<rdf:RDF xmlns:rdf="http://www.openarchives.org/OAI/2.0/rdf/" xmlns:ow="http://www.ontoweb.org/ontology/1#" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:ds="http://dspace.org/ds/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/rdf/ http://www.openarchives.org/OAI/2.0/rdf.xsd">
   <ow:Publication rdf:about="oai:digibug.ugr.es:10481/102210">
      <dc:title>Does attachment and prenatal depression affect maternal health-promoting  lifestyle during pregnancy? A cross-sectional study</dc:title>
      <dc:creator>Maulina, Rufidah</dc:creator>
      <dc:creator>Caparrós González, Rafael Arcángel</dc:creator>
      <dc:subject>Pregnancy</dc:subject>
      <dc:subject>Prenatal care</dc:subject>
      <dc:subject>Cross-sectional studies</dc:subject>
      <dc:subject>Depression</dc:subject>
      <dc:subject>Life style</dc:subject>
      <dc:description>Introduction&#xd;
A healthy lifestyle during pregnancy is crucial for improving maternal and infant outcomes. Maternal-fetal attachment and maternal prenatal depression have been identified as factors influencing maternal lifestyle during pregnancy. This study aimed to investigate the relationship between maternal-fetal attachment, maternal prenatal depression, and a healthy lifestyle among pregnant women.&#xd;
Methods&#xd;
A cross-sectional study was conducted among 224 pregnant women in their third trimester, attending an antenatal appointment at a community health center in Surakarta, Indonesia, from July to September 2019.&#xd;
Results&#xd;
Bivariate analysis revealed significant associations between education (p = 0.024), religion (p = 0.026), employment (p = 0.012), income (p = 0.016), parity (p = 0.026), maternal depression (p &lt; 0.01), maternal-fetal attachment (p &lt; 0.001), and a health-promoting lifestyle. However, factors such as age, living arrangement, gestational age, a planned pregnancy, previous miscarriages, pre-pregnancy diseases, pre-pregnancy complications, and a private health insurance showed no significant associations. Hierarchical multiple linear regression indicated that maternal-fetal attachment (p &lt; 0.05) and maternal depression (p &lt; 0.001) were the only predictors of pregnant women's health-promoting lifestyles (R2 = 0.373, ΔR = 0.251).&#xd;
Conclusion&#xd;
Maternal-fetal attachment and maternal prenatal depression are key predictors of adopting a health-promoting lifestyle during pregnancy. These findings highlight the importance of maternal psychological well-being as part of a comprehensive antenatal care.</dc:description>
      <dc:date>2025-02-12T08:00:05Z</dc:date>
      <dc:date>2025-02-12T08:00:05Z</dc:date>
      <dc:date>2025-01</dc:date>
      <dc:type>journal article</dc:type>
      <dc:identifier>R. Maulina et al. Clinical Epidemiology and Global Health 31 (2025) 101904. https://doi.org/10.1016/j.cegh.2024.101904</dc:identifier>
      <dc:identifier>https://hdl.handle.net/10481/102210</dc:identifier>
      <dc:identifier>10.1016/j.cegh.2024.101904</dc:identifier>
      <dc:language>eng</dc:language>
      <dc:rights>http://creativecommons.org/licenses/by-nc-nd/4.0/</dc:rights>
      <dc:rights>open access</dc:rights>
      <dc:rights>Attribution-NonCommercial-NoDerivatives 4.0 Internacional</dc:rights>
      <dc:publisher>Elsevier</dc:publisher>
   </ow:Publication>
</rdf:RDF>