Meta-Analyses of Predictors of Health Practices in Pregnant Women

2016 ◽  
Vol 40 (3) ◽  
pp. 425-446 ◽  
Author(s):  
Barbara L. Cannella ◽  
Adela Yarcheski ◽  
Noreen E. Mahon
Keyword(s):  
Pregnant Women ◽  
Meta Analysis ◽  
Health Practices ◽  
Inclusion Criteria ◽  
Maternal Fetal Attachment ◽  
Support Employment ◽  
The Mean ◽  
Fetal Attachment ◽  
Meta Analyses ◽  
Doctoral Dissertations

The aims of this study were to identify predictors of health practices of pregnant women in the literature reviewed, to use meta-analysis to ascertain the mean effect size (ES) across studies between each predictor and health practices, and to examine four moderators on each predictor–health practices relationship. Using preferred reporting items for systematic reviews and meta-analyses guidelines for the literature assessed, 32 published studies or doctoral dissertations completed between 1992 and 2015 met the inclusion criteria. Twelve predictors were identified, and each predictor in relation to health practices was subjected to meta-analysis. One predictor (maternal–fetal attachment) of health practices had a large ES, two predictors (depression and stress) had medium ESs, six predictors (income, education, parity, social support, employment, and age) had small ESs, and three predictors (gestational age, marital status, and race) had trivial ESs. Findings are interpreted relative to health practices in pregnant women.

scholarly journals Maternal-Fetal Attachment and Domestic Violence in Iranian and Afghan Pregnant Women: A Cross-Cultural Study

2020 ◽  
Author(s):  
Mahlagha Dehghan ◽  
Hakimeh Ferdosi ◽  
Faroukh Abazari ◽  
Jamileh Farokhzadian
Keyword(s):  
Domestic Violence ◽  
Pregnant Women ◽  
Inverse Correlation ◽  
Psychological Violence ◽  
Cross Sectional ◽  
Afghan Women ◽  
Maternal Fetal Attachment ◽  
Significant Difference ◽  
The Mean ◽  
Fetal Attachment

Abstract Background: Domestic violence against pregnant women is becoming more frequent and intense. Studies have shown that women who were under more physical and psychological violence experienced a lot of stress and depression and had less ability to communicate with their fetuses. International statistics show a high prevalence of violence against Afghan women and the communities migrated to Afghanistan. Therefore, the present study aimed to compare the maternal-fetal attachment and domestic violence between Iranian and Afghan pregnant women.Methods: This study has a descriptive-comparative cross-sectional design. The study population consisted of Iranian and Afghan pregnant women referred to Kerman Health Centers in 2018-2019. One hundred-forty-six Iranian pregnant women and 142 Afghan pregnant women were enrolled in the study by the quota sampling. Data collection tools were demographic and clinical information questionnaire, questionnaires of domestic violence against women, and maternal-fetal attachment scale. Results: The mean score of maternal-fetal attachment in Iranian and Afghan pregnant women was higher than the average. Also, scores of maternal-fetal attachment and its dimensions in Afghan pregnant women were significantly higher than that of Iranian pregnant women (P < 0.001). The mean score of domestic violence was low in Iranian and Afghan pregnant women. There was no significant difference between Iranian and Afghan pregnant women in the total score of domestic violence (P > 0.05). There was a significant inverse correlation between maternal-fetal attachment and domestic violence in Iranian pregnant women (P < 0.05). In Afghan pregnant women, there was a positive and significant correlation between maternal-fetal attachment and sexual violence in while there was a significant and reverse relationship between other dimensions of attachment and violence (P < 0.05).Conclusion: This study showed that the rate of violence in the studied populations was low, and maternal-fetal attachment rate is appropriate. The relationship between violence and mother-fetal attachment had a different pattern in Iranian and Afghan women. Therefore, further studies are needed to investigate the factors affecting maternal-fetal attachment, especially in Afghan women.

Parent and Friend Social Support and Adolescent Hope

2016 ◽  
Vol 26 (2) ◽  
pp. 224-240 ◽  
Author(s):  
Noreen E. Mahon ◽  
Adela Yarcheski
Keyword(s):  
Social Support ◽  
Health Status ◽  
Effect Size ◽  
School Nurses ◽  
Quality Score ◽  
Inclusion Criteria ◽  
Significant Difference ◽  
The Mean ◽  
Meta Analyses ◽  
Doctoral Dissertations

The purpose of this study was to conduct two meta-analyses. The first examined social support from parents in relation to adolescent hope, and the second examined social support from friends in relation to adolescent hope. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for the literature reviewed, nine published studies or doctoral dissertations completed between 1990 and 2014 met the inclusion criteria. Using meta-analytic techniques and the mean weighted r statistic, the results indicated that social support from friends had a stronger mean effect size (ES = .31) than social support from parents (ES = .21); there was a statistically significant difference between the two ESs. Two of the four moderators for the parent social support–adolescent hope relationship were statistically significant. They were quality score and health status. Implications for school nurses and nurses in all settings are addressed, and conclusions are drawn based on the findings.

