Social support perceived by pregnant women in Santa Marta, Colombia: A comparative analysis
DOI:
https://doi.org/10.15649/cuidarte.2448Keywords:
Pregnancy Trimesters, Social Support, Affect, Comparative Study, ColombiaAbstract
Introduction: Perceived social support during gestation is important for perinatal mental health. However, little is known about these variables in the Colombian population. Objetive: To compare perceived social support with sociodemographic and gynaeco-obstetric variables and positive affect in pregnant women in Santa Marta, Colombia. Materials and Methods: Forty women between 19 and 41 years of age (M=26.48; SD=5.03), in their third trimester of pregnancy and beneficiaries of a program to promote exclusive breastfeeding, participated. The participants filled out a sociodemographic and gynaeco-obstetric form, the Multidimensional Scale of Perceived Social Support (MSPSS) (α=0.88), and a subscale of the Positive and Negative Affect Schedule (PANAS) (α=0.82). The Mann-Whitney U test was used for comparative statistical analyses. Ethical guidelines for human research were followed. Results: 67% of the participants belonged to a low socioeconomic status, 87.5% had a partner, 67.5% had a higher education, 42.5% were employed, and 47.5% were new mothers. Women of higher socioeconomic status perceived greater social support from their friends (p = 0.01). Family social support was significantly higher in first-time mothers (p=0.01) and mothers who reported higher positive affect (p = 0.03). Finally, social support from significant others was higher when it was the woman’s first pregnancy (p=0.02). Conclusions: Significant differences were found in some dimensions of perceived social support according to socioeconomic status, being a first-time mother, and positive affect. Further studies with larger sample sizes are recommended.
How to cite this article:Thomas-Hilarión Whitne Dayana, Fuentes-Vanegas Laura Vanessa, Gallo-Barrera Yeison David, Ramos-De la Cruz Ediltrudis. Apoyo social percibido por mujeres gestantes de Santa Marta, Colombia: un análisis comparativo. Revista Cuidarte. 2022;13(3):e2448. http://dx.doi.org/10.15649/cuidarte.2448
References
Kotlar B, Gerson E, Petrillo S, Langer A, Tiemeier H. The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review. Reprod Health. 2021; 18(1):10. https://doi.org/10.1186/s12978-021-01070-6
Rodríguez P, Flores R. Relación entre apoyo social, estrés, ansiedad y depresión durante el embarazo en una población mexicana. Ansiedad y estrés. 2018; 24(2–3):67–72. https://doi.org/10.1016/j.anyes.2018.03.003
Ohara M, Nakatochi M, Okada T, Aleksic B, Nakamura Y, Shiino T, et al. Impact of perceived rearing and social support on bonding failure and depression among mothers: A longitudinal study of pregnant women. J Psychiatr Res. 2018; 105:71–77. https://doi.org/10.1016/j.jpsychires.2018.09.001
Howard LM, Khalifeh H. Perinatal mental health: a review of progress and challenges. World Psychiatry. 2020; 19(3):313–27 https://doi.org/10.1002/wps.20769
Departamento Administrativo Nacional de Estadística. Nacimientos 2021 preliminar. DANE; 2021. https://www.dane.gov.co/index.php/estadisticas-por-tema/salud/nacimientos-y-defunciones/nacimientos/nacimientos-2021
Reyes AM, Akanyirige PW, Wishart D, Dahdouh R, Young MR, Estrada A, et al. Interventions addressing social needs in perinatal care: A systematic review. Health Equity. 2021; 5(1):100–118. https://doi.org/10.1089/heq.2020.0051
Baker B, Yang I. Social media as social support in pregnancy and the postpartum. Sex Reprod Healthc. 2018; 17:31–34. https://doi.org/10.1016/j.srhc.2018.05.003
Fernández-Lasarte O, Ramos-Díaz E, Axpe I. Rendimiento académico, apoyo social percibido e inteligencia emocional en la universidad. Eur J Investig Health Psychol Educ. 2019; 9(1):39 https://dialnet.unirioja.es/servlet/articulo?codigo=7109642
Leahy-Warren P, Newham J, Alderdice F. Perinatal social support: panacea or a pitfall. J Reprod Infant Psychol. 2018; 36(3):219–21. https://doi.org/10.1080/02646838.2018.1477242
Crespo A. Apoyo social recibido y percibido en adolescentes internas en un centro de rehabilitación. Arch Crim Crim Segur Priv. 2020; (25):31–53. https://dialnet.unirioja.es/servlet/articulo?codigo=7497228
Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988; 52(1):30–41.https://doi.org/10.1207/s15327752jpa5201_2
Barrera A, Neira-Cofré M, Raipán-Gómez P, Riquelme-Lobos P, Escobar B. Apoyo social percibido y factores sociodemográficos en relación con los síntomas de ansiedad, depresión y estrés en universitarios chilenos. Rev Psicopatol Psicol Clín. 2019; 24(2):105-115.https://doi.org/10.5944/rppc.23676
Emmanuel E, St John W, Sun J. Relationship between social support and quality of life in childbearing women during the perinatal period. J Obstet Gynecol Neonatal Nurs. 2012; 41(6):62-70.
