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学科主题: 临床医学
题名:
Optimism/pessimism and health-related quality of life during pregnancy across three continents: a matched cohort study in China, Ghana, and the United States
作者: Moyer, Cheryl A.1; Yang, Huixia2; Kwawukume, Yao3; Gupta, Anu1; Zhu, YuChun2; Koranteng, Isaac3; Elsayed, Yasmin1; Wei, YuMei2; Greene, Jonathan; Calhoun, Cecilia; Ekpo, Geraldine; Beems, Megan1; Ryan, Megan1; Adanu, Richard3; Anderson, Frank4
刊名: BMC PREGNANCY AND CHILDBIRTH
发表日期: 2009
DOI: 10.1186/1471-2393-9-39
卷: 9
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Obstetrics & Gynecology
研究领域[WOS]: Obstetrics & Gynecology
英文摘要:

Background: Little is known about how optimism/pessimism and health-related quality of life compare across cultures.

Methods: Three samples of pregnant women in their final trimester were recruited from China, Ghana, and the United States (U.S.). Participants completed a survey that included the Life Orientation Test - Revised (LOT-R, an optimism/pessimism measure), the Short Form 12 (SF-12, a quality of life measure), and questions addressing health and demographic factors. A three-country set was created for analysis by matching women on age, gestational age at enrollment, and number of previous pregnancies. Anovas with post-hoc pairwise comparisons were used to compare results across the cohorts. Multivariate regression analysis was used to create a model to identify those variables most strongly associated with optimism/pessimism.

Results: LOT-R scores varied significantly across cultures in these samples, with Ghanaian pregnant women being the most optimistic and least pessimistic and Chinese pregnant women being the least optimistic overall and the least pessimistic in subscale analysis. Four key variables predicted approximately 20% of the variance in overall optimism scores: country of origin (p = .006), working for money (p = .05); level of education (p = .002), and ever being treated for emotional issues with medication (p < .001). Quality of life scores also varied by country in these samples, with the most pronounced difference occurring in the vitality measure. U.S. pregnant women reported far lower vitality scores than both Chinese and Ghanaian pregnant women in our sample.

Conclusion: This research raises important questions regarding what it is about country of origin that so strongly influences optimism/pessimism among pregnant women. Further research is warranted exploring underlying conceptualization of optimism/pessimism and health related quality of life across countries.

语种: 英语
所属项目编号: T37 MD001425-08
项目资助者: National Center of Minority Health &amp ; Health Disparities, National Institutes of Health ; Global REACH, University of Michigan Medical School ; Department of Obstetrics and Gynecology at the University of Michigan Medical School ; Department of Obstetrics and Gynecology at the University of Ghana ; Department of Maternal/Fetal Medicine at Peking University First Hospita
WOS记录号: WOS:000208106900039
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/61936
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.Univ Michigan, Global REACH, Ann Arbor, MI 48104 USA
2.Peking Univ, Hosp 1, Dept Obstet & Gynecol, Beijing 100034, Peoples R China
3.Univ Ghana, Sch Med, Dept Obstet & Gynecol, Accra, Ghana
4.Univ Michigan, Sch Med, Dept Obstet & Gynecol, Ann Arbor, MI 48109 USA

Recommended Citation:
Moyer, Cheryl A.,Yang, Huixia,Kwawukume, Yao,et al. Optimism/pessimism and health-related quality of life during pregnancy across three continents: a matched cohort study in China, Ghana, and the United States[J]. BMC PREGNANCY AND CHILDBIRTH,2009,9.
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