Skip to main content

Table 2 Association of Stressful Life Events and Social Support with Preterm Birth, NBDPS, 2006–2011

From: Periconceptional stressors and social support and risk for adverse birth outcomes

Exposures

Total

(N = 4134)

Early Preterm (N = 38)

ARRa (95% CI)

Late Preterm (N = 266)

ARRa (95% CI)

No.

No. (row %)

No. (row %)

Stressful life eventsb

 Relationship difficulties

  No

3432

27 (0.8)

Referent

211 (6.1)

Referent

  Yes

702

11 (1.6)

1.9 (0.9,3.9)

55 (7.8)

1.2 (0.8,1.6)

 Legal/financial problems

  No

3577

31 (0.9)

Referent

220 (6.2)

Referent

  Yes

557

7 (1.3)

1.5 (0.6,3.4)

46 (8.3)

1.2 (0.9,1.7)

 Violence/crime

  No

3843

36 (0.9)

Referent

237 (6.2)

Referent

  Yes

291

2 (0.7)

NC

29 (10.0)

1.5 (1.0,2.2)

 Illness/injury

  No

3550

32 (0.9)

Referent

224 (6.3)

Referent

  Yes

584

6 (1.0)

1.1 (0.4,2.6)

42 (7.2)

1.2 (0.8,1.6)

 Death of someone close

  No

3509

34 (1.0)

Referent

221 (6.3)

Referent

  Yes

625

4 (0.6)

0.6 (0.2,1.6)

45 (7.2)

1.1 (0.8,1.5)

 Changed jobs

  No

3111

29 (0.9)

Referent

199 (6.4)

Referent

  Yes

1023

9 (0.9)

0.9 (0.4,1.9)

67 (6.5)

1.0 (0.7,1.3)

 Moved

  No

3429

30 (0.9)

Referent

210 (6.1)

Referent

  Yes

705

8 (1.1)

1.1 (0.5,2.5)

56 (7.9)

1.2 (0.9,1.7)

Feelings of nervousness and stress

 Never or almost never

1181

8 (0.7)

0.9 (0.4,2.3)

65 (5.5)

0.9 (0.6,1.2)

 Sometimes

1728

13 (0.8)

Referent

108 (6.3)

Referent

 Somewhat or very often

1225

17 (1.4)

2.0 (1.0,4.1)

93 (7.6)

1.2 (0.9,1.6)

Stress indexc

 Low stress (0–3)

3934

36 (0.9)

Referent

246 (6.3)

Referent

 High stress (4–7)

200

2 (1.0)

NC

20 (10.0)

1.4 (0.9,2.3)

Social supportb

 Emotional support

 No

505

7 (1.4)

Referent

38 (7.5)

Referent

 Yes

3629

31 (0.9)

0.7 (0.3,1.7)

228 (6.3)

1.0 (0.7,1.4)

 Financial support

  No

601

7 (1.2)

Referent

42 (7.0)

Referent

  Yes

3533

31 (0.9)

0.8 (0.3,2.0)

224 (6.3)

1.1 (0.8,1.5)

 Help with daily tasks

  No

573

5 (0.9)

Referent

40 (7.0)

Referent

  Yes

3561

33 (0.9)

1.2 (0.4,3.1)

226 (6.3)

1.0 (0.7,1.5)

Social support indexc

 Low support (0–2)

984

13 (1.3)

Referent

71 (7.2)

Referent

 High support (3)

3150

25 (0.8)

0.7 (0.3,1.4)

195 (6.2)

1.0 (0.7,1.3)

Stress and social support combinedd

 Low stress, high support

3039

24 (0.8)

Referent

185 (6.1)

Referent

 High stress, high support

111

1 (0.9)

NC

10 (9.0)

1.3 (0.7,2.5)

 Low stress, low support

895

12 (1.3)

1.5 (0.7,3.2)

61 (6.8)

1.0 (0.7,1.3)

 High stress, low support

89

1 (1.1)

NC

10 (11.2)

1.5 (0.8,3.0)

  1. Abbreviations: ARR adjusted relative risk, CI confidence interval, NC not calculated
  2. a Relative risks were adjusted for maternal race/ethnicity, age, parity, education, prepregnancy body mass index (kg/m2), smoking, alcohol use, and intake of folic acid-containing supplements from the month before pregnancy through the first trimester of pregnancy
  3. b Complete questions can be found in Appendix A
  4. c Indices reflect the number of questions that had a “yes” response
  5. d Women were designated as having low stress if the stressful life events index score was 0–3 and as having high stress if it was 4–7. Women were designated as having low social support if the social support index score was 0–2 and as having high support if it was 3