https://doi.org/10.1111/j.1552-6909.2012.01400.x
Maleki-Saghooni N, Berez MA, Karimi FZ. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. J Matern Fetal Neonatal Med. 2020; 33(18):3097–3102. https://doi.org/10.1080/14767058.2019.1568986
Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, et al. Why invest, and what it will take to improve breastfeeding practices? Lancet. 2016;387(10017):491–504. https://doi.org/10.1016/S0140-6736(15)01044-2
Angley M, Divney A, Magriples U, Kershaw T. Social support, family functioning and parenting competence in adolescent parents. Matern Child Health J. 2015; 19(1):67–73. https://doi.org/10.1007/s10995-014-1496-x
Jonsdottir SS, Thome M, Steingrimsdottir T, Lydsdottir LB, Sigurdsson JF, Olafsdottir H, et al. Partner relationship, social support and perinatal distress among pregnant Icelandic women. Women and Birth. 2017; 30(1):e46–55. http://dx.doi.org/10.4321/S1134-928X2013000400005
Razurel C, Kaiser B. The role of satisfaction with social support on the psychological health of primiparous mothers in the perinatal period. Women Health. 2015; 55(2):167–186. https://doi.org/10.1080/03630242.2014.979969
Li Y, Long Z, Cao D, Cao F. Social support and depression across the perinatal period: A longitudinal study. J Clin Nurs. 2017; 26(17–18):2776–2783. https://doi.org/10.1111/jocn.13817
Reid KM, Taylor MG. Social support, stress, and maternal postpartum depression: A comparison of supportive relationships. Soc Sci Res. 2015; 54:246–262. https://doi.org/10.1016/j.ssresearch.2015.08.009
Ruydiaz KSG, Fernández SPA. Incertidumbre y apoyo social en gestantes con trastornos hipertensivos. Index Enferm. 2015; 24(1–2):67–70.http://dx.doi.org/10.4321/s1132-12962015000100015
Gale NK, Kenyon S, MacArthur C, Jolly K, Hope L. Synthetic social support: Theorizing lay health worker interventions. Soc Sci Med. 2018; 196:96–105. http://dx.doi.org/10.1016/j.socscimed.2017.11.012
Zamani P, Ziaie T, Lakeh NM, Leili EK. The correlation between perceived social support and childbirth experience in pregnant women. Midwifery. 2019; 75:146–51. http://dx.doi.org/10.1016/j.midw.2019.05.002
Rofé Y, Blittner MB, Lewin I. Emotional experiences during the three trimesters of pregnancy. J Clin Psychol. 1993; 49(1):3–12.https://doi.org/10.1002/1097-4679(199301)49:1<3::AID-JCLP2270490102>3.0.CO;2-A
Lotero H, Villa I, Torres L. Afectividad y Apoyo Social Percibido en Mujeres Gestantes: un Análisis Comparativo. Rev Colomb Psicol. 2018; 27(2):85–101. https://doi.org/10.15446/rcp.v27n2.65584
Watson D, Clark L, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Pers Soc Psychol. 1988; 54(6):1063–70. http://dx.doi.org/10.1037/0022-3514.54.6.1063
Bos SC, Macedo A, Marques M, Pereira AT, Maia BR, Soares MJ, et al. Is positive affect in pregnancy protective of postpartum depression? Rev Bras Psiquiatr. 2013; 35(1):5–12 https://doi.org/10.1016/j.rbp.2011.11.002
Suárez S, Gómez S. Apoyo social percibido, depresión y autoestima en adolescentes embarazadas de la comuna No. 6 madres FAMI del ICBF del distrito de Santa Marta, Colombia. Universidad del Magdalena; 2010. http://repositorio.unimagdalena.edu.co/handle/123456789/662
Borda MP, Forero C, Ahcar N, Hinestrosa C, Polo S, Staaden M, et al. Depresión y factores de riesgos asociados en embarazadas de 18 a 45 años asistentes al Hospital Niño Jesús en Barranquilla (Colombia). Salud Uninorte. 2013; 29(3):394–404. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-55522013000300007
Trejos-Herrera AM, Bahamón MJ, Alarcón-Vásquez Y, Vélez JI, Vinaccia S. Validity and reliability of the multidimensional scale of perceived social support in Colombian adolescents. Interv Psicosoc. 2018; 27(1):56–63. https://doi.org/10.5093/pi2018a1
Moriondo M, Palma P, Medrano L, Murillo P. Adaptación de la Escala de Afectividad Positiva y Negativa (PANAS) a la población de Adultos de la ciudad de Córdoba: Análisis Psicométricos Preliminares. Univ Psychol. 2011; 11(1):187–96. https://doi.org/10.11144/Javeriana.upsy11-1.aeap
Gallo-Barrera Y, Thomas-Hilarión W. Apoyo social percibido por mujeres gestantes de Santa Marta, Colombia. Mendeley Data. 2022.https://doi.org/10.17632/rwhp4fcwzg.1
Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951; 16(3):297–334.https://doi.org/10.1007/BF02310555
Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011; 2:53–5. https://dx.doi.org/10.5116%2Fijme.4dfb.8dfd
Shapiro SS, Wilk MB. An analysis of variance test for normality (complete samples). Biometrika. 1965; 52(3/4):591. https://doi.org/10.2307/2333709
Mann HB, Whitney DR. On a Test of Whether one of Two Random Variables is Stochastically Larger than the Other. Ann Math Stat. 1947; 18(1):50–60. https://doi.org/10.1214/aoms/1177730491
Levene H. Robust tests for equality of variances. En L Olkin y Hotelling H, eds. Contributions to probability and statistics. Essays in honor of Harold Hotelling. EE.UU.: Stanford University Press; 1960. p. 279-292.
