Abstract：
BACKGROUND: High-risk pregnancies require increased health and care resources to reduce the severe perinatal consequences. The adoption of a health-promoting lifestyle and social determinants is an important strategy for achieving the desired outcomes of pregnancy. This study aimed to compare intermediate determinants of social health in low and high-risk pregnant women.
METHODS: This unmatched case-control study was performed with a ratio of 1: 2 and 300 pregnant women including 200 healthy and 100 pregnant women with gestational hypertension were included using the available sampling technique. Data were collected using socio-demographic and obstetrics, Health-promoting behaviors, Self-efficacy, Perceived stress, and Social support questionnaires by the self-report method.
RESULTS: There was no significant difference in the demographic characteristics between the two groups, except for the spouse\'s education status. The total score of health-promoting behaviors and social support in the healthy group was significantly higher than women with gestational hypertension. However, the perceived stress in women with gestational hypertension was significantly higher than in the healthy group. In the multivariate analysis, those women with high stress [AOR 1.13, 95% CI (1.08-1.18)] and whose Spouse\'s Educational status was low [AOR 4.94, 95% CI (1.54-15.81)] had higher odds of gestational hypertension than women who haven\'t respectively. The development of gestational hypertension was decreased by increasing the score of social support [AOR 0.96, 95% CI (0.93-0.98)]. The results showed that the two variables of social support (β=0.331) and self-efficacy (β=0.215) have the greatest impact on the score of health-promotion behaviors, respectively. Based on regression analysis, 21.2% of the health-promotion behaviors changes could be explained by three independent variables.
CONCLUSIONS: Women with gestational hypertension have unhealthier lifestyles. Having a high level of stress is a risk factor for gestational hypertension but Social support has a protective effect on it. Recognizing the risk factors of gestational hypertension could help the determination of high-risk cases and it is important to pay attention to women\'s psychosocial to create appropriate sources of social support and provide the necessary action to reduce stress.
METHODS: This unmatched case-control study was performed with a ratio of 1: 2 and 300 pregnant women including 200 healthy and 100 pregnant women with gestational hypertension were included using the available sampling technique. Data were collected using socio-demographic and obstetrics, Health-promoting behaviors, Self-efficacy, Perceived stress, and Social support questionnaires by the self-report method.
RESULTS: There was no significant difference in the demographic characteristics between the two groups, except for the spouse\'s education status. The total score of health-promoting behaviors and social support in the healthy group was significantly higher than women with gestational hypertension. However, the perceived stress in women with gestational hypertension was significantly higher than in the healthy group. In the multivariate analysis, those women with high stress [AOR 1.13, 95% CI (1.08-1.18)] and whose Spouse\'s Educational status was low [AOR 4.94, 95% CI (1.54-15.81)] had higher odds of gestational hypertension than women who haven\'t respectively. The development of gestational hypertension was decreased by increasing the score of social support [AOR 0.96, 95% CI (0.93-0.98)]. The results showed that the two variables of social support (β=0.331) and self-efficacy (β=0.215) have the greatest impact on the score of health-promotion behaviors, respectively. Based on regression analysis, 21.2% of the health-promotion behaviors changes could be explained by three independent variables.
CONCLUSIONS: Women with gestational hypertension have unhealthier lifestyles. Having a high level of stress is a risk factor for gestational hypertension but Social support has a protective effect on it. Recognizing the risk factors of gestational hypertension could help the determination of high-risk cases and it is important to pay attention to women\'s psychosocial to create appropriate sources of social support and provide the necessary action to reduce stress.
摘要：
背景：高危妊娠需要更多的保健资源来减少严重的围产期后果。采用促进健康的生活方式和社会决定因素是实现预期怀孕结果的重要战略。这项研究旨在比较低风险和高风险孕妇社会健康的中间决定因素。
方法：这项不匹配的病例对照研究以1:2的比例进行，使用现有的采样技术纳入300名孕妇，包括200名健康孕妇和100名妊娠高血压孕妇。数据是使用社会人口学和产科收集的，促进健康的行为，自我效能感,感知到的压力，社会支持问卷采用自我报告法。
结果：两组之间的人口统计学特征没有显着差异，配偶的教育状况除外。健康组的健康促进行为和社会支持总分明显高于妊娠期高血压妇女。然而,妊娠高血压妇女的感知压力明显高于健康组。在多变量分析中，那些压力大[AOR1.13,95%CI(1.08-1.18)]且配偶教育状况低[AOR4.94,95%CI(1.54-15.81)]的女性患妊娠期高血压的几率分别高于未患妊娠期高血压的女性。通过增加社会支持评分[AOR0.96，95％CI（0.93-0.98）]，妊娠期高血压的发展减少。结果显示,社会支持(β=0.331)和自我效能(β=0.215)两个变量对健康促进行为得分的影响最大。分别。基于回归分析，21.2%的健康促进行为变化可以用三个自变量来解释。
结论：妊娠高血压患者的生活方式不健康。高水平的压力是妊娠期高血压的危险因素，但社会支持对其具有保护作用。认识到妊娠期高血压的危险因素有助于确定高危病例，重要的是要注意妇女的社会心理，以创造适当的社会支持来源并提供必要的行动来减轻压力。
方法：这项不匹配的病例对照研究以1:2的比例进行，使用现有的采样技术纳入300名孕妇，包括200名健康孕妇和100名妊娠高血压孕妇。数据是使用社会人口学和产科收集的，促进健康的行为，自我效能感,感知到的压力，社会支持问卷采用自我报告法。
结果：两组之间的人口统计学特征没有显着差异，配偶的教育状况除外。健康组的健康促进行为和社会支持总分明显高于妊娠期高血压妇女。然而,妊娠高血压妇女的感知压力明显高于健康组。在多变量分析中，那些压力大[AOR1.13,95%CI(1.08-1.18)]且配偶教育状况低[AOR4.94,95%CI(1.54-15.81)]的女性患妊娠期高血压的几率分别高于未患妊娠期高血压的女性。通过增加社会支持评分[AOR0.96，95％CI（0.93-0.98）]，妊娠期高血压的发展减少。结果显示,社会支持(β=0.331)和自我效能(β=0.215)两个变量对健康促进行为得分的影响最大。分别。基于回归分析，21.2%的健康促进行为变化可以用三个自变量来解释。
结论：妊娠高血压患者的生活方式不健康。高水平的压力是妊娠期高血压的危险因素，但社会支持对其具有保护作用。认识到妊娠期高血压的危险因素有助于确定高危病例，重要的是要注意妇女的社会心理，以创造适当的社会支持来源并提供必要的行动来减轻压力。