A Systematic Review and Meta-analysis of the Outcome Expectancy Construct in Physical Activity Research

2021 ◽  
Author(s):  
Lauren Connell Bohlen ◽  
Jessica A Emerson ◽  
Ryan E Rhodes ◽  
David M Williams
Keyword(s):  
Physical Activity ◽  
Meta Analysis ◽  
Future Research ◽  
Inclusion Criteria ◽  
Perceived Weight ◽  
Bivariate Association ◽  
The Mean ◽  
Perceived Consequences ◽  
Affective Consequences ◽  
Meta Analyses

Abstract Background Cognition-based theories dominate physical activity (PA) research, and many include a construct broadly defined as “beliefs about the consequences of behavior” (e.g., outcome expectancies, perceived benefits) hereafter referred to as perceived consequences. Purpose With the quantity of available research on this topic, it is important to examine whether the literature supports perceived consequences as a predictor of PA. Methods A meta-analysis examining longitudinal associations between perceived consequences and PA in adults was conducted. Studies were eligible if (a) perceived consequences were measured at a time point prior to PA, and (b) the target behavior was a form of PA. An omnibus meta-analysis estimating the mean effect of all included studies, and separate meta-analyses for perceived consequences content categories were conducted. Results This search yielded 6,979 articles, of these, 110 studies met inclusion criteria. Studies were published between 1989 and 2020, with sample sizes ranging from 16 to 2,824. All studies were evaluated as moderate to high quality. A small positive bivariate association was identified (r = 0.11; 95% CI [0.09, 0.13]) between perceived consequences and PA. Significant associations were identified for time, health, self-evaluative, psychological, and affective consequences. There was no association between perceived weight-related consequences and PA. Conclusions The findings emphasize the variability with which existing studies have examined perceived consequences in the PA literature. Future research might examine whether these are important distinctions for understanding PA. Overall, the results suggest utility in examining perceived consequences as a predictor of PA, but constructs with more robust associations may require priority.

scholarly journals Is maternal exposure to childhood trauma associated with maternal-fetal attachment?

2020 ◽  
Vol 14 (2) ◽  
pp. 200-210
Author(s):  
Rafaelle Stark Stigger ◽  
Clarissa de Souza Ribeiro Martins ◽  
Mariana Bonati de Matos ◽  
Jéssica Puchalski Trettim ◽  
Gabriela Kurz da Cunha ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Transition To Parenthood ◽  
Emotional Neglect ◽  
Maternal Fetal Attachment ◽  
History Of ◽  
Physical Neglect ◽  
The Mean ◽  
Fetal Attachment

Adults with childhood maltreatment history can face a difficult experience in transitioning to parenthood. Women with a history of emotional neglect in childhood tend to experience problematic attachment. The study's aim was to evaluate the relationship between childhood trauma and maternal-fetal attachment in pregnant women in a population-based study in Southern Brazil. This is a longitudinal study with pregnant women who were interviewed in two moments: before 24-weeks of pregnancy and 60 days after the first interview. We used the Childhood Trauma Questionnaire and the Maternal-Fetal Attachment Scale. The mean of maternal-fetal attachment in the general sample was 99.8 (± 10.8). The mean of emotional neglect was 8.9 (± 4.7); physical neglect 6.7 (± 2.8); sexual abuse 5.9 (± 3.0); physical abuse 6.8 (± 3.1) and emotional abuse 8.0 (± 4.1). After adjusted analysis, we found that pregnant women who suffered emotional neglect had 0.4 points less on the average on the maternal-fetal attachment, β = -0.4, CI 95% [-0.6, -0.2], and pregnant women who suffered emotional abuse had 0.2 points less on the average on the maternal-fetal attachment, β = -0.2, CI 95% [-0.5, -0.0]. Only emotional neglect and emotional abuse were associated with maternal-fetal attachment. This study showed that a history of childhood trauma can have a negative impact during the prenatal period, and can impair maternal-fetal attachment. The data found can assist health professionals in identifying factors that can protect and contribute to pregnant women who were victims of childhood trauma to face the transition to parenthood in the best possible way.

Depression and Anxiety in Pregnancy during COVID-19: A Rapid Review and Meta-Analysis

2021 ◽  
Author(s):  
Lianne Tomfohr-Madsen ◽  
Gerald Giesbrecht ◽  
Catherine Lebel ◽  
Nicole Racine ◽  
Sheri Madigan
Keyword(s):  
Pregnant Women ◽  
Meta Analysis ◽  
Systematic Search ◽  
Rapid Review ◽  
Depression And Anxiety ◽  
Inclusion Criteria ◽  
Pooled Prevalence ◽  
Prevalence Of Depression ◽  
Meta Analyses ◽  
In Pregnancy

