Correlates of lifetime trauma exposure among pregnant women from Cape Town, South Africa.

Journal: International journal of mental health and addiction

Volume: 13

Issue: 3

Year of Publication: 

Affiliated Institutions:  Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town, South Africa; Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. UNC Horizons Program, Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, USA; Departments of Psychiatry and Behavioral Sciences and Obstetrics and Gynecology, School of Medicine, Johns Hopkins University, Baltimore, USA. RTI International, Research Triangle Park, Raleigh, North Carolina, USA. Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town, South Africa. RTI International, Research Triangle Park, Raleigh, North Carolina, USA; Gillings Global School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA; Psychology in the Public Interest, North Carolina State University, North Carolina, USA; Psychiatry and Behavioral Sciences, Duke University School of Medicine, North Carolina, USA.

Abstract summary 

A cross-sectional survey of 298 pregnant women from Cape Town, South Africa was conducted to examine socio-demographic, reproductive health, mental health, and relationship correlates of lifetime trauma exposure and whether these correlates vary as a function of age. Overall, 19.8% of participants reported trauma exposure. We found similarities and differences in correlates of trauma exposure among women in emerging adulthood and older women. Prior termination of pregnancy was associated with trauma exposure in both age groups. Difficulties in resolving arguments, lifetime substance use, and a prior sexually transmitted infection were associated with trauma exposure among women in emerging adulthood. In contrast, depression and awareness of substance abuse treatment programmes were associated with trauma exposure among older women. These findings highlight the need for interventions that prevent and treat trauma exposure among vulnerable women. Such interventions should be tailored to address the correlates of trauma exposure in each age group.

Authors & Co-authors:  Myers Bronwyn B Jones Hendrée E HE Doherty Irene A IA Kline Tracy L TL Key Mary E ME Johnson Kim K Wechsberg Wendee M WM

Study Outcome 

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Citations :  Andersen S, Teicher MH. Desperately driven and no brakes: developmental stress exposure and subsequent risk for substance abuse. Neuroscience and Biobehavioral Reviews. 2009;33:516–524.
Authors :  7
Identifiers
Doi : 
SSN : 1557-1874
Study Population
Women
Mesh Terms
Other Terms
South Africa;Trauma exposure;emerging adulthood;mental health;pregnant women
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
United States