Effects of spirituality and psychosocial well-being on health risk behaviors in Appalachian pregnant women

D. Elizabeth Jesse, Pamela G Reed

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Objective: To determine the relationships of spirituality and psychosocial well-being to health risk behaviors in pregnant Appalachian women. Method: Descriptive study of 120 women between 16 and 28 weeks of pregnancy. The instruments used were the Spiritual Perspective Scale and religiosity items from the Jarel Well-Being Scale. Psychosocial well-being was measured by the Prenatal Psychosocial Profile. Four items measured health risk behaviors. Results: Higher levels of spirituality (spiritual perspective and religiosity) were significantly correlated with greater satisfaction with social support, higher levels of self-esteem, and decreased levels of smoking. Sociodemographic, psychosocial, and spiritual variables explained 25% of the variance in frequency of smoking, and in the logistic regression analysis, psychosocial stress was the only variable that significantly predicted substance use. Conclusion: Higher levels of spirituality and lower levels of stress are associated with decreased health risk behaviors among pregnant women from Appalachia. Increasing spiritual resources and decreasing stress during pregnancy offer the potential to improve health promotion efforts in pregnancy with women from Appalachia.

Original languageEnglish (US)
Pages (from-to)739-747
Number of pages9
JournalJOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
Volume33
Issue number6
DOIs
StatePublished - Nov 2004

Fingerprint

Appalachian Region
Risk-Taking
Pregnant Women
Pregnancy
Health
Smoking
Health Promotion
Self Concept
Social Support
Logistic Models
Regression Analysis

Keywords

  • Appalachia
  • Health risk behaviors
  • Pregnancy
  • Psychosocial well-being
  • Religiosity
  • Spirituality
  • Stress

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

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abstract = "Objective: To determine the relationships of spirituality and psychosocial well-being to health risk behaviors in pregnant Appalachian women. Method: Descriptive study of 120 women between 16 and 28 weeks of pregnancy. The instruments used were the Spiritual Perspective Scale and religiosity items from the Jarel Well-Being Scale. Psychosocial well-being was measured by the Prenatal Psychosocial Profile. Four items measured health risk behaviors. Results: Higher levels of spirituality (spiritual perspective and religiosity) were significantly correlated with greater satisfaction with social support, higher levels of self-esteem, and decreased levels of smoking. Sociodemographic, psychosocial, and spiritual variables explained 25{\%} of the variance in frequency of smoking, and in the logistic regression analysis, psychosocial stress was the only variable that significantly predicted substance use. Conclusion: Higher levels of spirituality and lower levels of stress are associated with decreased health risk behaviors among pregnant women from Appalachia. Increasing spiritual resources and decreasing stress during pregnancy offer the potential to improve health promotion efforts in pregnancy with women from Appalachia.",
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