Predictive Model of Quality of Life among Thai Pregnant Teenagers
Keywords:
Depression, Domestic violence, Health literacy, Pregnancy, Quality of life, Social support, Stressful life events, TeenagersAbstract
Pregnancy among teenagers is a major public health problem worldwide. Traditionally, they have been considered a risk group, individuals having both physical health and psychological problems, with fewer social connections, low learning and educational achievement, and a poor quality of life. The goal of this cross-sectional study was to test a predictive model of quality of life among pregnant teens. This predictive model of quality of life included 449 Thai pregnant teenagers who received pre-natal care in four provincial hospitals and four community hospitals in northeast Thailand. Data were collected using the Social Support Measure, the Social Readjustment Rating Scale, the Abuse Assessment Screen, the Center for epidemiologic Studies Depression Scale, the Health Literacy Measure, and the Thai version of World Health Organization Quality of Life questionnaire. A structural equation model was used to analyze all factors’ relationships in the model and how they affect to quality of life.
Results indicated that the modified Model of Quality of Life among Thai Pregnant Teenagers fitted the data well and could explain 68% of variance of quality of life. In addition, social support, depression, and health literacy had a direct effect on quality of life. Meanwhile, social support had an indirect effect on quality of life, mediated through depression and health literacy of the pregnant teenager. Thus, nursing interventions should aim to reduce depression and to improve social support and health literacy for a better quality of life for these teenagers.
References
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34. Ownby RL, Acevedo A, Jacobs RJ, Caballero J, Valverde DW. Quality of life, health status, and health service utilization related to a new measure of health literacy: Fostering Literacy for Good Health Today (FLIGHT) and Vive Desarollando Amplia Salud (VIDAS). Patient Education and Counseling. 2014; 96: 404-410.
35. Stice E, Ragan J, Randall P. Prospective relations between social support and depression: Differential direction of effects for parent and peer support? Journal of Abnormal Psychology. 2004; 113: 155–159.
36. Brown JD, Harris SK, Woods ER, Cox JE. Longitudinal study of depressive symptoms and social support in adolescent mothers. Maternal Child Health J. 2012; 16(4): 894-901.
37. Setse R, Grogan R, Pham L, Cooper LA, Strobino D, Powe NR, Nicholson W. Longitudinal study of depressive symptoms and health-related quality of life during pregnancy and after delivery: the Health Status in Pregnancy (HIP) study. Maternal Child Health J. 2009; 13(5): 577-587.
38. Jayasinghe UW, Harris MF, Parker SM, Litt J, van Driel M, Mazza D, et al. The impact of health literacy and life style risk factors on health-related quality of life of Australian patients. Health and Quality of Life Outcomes. 2016; 14: 68.
39. Gonzalez-Chica DJ, Mnisi Z, Avery J, Duszynski K, Doust J, Tideman P, et al. Effect of health literacy on quality of life amongst patients with ischaemic heart disease in Australian general practice. PLoS ONE. 2016: 11(3).
2. Hamilton BE, Mathews MS. Continued declines in teen births in the United States, 2015. NCHS data brief, no 259. Hyattsville, MD: National Center for Health Statistics. 2016.
3. Bunyarit S. Thailand adolescent birth rate: Trend and related indicators. Thai Journal of Obstereics and Gynecology. 2014; 22: 15-21.
4. Tasdermir S, Balci E, Gunay O. Comparison of life quality of pregnancy adolescents with that of pregnant adults in Turkey. Journal of Medical Sciences. 2010; 115: 275-281.
5. Chareoesan P, Doundee K, Poonperm R. The Quality of life among pregnant women who received antenatal care at Phramongklao Hospital. Journal of The Royal Thai Army Nurses. 2012;13(3): 47-59.
6. Lacasse A, Rey E, Ferreira E, Morin C, Berard A. Nausea and vomiting of pregnancy: What about quality of life? BJOG: An International Journal of Obstetrics and Gynecology. 2008; 115(2): 1484-93.
7. Calou C, Pinheiro A, Castro R, de Oliveira M, de Souza AP, Antezana F. Health related quality of life of pregnant women and associated factors: An integrative review. Health. 2014; 6: 2375-2387.
8. Abbaszadeh F, Atrian MK, Alavi NM, Bagheri A, Sadat Z, Karimian Z. Relationship between quality of life and depression in pregnant women. Nursing and midwifery studies. 2013; 2(2): 193-197.
9. National Collaborating Center for Mental Health. Antenatal and postnatal mental health: the NICE guideline on clinical management and service guidance. The British Psychological Society and the Royal College of Psychiatrists. 2016.
10. Kasak R, Serisathien Y, Bangpichet A. Factors predicting depression in adolescent pregnant women. Journal Nursing Sciences. 2013; 31(2): 38-48.
11. Walton MA, Resko S, Whiteside L, Chermack ST, Zimmerman M, Cunningham RM. Sexual risk behaviors among teen at an urban emergency department: Relationship with violent behaviors and substance use. Journal of Adolescent health. 2011; 48(3): 303-305.
12. Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal of Obstetrics and Gynecology. 2010; 5-14.
13. Phillips J, Vandenbroek P. Domestic, family and sexual violence in Australia: And overview of the issues. Parliament of Australia. 2014.
14. Yilma, EB, Kucuk EE. Unplanned and risk pregnancy, domestic violence and psychosocial health status of pregnant women in North- East Turkey. International Journal of Caring Sciences. 2015; 8(3): 585- 595.
