Psychological Distress and Cardiovascular Health in Pregnancy: Findings From the U.S. National Health Interview Survey
Authors' conclusion
We observed a strong association between psychological distress and suboptimal CVH during pregnancy, highlighting the need to manage psychological health along with CVH in pregnant individuals.
Study context
- Population
- Pregnant participants aged ≥18 years in the U.S. National Health Interview Survey (2013–2018)pregnant individuals (representing >1.5 million pregnant individuals each year of the survey)
- Participants
- 1,110 participants
- Exposure
- Associations between severe psychological distress and cardiovascular health (CVH)
- Outcome
- Prevalence of psychological distress
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Adjusted rate ratio (95% CI) | P value | |
|---|---|---|---|
| CVH score (7-item Life's Essential 8; higher scores indicated worse CVH)Moderate psychological distressvs mild or no psychological distress | 1.25 (1.13–1.38) | P < 0.001 | |
| CVH score (7-item Life's Essential 8; higher scores indicated worse CVH)Severe psychological distressvs mild or no psychological distress | 1.42 (1.20–1.68) | P < 0.001 | |
| 0.512Adjusted rate ratio (log scale) |
- CVH score (7-item Life's Essential 8; higher scores indicated worse CVH): lower CVH scores compared to those with mild or no psychological distress
- CVH score (7-item Life's Essential 8; higher scores indicated worse CVH): lower CVH scores compared to those with mild or no psychological distress
- CVH score (7-item Life's Essential 8; higher scores indicated worse CVH): Multivariable Poisson regression adjusting for age, race/ethnicity, sexual orientation, education level, family income, any known cardiovascular conditions, and insurance
CVH score (7-item Life's Essential 8; higher scores indicated worse CVH)
- A stepwise relation was observed between the severity of psychological distress and CVH
Original publication
Psychological Distress and Cardiovascular Health in Pregnancy: Findings From the U.S. National Health Interview Survey. JACC Adv. Published 25 April 2025. doi:10.
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