Objective: The present study rapidly reviewed and meta-analyzed the worldwide prevalence of depression and anxiety among pregnant women during the COVID-19 pandemic. Methods: A systematic search of the literature and meta-analyses were conducted. Results: Fifteen studies with 11,091 participants met inclusion criteria. Depression was assessed in 11 studies, with a pooled prevalence of .265 or 26.5% and anxiety in 12 studies, with a pooled prevalence of .335 or 33.5%. Conclusions: Rates of depression and anxiety during pregnancy are elevated during the pandemic. There is an urgent need to ensure screening and treatment for depression and anxiety during pregnancy.

scholarly journals Osteoarthritis, mobility-related comorbidities and mortality: an overview of meta-analyses

2020 ◽  
Vol 12 ◽  
pp. 1759720X2098121
Author(s):  
Gustavo Constantino de Campos ◽  
Raman Mundi ◽  
Craig Whittington ◽  
Marie-Josée Toutounji ◽  
Wilson Ngai ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Odds Ratio ◽  
Meta Analysis ◽  
Inclusion Criteria ◽  
Increased Risk ◽  
All Cause Mortality ◽  
Ischemic Attack ◽  
Meta Analyses ◽  
The Relationship ◽  
Related Mortality

Aims: The objective of this review was to examine the relationship between osteoarthritis (OA) and mobility-related comorbidities, specifically diabetes mellitus (DM) and cardiovascular disease (CVD). It also investigated the relationship between OA and mortality. Methods: An overview of meta-analyses was conducted by performing two targeted searches from inception to June 2020. The association between OA and (i) DM or CVD ( via PubMed and Embase); and (ii) mortality ( via PubMed) was investigated. Meta-analyses were selected if they included studies that examined adults with OA at any site and reported associations between OA and DM, CVD, or mortality. Evidence was synthesized qualitatively. Results: Six meta-analyses met inclusion criteria. One meta-analysis of 20 studies demonstrated a statistically significant association between OA and DM, with pooled odds ratio of 1.41 (95% confidence interval: 1.21, 1.65; n = 1,040,175 patients). One meta-analysis of 15 studies demonstrated significantly increased risk of CVD among OA patients, with a pooled risk ratio of 1.24 (1.12, 1.37, n = 358,944 patients). Stratified by type of CVD, OA was shown to be associated with increased heart failure (HF) and ischemic heart disease (IHD) and reduced transient ischemic attack (TIA). There was no association reported for stroke or myocardial infarction (MI). Three meta-analyses did not find a significant association between OA (any site) and all-cause mortality. However, OA was found to be significantly associated with cardiovascular-related death across two meta-analyses. Conclusion: The identified meta-analyses reported significantly increased risk of both DM and CVD (particularly, HF and IHD) among OA patients. It was not possible to confirm consistent directional or causal relationships. OA was found to be associated with increased mortality, but mostly in relation to CVD-related mortality, suggesting that further study is warranted in this area.

scholarly journals Maternal-fetal attachment and perceived parental bonds of pregnant women

2021 ◽  
Vol 154 ◽  
pp. 105310
Author(s):  
Kathreim Macedo da Rosa ◽  
Carolina Coelho Scholl ◽  
Lidiane Aguiar Ferreira ◽  
Jéssica Puchalski Trettim ◽  
Gabriela Kurz da Cunha ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Maternal Fetal Attachment ◽  
Parental Bonds ◽  
Fetal Attachment

scholarly journals The Intergenerational Effects of Intimate Partner Violence in Pregnancy: Mediating Pathways and Implications for Prevention

2018 ◽  
Vol 21 (5) ◽  
pp. 964-976 ◽  
Author(s):  
Aja Louise Murray ◽  
Daniela Kaiser ◽  
Sara Valdebenito ◽  
Claire Hughes ◽  
Adriana Baban ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Child Outcomes ◽  
Intimate Partner ◽  
Care Utilization ◽  
Maternal Fetal Attachment ◽  
Fetal Attachment ◽  
Meta Analyses ◽  
Mediating Pathways

Prenatal intimate partner violence (P-IPV) can have significant adverse impacts on both mother and fetus. Existing P-IPV interventions focus on the safety of the mother and on reducing revictimization; yet expanding these to address the adverse impact on the fetus has considerable potential for preventing long-term negative developmental outcomes. In this review, we draw together evidence on major pathways linking exposure to P-IPV and child outcomes, arguing that these pathways represent potential targets to improve P-IPV intervention efforts. Using a narrative review of 112 articles, we discuss candidate pathways linking P-IPV to child outcomes, as well as their implications for intervention. Articles were identified via key word searches of social science and medical databases and by inspection of reference lists of the most relevant articles, including recent reviews and meta-analyses. Articles were included if they addressed issues relevant to understanding the effects of P-IPV on child outcomes via six core pathways: maternal stress and mental illness, maternal–fetal attachment, maternal substance use, maternal nutritional intake, maternal antenatal health-care utilization, and infection. We also included articles relevant for linking these pathways to P-IPV interventions. We conclude that developing comprehensive P-IPV interventions that target immediate risk to the mother as well as long-term child outcomes via the candidate mediating pathways identified have significant potential to help reduce the global burden of P-IPV.

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