Exploring protective factors for pregnancy-related anxiety in Tanzanian women

Pregnancy-related anxiety is highly correlated with pre-term birth which can be fatal in low-and-middle-income countries. Modifiable protective factors for pregnancy-related anxiety need to be identified to prevent this condition. This study aimed to identify factors associated with low or no pregnancy-related anxiety among women attending two antenatal clinics in districts of Mwanza, Tanzania. A cross-sectional secondary data analysis was completed using data from a longitudinal study that examined biomarkers of stress, anxiety, depression, and birth outcomes. Data were analyzed using bivariate analysis and multiple linear regression. Findings did not reveal any modifiable protective factors. Perceived stress, active depression, and number of people living in the home were the only statistically significant predictors of pregnancy-related anxiety in our sample. Findings indicated that pregnancy-related anxiety may be associated with cultural factors such as family dynamics, and stigmatization of fear or anxiety. Before protective factors can be identified, more qualitative research may be needed in these countries to better understand the cultural nuances of pregnancy-related anxiety in low-and-middle income countries.