Campbell MJ. Teaching non-parametric statistics to students in health sciences. Brasil: ICOTS; 2006.https://www.stat.auckland.ac.nz/~iase/publications/17/3F3_CAMP.pdf
Hart A. Mann-Whitney test is not just a test of medians: differences in spread can be important. BMJ. 2001; 323(7309):391-393. https://doi.org/10.1136/bmj.323.7309.391
World Medical Association. Ethical Principles for Medical Research Involving Human Subjects. JAMA. 2013; 310(20):2191-2195. https://doi.org/10.1001/jama.2013.281053
República de Colombia. Ministerio de Salud y Protección Social. Resolución 8430 de 1993 por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá: El Ministerio; 1993. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
Bedaso A, Adams J, Peng W, Sibbritt D. Prevalence and determinants of low social support during pregnancy among Australian women: a community-based cross-sectional study. Reprod Health. 2021; 18(1):158. https://pubmed.ncbi.nlm.nih.gov/34315486/#:~:text=Conclusion%3A%20The%20study%20revealed%20that,low%20social%20support%20during%20pregnancy
Hetherington E, McDonald S, Williamson T, Tough S. Trajectories of social support in pregnancy and early postpartum: findings from the All Our Families cohort. Soc Psychiatry Psychiatr Epidemiol. 2020; 55(2):259–67. https://doi.org/10.1007/s00127-019-01740-8
Azimi M, Fahami F, Mohamadirizi S. The relationship between perceived social support in the first pregnancy and fear of childbirth. Iran J Nurs Midwifery Res. 2018; 23(3):235-239. https://doi.org/10.4103/ijnmr.IJNMR_170_16
Agampodi Tc, Rheinländer T, Agampodi SB, Glozier N, Siribaddana S. Social capital and health during pregnancy; an in-depth exploration from rural Sri Lanka. Reprod Health. 2017; 14(1). https://doi.org/10.1186/s12978-017-0349-7
Abdollahpour S, Ramezani S, Khosravi A. Perceived Social Support among family in pregnant women. Int J Pediatr. 2015; 3(5.1):879–88.https://doi.org/10.22038/ijp.2015.4703
Shahry P, Kalhori SRN, Esfandiyari A, Zamani-Alavijeh F. A comparative study of perceived social support and self-efficacy among women with wanted and unwanted pregnancy. Int J Community Based Nurs Midwifery. 2016; 4(2):176–85. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4876786/
Eddy BP, Fife ST. Active husband involvement during pregnancy: A grounded theory. Fam Relat. 2020; 70(4): 1222-1237. https://doi.org/10.1111/fare.12486
Jin X, Xu X, Qiu J, Xu Z, Sun L, Wang Z, et al. Psychological resilience of second-pregnancy women in China: A cross-sectional study of influencing factors. Asian Nurs Res. 2021; 15(2):121-128. https://doi.org/10.1016/j.anr.2021.01.002
Racine N, Plamondon A, Hentges R, Tough S, Madigan S. Dynamic and bidirectional associations between maternal stress, anxiety, and social support: The critical role of partner and family support. J Affect Disord. 2019; 252:19–24. https://doi.org/10.1016/j.jad.2019.03.083
Wang Y, Yuan Z, Leng W, Xia L, Wang R, Li Z, et al. Role of perceived family support in psychological distress for pregnant women during the COVID-19 pandemic. World J Psychiatry. 2021; 11(7):365–74. https://doi.org/10.5498/wjp.v11.i7.365
Salvador J, Lechuga A, Terrones A, Martínez Y. Estudio comparativo de estresores y apoyo psicosocial en adolescentes embarazadas en cinco ciudades de la República Mexicana. Ansiedad y estrés. 2006; 12(1):31-43.https://dialnet.unirioja.es/servlet/articulo?codigo=2018970
Nakamura Y, Sato M, Watanabe I. Positive emotion and its changes during pregnancy: Adjunct study of japan environment and children’s study in Miyagi prefecture. Tohoku J Exp Med. 2018; 245(4):223–30.https://doi.org/10.1620/tjem.245.223
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