SOCIOCULTURAL FACTORS IN PUERPERAL INFECTIOUS MORBIDITY AMONG NAVAJO WOMEN
| Autor: | Marguerite Lewis, William H.J Haffner, H. Robert Harrison, Catherine Schaefer, W. Thomas Boyce, Anne L. Wright |
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| Rok vydání: | 1989 |
| Předmět: |
Adult
Fetal Membranes Premature Rupture medicine.medical_specialty Adolescent Epidemiology New Mexico Chlamydia trachomatis Prenatal care Disease Mycoplasma hominis medicine.disease_cause Social support Pregnancy Risk Factors medicine Humans Mycoplasma Infections biology business.industry Obstetrics Chlamydia Infections medicine.disease biology.organism_classification Surgery Parity Socioeconomic Factors Cultural Deprivation Indians North American Puerperal Infection Female Endometritis Epidemiologic Methods business Psychosocial |
| Zdroj: | American Journal of Epidemiology. 129:604-615 |
| ISSN: | 1476-6256 0002-9262 |
| DOI: | 10.1093/oxfordjournals.aje.a115173 |
| Popis: | From 1980 to 1982, a sample of 968 pregnant Navajo women in New Mexico was enrolled in a prospective study of biologic and sociocultural factors in puerperal infectious morbidity. Past studies have independently implicated both genital infection and psychosocial stressors in perinatal complications, but, to the authors' knowledge, no previous work has concurrently investigated the interactive effects of genital pathogens and psychosocial processes. Endocervical cultures for Mycoplasma hominis and Chlamydia trachomatis were obtained during prenatal visits, and structured interviews were conducted assessing social support and the degree of cultural traditionality, in this context a proxy measure of acculturative stress. The incidences of postpartum fever, endometritis, and premature rupture of membranes were significantly associated with the concurrence of two factors: the presence of genital tract M. hominis and a highly traditional cultural orientation. When demographic and conventional obstetric risk factors were controlled for, women with both M. hominis and high traditionality experienced infectious complications at a rate twice that of women with either factor alone. Among the plausible explanations for this result is the possibility that acculturative stress undermines physiologic resistance to infectious genital tract disease. |
| Databáze: | OpenAIRE |
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