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040			_cMANILA TYTANA COLLEGES LIBRARY
100			_aWilson, Barbara L.
245	0		_aExploring the psychosocial predictors of gestational diabetes and birth weight / _cBarbara L. Wilson, Jane M. Dyer, Gwen Latendresse, Bob Wong, Laurie Baksh
260			_cNovember-December 2015.
336			_atext
337			_aunmediated
338			_avolume
440			_aJournal of Obstetric, Gynecologic & Neonatal Nursing _n44 : 6, page 760-771
520			_a"Objective To determine the best sociodemographic and behavioral predictors for gestational diabetes mellitus (GDM) and birth weight (BW) and whether stress, depression, or abuse influences GDM and BW after controlling for sociodemographic variables. Design Retrospective correlational. Setting Utah Pregnancy Risk Monitoring System and birth certificate data. Participants We analyzed data from the birth certificates of 4,682 women with live births between 2009 and 2011 in Utah. During that time, a total of 143,373 live births occurred in the state. Data were predominantly from non-Hispanic White, married, or partnered women with average age of 27.5 years and average body mass index (BMI) of 25.1. Methods Stress, cumulative depression, and abuse were operationalized based on previous analysis, and control and covariate data (e.g., age, BMI, race, ethnicity, education, marital status) were collected. Bivariate analysis was used to identify associations between variables, and a hierarchical stepwise logistical regression was conducted to identify best predictors of GDM and BW. Results We did not find that cumulative depression, stress, or abuse was a predictor of GDM, and only cumulative stress was a predictor of BW. More incidences of GDM were observed in women who were poor, older, less educated, non-White, obese, or experienced depression during pregnancy. Conclusions Unlike depression or abuse, stress is often overlooked by providers. This finding represents an unmet opportunity for nurses to screen for and assist women with stressors to positively affect birth weight."
521			_aNursing
650			_aDiabetes in pregnancy.
650			_aBirth weight..
650			_aDepression in women.
650			_aPregnancy _xComplications.
942			_cA _2lcc
998			_c80466 _d138829
999			_c77467 _d77467