & Jinchi Lv, 2022. "Large-scale model selection in misspecified generalized linear models [Information theory and an extension of the maximum likelihood principle]," Biometrika, Biometrika Trust, vol. 109(1), pages 123-136.
    20. Rosbergen, Edward & Wedel, Michel & Pieters, Rik, 1997. "Analyzing visual attention tot repeated print advertising using scanpath theory," Research Report 97B32, University of Groningen, Research Institute SOM (Systems, Organisations and Management).
    21. Fabio Ferretti & Andrea Pozza & Maurilio Pallassini & Lorenzo Righi & Fulvia Marini & Sabrina Adami & Anna Coluccia, 2019. "Gender invariance of dignity in non-terminal elderly patients with chronic diseases: a multicentric study," Quality & Quantity: International Journal of Methodology, Springer, vol. 53(3), pages 1645-1656, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0282582. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.