Perceived Financial Satisfaction, Health Related Quality of Life and depressive Symptoms in Early Pregnancy

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http://hdl.handle.net/10138/237248

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Sahrakorpi , N , Koivusalo , S B , Eriksson , J G , Kautiainen , H , Stach-Lempinen , B & Roine , R P 2017 , ' Perceived Financial Satisfaction, Health Related Quality of Life and depressive Symptoms in Early Pregnancy ' , Maternal and Child Health Journal , vol. 21 , no. 7 , pp. 1493-1499 . https://doi.org/10.1007/s10995-017-2271-6

Title: Perceived Financial Satisfaction, Health Related Quality of Life and depressive Symptoms in Early Pregnancy
Author: Sahrakorpi, Niina; Koivusalo, Saila B.; Eriksson, Johan G.; Kautiainen, Hannu; Stach-Lempinen, Beata; Roine, Risto P.
Contributor: University of Helsinki, Department of Obstetrics and Gynecology
University of Helsinki, University of Helsinki
University of Helsinki, University of Helsinki
University of Helsinki, HYKS erva
University of Helsinki, University of Helsinki
Date: 2017-07
Language: eng
Number of pages: 7
Belongs to series: Maternal and Child Health Journal
ISSN: 1092-7875
URI: http://hdl.handle.net/10138/237248
Abstract: Objectives To assess the associations of perceived financial satisfaction and health-related quality of life (HRQoL) and depressive symptoms in an unselected pregnant population in early pregnancy. Methods 750 consecutive pregnant women attending the first communal ultrasound examination before gestational week 14 were invited to participate. Questionnaires assessing HRQoL (15D), depressive symptoms (Edinburgh Depression Scale, EPDS), medical, obstetric, and socioeconomic status were handed out. The participants were divided into three groups according to their satisfaction with their financial status, (unsatisfied, somewhat satisfied, and satisfied). Main outcome measures were 15D and EPDS-scores and dimensions of HRQoL. Results 325 (43,3%) questionnaires were returned. The mean 15D-score for HRQoL was 0,926 (SD 0,056). The financially unsatisfied women had lower HRQoL than women in more satisfied groups (0.906, 0.923 and 0.931, p = 0.012). The result remained significant, even after adjusting for age and education(p = 0.032). The unsatisfied women had a higher mean body mass index (BMI) (25.4, 24.4 and 23.2 kg/m(2), p for linearity = 0.002), were more often smokers, (13 vs. 4 and 3%, p = 0.029), and had experienced at least one abortion (18, 14 and 7%, p = 0.017). Dimensions of depression, distress and sleep explained the differences between the groups. 27% of unsatisfied women scored EPDS ae10 points suggesting increased risk of depression. Conclusions Financial satisfaction in early pregnancy associates with HRQoL and risk of perinatal depressive symptoms. Unsatisfied women more often have risk factors for unfavourable pregnancy outcomes which may influence the later health and wellbeing of the mother and child.
Subject: Pregnancy
HRQoL
Financial satisfaction
Depressive symptoms
SELF-RATED HEALTH
POSTNATAL DEPRESSION
MATERNAL HEALTH
SCOTTISH MEN
INEQUALITIES
DISPARITIES
DISTRESS
DISEASE
MOTHERS
WOMEN
3142 Public health care science, environmental and occupational health
3123 Gynaecology and paediatrics
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