Many parents report health risks prior to pregnancy, study finds
and had a Cronbach’s alpha of 0.89 in our sample. Those who scored >10 on the PHQ-9 and the GAD-7 were considered to have comorbid symptoms of depression and anxiety.
Tobacco use was assessed based on a question asking, ‘On a typical day, how many cigarettes do you smoke?’ Responses were collapsed into none vs any. Regular alcohol use was defined as drinking more than once per week, which was evaluated using the question, ‘How often do you drink a beverage containing any alcohol?’.
5% of the sample. To determine the optimal number of clusters to extract, parallel analysis was undertaken using a SAS V9.4 program.The goal of parallel analysis is to determine if the number of factors found in the solution accounts for more variation than the number of factors extracted using random data. Model fit was assessed using root mean square error of approximation , Tucker-Lewis Index and standardised root mean square residual .
Once the optimal number of clusters was determined and adequate model fit was confirmed, the final solution was reviewed for clinical meaningfulness.Based on the number of risk categories established in objective 1, the sample was divided into two groups: those with the mean number of risk factors or fewer and those with greater than the mean number of risk factors.
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