15. Divney AA, Sipsma H, Gordon D, Niccolai L, Magriples U, Kershaw T. Depression during pregnancy among young couples: The effect of personal and partner experiences of stressors and the buffering effects of social relationships. Journal of Pediatrics and Adolescent Gynecology. 2012; 25(3): 201-207.
16. Kim TH, Connolly JA, Tamim H. The effect of social support around pregnancy on postpartum depression among Canadian teen mothers and adult mothers in the maternity experiences survey. BMC Pregnancy Childbirth. 2014; 14.
17. Pires R, Araújo-Pedrosa A, Canavarro M. Examining the links between perceived impact of pregnancy, depressive symptoms, and quality of life during adolescent pregnancy: The buffering role of social support. Maternal Child Health Journal. 2014; 18: 789–800.
18. Bennett IM, Frasso R, Bellamy S, Wortham S, Gross K. Pre-teen literacy and subsequent teenage childbearing in a US population. Contraception. 2013; 87(4): 459-464.
19. Jayasinghe UW, Harris MF, Parker SM, Litt J, Driel MV, Mazza D. et al. The impact of health literacy and life style risk factors on health-related quality of life of Australian patients. Health and Quality of Life Outcomes. 2016; 11(3):1-15.
20. Smith SA, Moore EJ. Health literacy and depression in the context of home visitation. Matern Child Health J. 2012; 16: 1500-1508.
21. Bronfenbrenner U, Ceci S. Nature-nurture reconceptualized in developmental perspective: A bioecological model. Psychological Review. 1994; 101: 568-586.
22. Marlowe ET, Kersrin OF. Child and adolescent development. Journal of Personality and Social Psychology. 2014; Vol.32(5): 9407.
23. House JS. The nature of social support. In M. A. Reading (Ed.), Work stress and social support. Philadelphia: Addison-Wesley Publishing Company; 1981.
24. Hair J, Black B, Babin B, Anderson R, Tatham R. Multivariate data analysis (6th edition). Upper Saddle River (NJ): Prentice-Hall; 2006.
25. Lawang RM. Kapital sosial dalam perspektif sosiologik: Suatu pengantar. Depok: FISIP-UI Press; 2004. (Bahasa Indonesian)
26. Holmes TH, Rahe RH. The social readjustment rating scale. Journal of psychosomatic research. 1967; 11(2): 213-218.
27. McFarlane J, Parker B, Soeken K, Bullock, L. Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care. JAMA. 1996; 267: 3176-8.
28. Tsai AC, Tomlinson M, Comulada WS, Rotheram-Borus MJ. Intimate partner violence and depression symptom severity among South African women during pregnancy and postpartum: Population-based prospective cohort study. 2015; PLos Med, 13(1): e1001943. doi:10.1371/ journal pmed. 1001943.
29. Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977; 1(3): 385-401.
30. Trangkasombat U, Larpboonsarp V, Haranond P. CES-D as a careen for depression in adolescents. J Psychiatr Assoc Thailand. 1997;42(1):2-13.
31. Nutbeam D. Defining and measuring health literacy: What can we learn from literacy studies? International Journal of Public Health. 2010; 54(5): 303-305.
32. Muthen LK, Muthen BO. Mplus: The comprehensive modeling program for applied researchers user’s guide, version 5.21. Los Anglos, CA; Muthen & Muthen: 2008.
33. Ferguson LA, Pawlak R. Health literacy: The road to improved health outcomes. The Journal for Nurse Practitioners. 2011; 7: 123-129.
34. Ownby RL, Acevedo A, Jacobs RJ, Caballero J, Valverde DW. Quality of life, health status, and health service utilization related to a new measure of health literacy: Fostering Literacy for Good Health Today (FLIGHT) and Vive Desarollando Amplia Salud (VIDAS). Patient Education and Counseling. 2014; 96: 404-410.
35. Stice E, Ragan J, Randall P. Prospective relations between social support and depression: Differential direction of effects for parent and peer support? Journal of Abnormal Psychology. 2004; 113: 155–159.
36. Brown JD, Harris SK, Woods ER, Cox JE. Longitudinal study of depressive symptoms and social support in adolescent mothers. Maternal Child Health J. 2012; 16(4): 894-901.
37. Setse R, Grogan R, Pham L, Cooper LA, Strobino D, Powe NR, Nicholson W. Longitudinal study of depressive symptoms and health-related quality of life during pregnancy and after delivery: the Health Status in Pregnancy (HIP) study. Maternal Child Health J. 2009; 13(5): 577-587.
38. Jayasinghe UW, Harris MF, Parker SM, Litt J, van Driel M, Mazza D, et al. The impact of health literacy and life style risk factors on health-related quality of life of Australian patients. Health and Quality of Life Outcomes. 2016; 14: 68.
39. Gonzalez-Chica DJ, Mnisi Z, Avery J, Duszynski K, Doust J, Tideman P, et al. Effect of health literacy on quality of life amongst patients with ischaemic heart disease in Australian general practice. PLoS ONE. 2016: 11(3).
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2018-01-01
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Jantacumma N, Powwattana A, Lagampan S, Chansatitporn N. Predictive Model of Quality of Life among Thai Pregnant Teenagers. PRIJNR [Internet]. 2018 Jan. 1 [cited 2024 Nov. 22];22(1):30-42. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/86391
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