Perceived social support and women’s empowerment and their associations with pregnancy experiences in anxious women: a study from urban Pakistan

Autor: Abid Malik, Soim Park, Sidra Mumtaz, Armaan Rowther, Shaffaq Zulfiqar, Jamie Perin, Ahmed Zaidi, Najia Atif, Atif Rahman, Pamela J. Surkan
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Matern Child Health J
Popis: OBJECTIVES: Maternal psychological distress is associated with adverse postnatal outcomes. We aimed to identify how social support and women’s empowerment are associated with pregnancy-specific daily experiences among women suffering antenatal anxiety in Pakistan. METHODS: Data were collected as part of a randomized controlled trial of a psychosocial intervention for antenatal anxiety in a tertiary hospital in Pakistan. We included 594 women in early pregnancy (≤22 weeks) who endorsed mild to severe anxiety symptoms. Linear regression models were used to analyze the associations of perceived social support and women’s empowerment in relation to pregnancy-specific daily hassles and uplifts using a culturally adapted and psychometrically validated version of the Pregnancy Experience Scale-Brief. RESULTS: High social support was positively associated with frequency and intensity of positive pregnancy-specific experiences (B=0.39, 95% CI: 0.23–0.54 uplifts frequency; and B=0.17, 95% CI: 0.12–0.22 uplifts intensity), and was inversely associated with frequency of negative pregnancy-specific experiences (B=−0.44, 95% CI: −0.66, −0.22). Women’s household empowerment was associated with greater uplifts frequency and intensity (B=0.55, 95% CI: 0.20–0.90 frequency; and B=0.28, 95% CI: 0.17–0.40 intensity). High social support and household empowerment were inversely related to PES hassle-to-uplift ratio scores. CONCLUSIONS FOR PRACTICE: Greater social support and household empowerment were associated with positive pregnancy-specific experiences in the context of antenatal anxiety in Pakistan.
Databáze: OpenAIRE