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Optimism/pessimism and health-related quality of life during pregnancy across three continents: a matched cohort study in China, Ghana, and the United States
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
2009
DOI10.1186/1471-2393-9-39
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
WOS记录号WOS:000208106900039
项目编号T37 MD001425-08
资助机构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
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被引频次:6[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/61936
专题北京大学第一临床医学院
北京大学第一临床医学院_妇产科
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
推荐引用方式
GB/T 7714
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.
APA Moyer, Cheryl A..,Yang, Huixia.,Kwawukume, Yao.,Gupta, Anu.,Zhu, YuChun.,...&Anderson, Frank.(2009).Optimism/pessimism and health-related quality of life during pregnancy across three continents: a matched cohort study in China, Ghana, and the United States.BMC PREGNANCY AND CHILDBIRTH,9.
MLA Moyer, Cheryl A.,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".BMC PREGNANCY AND CHILDBIRTH 9(2009).
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