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Preterm birth in the United States: The impact of stressful life events prior to conception and maternal age

Author

Listed:
  • Witt, W.P.
  • Cheng, E.R.
  • Wisk, L.E.
  • Litzelman, K.
  • Chatterjee, D.
  • Mandell, K.
  • Wakeel, F.

Abstract

Objectives. We determined whether and to what extent a woman's exposure to stressful life events prior to conception (PSLEs) was associated with preterm birth and whether maternal age modified this relationship. Methods. We examined 9350 mothers and infants participating in the first wave of the Early Childhood Longitudinal Study, Birth Cohort, a nationally representative sample of US women and children born in 2001, to investigate the impact of PSLEs on preterm birth in the United States. We estimated the effect of exposure on pretermbirthwithweighted logistic regression, adjusting formaternal sociodemographic and health factors and stress during pregnancy. Results. Of the women examined, 10.9% had a preterm birth. In adjusted analyses, women aged 15 to 19 years who experienced any PSLE had over a 4-fold increased risk for having a preterm birth. This association differed on the basis of the timing of the PSLE. Conclusions. Findings suggest that adolescence may be a sensitive period for the risk of preterm birth among adolescents exposed to PSLEs. Clinical, programmatic, and policy interventions should address upstream PSLEs, especially for adolescents, to reduce the prevalence of preterm birth and improve maternal and child health.

Suggested Citation

  • Witt, W.P. & Cheng, E.R. & Wisk, L.E. & Litzelman, K. & Chatterjee, D. & Mandell, K. & Wakeel, F., 2014. "Preterm birth in the United States: The impact of stressful life events prior to conception and maternal age," American Journal of Public Health, American Public Health Association, vol. 104(S1), pages 73-80.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301688_4
    DOI: 10.2105/AJPH.2013.301688
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    Cited by:

    1. Paula Braveman & Katherine Heck & Susan Egerter & Tyan Parker Dominguez & Christine Rinki & Kristen S Marchi & Michael Curtis, 2017. "Worry about racial discrimination: A missing piece of the puzzle of Black-White disparities in preterm birth?," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-17, October.
    2. Keshia Reid & Miles Taylor, 2015. "Stress and Maternal Postpartum Depression: The Importance of Stress Type and Timing," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 34(6), pages 851-875, December.
    3. Jennifer B. Kane & Claire Margerison-Zilko, 2017. "Theoretical Insights into Preconception Social Conditions and Perinatal Health: The Role of Place and Social Relationships," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(5), pages 639-669, October.

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