Titre :
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Psychosocial factors and preterm birth among African American and white women in Central North Carolina. (2004)
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Auteurs :
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Nancy DOLE ;
Pierre BUEKENS ;
Irva HERTZ-PICCIOTTO ;
Michael-J MCMAHON ;
David-A SAVITZ ;
Anna-Maria SIEGA-RIZ ;
University of North Carolina. School of Public Health. Department of Epidemiology. Chapel Hill. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 94, n° 8, 2004)
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Pagination :
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1358-1365
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Langues:
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Anglais
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Mots-clés :
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Grossesse
;
Prématurité
;
Naissance
;
Femme
;
Homme
;
Femme enceinte
;
Etats Unis
;
Amérique
;
Etude comparée
;
Facteur psychosocial
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS Tnr3R0x1. Diffusion soumise à autorisation]. Objectives : We assessed associations between psychosocial factors and preterm birth, stratified by race in a prospective cohort study. Methods : We surveyed 1898 women who used university and public health prenatal clinics regarding various psychosocial factors. Results : African Americans were at higher risk of preterm birth if they used distancing from problems as a coping mechanism or reported racial discrimination. Whites were at higher risk if they had high counts of negative life events or were not living with a partner. The association of pregnancy-related anxiety with preterm birth weakened when medical comorbidities were taken into account. No association with preterm birth was found for depression, general social support, or church attendance. Conclusions : Some associations between psychosocial variables and preterm birth differed by race.
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