Chronic Stress and Preconception Health Among Latina Women in Metro Atlanta.

THERAPEUTIC use of folic acid; VITAMIN therapy; OBESITY; HEALTH services accessibility; CHRONIC diseases; HISPANIC Americans; RESEARCH methodology; EMOTIONAL trauma; HEALTH status indicators; HEALTH behavior; ALCOHOL drinking; DESCRIPTIVE statistics; RESEARCH funding; ATTITUDES toward pregnancy; PRENATAL care; SMOKING; ODDS ratio; LOGISTIC regression analysis; STATISTICAL models; PSYCHOLOGICAL stress; PRECONCEPTION care; WOMEN'S health; LONGITUDINAL method; EDINBURGH Postnatal Depression Scale

Background: Underserved subgroups are less likely to have optimal health prior to pregnancy. We describe preconception health indicators (behavior, pregnancy intention, and obesity) among pregnant Latina women with and without chronic stress in metro Atlanta. Design: We surveyed 110 pregnant Latina women enrolled in prenatal care at three clinics in Atlanta. The survey assessed chronic stress, pregnancy intention, preconception behavior changes (taking folic acid or prenatal vitamins, seeking healthcare advice, any reduction in smoking or drinking), and previous trauma. Results: Specific behaviors to improve health prior to pregnancy were uncommon (e.g., taking vitamins (25.5%) or improving nutrition (20.9%)). Just under half of women were experiencing a chronic stressor at the time of conception (49.5%). Chronically stressed women were more likely to be obese (aOR: 3.0 (1.2, 7.4)), less likely to intend their pregnancy (aOR: 0.3 (0.1, 0.7)), and possibly less likely to report any PHB (45.5% vs. 57.4%; aOR: 0.5 (0.2–1.1)). Conclusions: Chronically stress women were less likely to enter prenatal care with optimal health. However, preconception behaviors were uncommon overall. [ABSTRACT FROM AUTHOR]

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