Women with Adverse Pregnancy Outcomes Have Higher Odds of Midlife Stroke: The Population Assessment of Tobacco and Health Study
| Autor: | Rindcy Davis, Ronald J. Wapner, Natalie A. Bello, Eliza C. Miller, Sarah E. Tom, Alexander M. Friedman, Mitchell S.V. Elkind |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
medicine.medical_specialty Placenta Population Disease Odds Preeclampsia Pregnancy Epidemiology Tobacco Medicine Humans Pregnancy outcomes education Stroke education.field_of_study business.industry Obstetrics Infant Newborn Pregnancy Outcome General Medicine Original Articles Middle Aged medicine.disease Cross-Sectional Studies Premature Birth Female business |
| Zdroj: | J Womens Health (Larchmt) |
| Popis: | BACKGROUND: A history of adverse pregnancy outcomes (APOs) is associated with increased risk of future cardiovascular disease, including stroke. Few large U.S. population-based surveys included data on APOs. METHODS: The Population Assessment of Tobacco and Health study is a nationally representative survey of 45,971 U.S. respondents. Female respondents ≥50 years old who reported pregnancy history at the 2013–2014 baseline interview were included in this cross-sectional analysis (n = 3,175; weighted n = 35,783,619). The primary exposure was a history of ≥1 APO, including preterm delivery, low birth weight, preeclampsia, placental abruption, and stillbirth. The primary outcomes were (1) stroke before age 60 and (2) any stroke. We used weighted logistic regression models to estimate odds ratios (OR) and 95% confidence intervals (95% CI) for the association between APO and stroke, adjusting for age, race/ethnicity, socioeconomic status, parity, and vascular risk factors. RESULTS: Among stroke-free respondents, 15% reported ≥1 APO. Among women who reported a stroke before age 60, 39% reported ≥1 APO (p |
| Databáze: | OpenAIRE |
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