<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-7063</journal-id>
<journal-title><![CDATA[Enfermería universitaria]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm. univ]]></abbrev-journal-title>
<issn>1665-7063</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Escuela Nacional de Enfermería y Obstetricia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-70632018000300226</article-id>
<article-id pub-id-type="doi">10.22201/eneo.23958421e.2018.3.65987</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo psicosociales asociados a preeclampsia en mujeres mexicanas: análisis comparado en tres Estados]]></article-title>
<article-title xml:lang="en"><![CDATA[Psychosocial risk factors associated to pre-eclampsia among mexican women: a comparative analysis in three States]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fatores de risco psicossociais associados a pré-eclâmpsia em mulheres mexicanas: análise comparada em três Estados]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Lagunas]]></surname>
<given-names><![CDATA[M. A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega-Morales]]></surname>
<given-names><![CDATA[E. G.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vinalay-Carrillo]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortaza-Ramírez]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alfonso-Gutiérrez]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Autónoma de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Yucatán Facultad de Enfermería ]]></institution>
<addr-line><![CDATA[ Mérida]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Secretaría de Salud de Yucatán Departamento de Enfermería ]]></institution>
<addr-line><![CDATA[Mérida Yucatán]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Veracruzana  ]]></institution>
<addr-line><![CDATA[Minatitlán Veracruz]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Nacional Autónoma de México División de Estudios Profesionales Escuela Nacional de Enfermería y Obstetricia]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>15</volume>
<numero>3</numero>
<fpage>226</fpage>
<lpage>243</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-70632018000300226&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-70632018000300226&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-70632018000300226&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo Analizar comparativamente los factores de riesgo psicosociales asociados con preeclampsia en mujeres mexicanas residentes de tres Estados.  Método  Estudio de casos y controles en 336 mujeres puérperas con y sin preeclampsia (130 del Estado de México, 114 de Yucatán y 92 de Veracruz). Se aplicaron dos cuestionarios y 5 escalas tipo Likert previamente validadas. Se llevó a cabo análisis estadístico comparativo mediante el software SPSS ver 20. Las variables cuantitativas se analizaron con Kruskal Wallis, las categóricas con frecuencias, el riesgo con razón de Momios (OR); IC de 95%. El riesgo se ajustó con regresión logística con &#945; = 0.05.  Resultados  El análisis reveló violencia leve en los 3 Estados, con mayor frecuencia en el Estado de México y Veracruz (OR: 3.53; IC 95%: 1.13 - 10.97). La depresión, fue un hallazgo significativo para preeclampsia. Existe de 1 a 2 veces más riesgo para esta enfermedad en embarazadas del Estado de México que sufren algún grado de depresión (OR: 1.66; IC 95%: 1.058 - 2.607) y de 3 a 4 veces más riesgo cuando hay trastorno depresivo mayor (OR: 3.67; IC 95%: 1.23 - 10.89). En mujeres veracruzanas que reportaron algunas veces sintomatología depresiva está presente 3 veces más el riesgo de preeclampsia (OR: 3.12; IC 95%: 1.077 - 9.083) y 7.4 veces más riesgo cuando tienen menos de 5 consultas prenatales (OR: 7.42; IC 95%: 2.85 - 19.33).  Conclusiones  Se identificaron la depresión, sintomatología depresiva, violencia y el número de consultas prenatales menor a 5 como factores de riesgo psicosociales asociados a preeclampsia. Estos resultados permitirán proponer un modelo de intervención integral de enfermería para disminuirlos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective  To comparatively analyze the psychosocial risk factors associated to pre-eclampsia among Mexican women living in three States.  Method  This is a cases and controls study with 336 pregnant women with and without pre-eclampsia (130 from the State of Mexico, 114 from the state of Yucatan, and 92 from the state of Veracruz). Two questionnaires were administered, and 5 previously validated Likert type scales were used. A statistical comparative analysis was performed using SPSS v.20 software. Quantitative variables were analyzed with the Kruskal-Wallis procedure, categorical variables with frequencies calculation, and the associated risk with odds ratios in the 95% confidence interval. The associated risk was further adjusted through logistic regression (&#945; = 0.05).  Results  The analysis revealed a mild level of violence in all three States. States which reflected more frequency of violence risks were Mexico and Veracruz (OR: 3.53; IC 95%: 1.13 - 10.97). Depression was a significant finding associated to pre-eclampsia. A 1 to 2 times higher risk of associated pre-eclampsia was found among pregnant women with some degree of depression in the State of Mexico (OR: 1.66; IC 95%: 1.058 - 2.607), and this risk was 3 to 4 times higher in the presence of major depressive disorder (OR: 3.67; IC 95%: 1.23 - 10.89). Among women from the state of Veracruz who sometimes reported having depressive symptoms, the risk of pre-eclampsia association was 3 times higher (OR: 3.12; IC 95%: 1.077 - 9.083), while this risk was 7.4 times higher when these women had less than 5 prenatal assessment visits (OR: 7.42; IC 95%: 2.85 - 19.33).  Conclusions  Depression, depressive symptomatology, violence, and less-than-5 prenatal assessment visits were all identified as psychosocial risk factors associated to pre-eclampsia. These findings will support proposals for a corresponding nursing integral intervention model to address the related risk factors.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Objetivo Analisar comparativamente os fatores de risco psicossociais associados com pré-eclâmpsia em mulheres mexicanas residentes de três Estados.  Método  Estudo de casos e controles em 336 mulheres puérperas com e sem pré-eclâmpsia (130 do Estado do México, 114 de Yucatán e 92 de Veracruz). Aplicaram-se dois questionários e 5 escalas tipo Likert previamente validadas. Levou-se a cabo análise estatística comparativa mediante o software SPSS ver 20. As variáveis quantitativas analisaram-se com Kruskal Wallis, as categóricas com frequências, o risco com razão de Momios (OR); IC de 95%. O risco ajustou-se com regressão logística com &#945; = 0.05.  Resultados  A análise revelou violência leve nos 3 Estados, com maior frequência no Estado de México e Veracruz (OR: 3.53; IC 95%: 1.13 -10.97). A depressão foi um achado significativo para pré-eclâmpsia. Existe de 1 a 2 vezes mais risco para esta doença em grávidas do Estado do México que sofrem algum grau de depressão (OR: 1.66; IC 95%: 1.058 - 2.607) e de 3 a 4 vezes mais risco quando tem transtorno depressivo maior (OR: 3.67; IC 95%: 1.23 - 10.89). Em mulheres veracruzanas que reportaram algumas vezes sintomatologia depressiva está presente 3 vezes mais o risco de pré-eclâmpsia (OR: 3.12; IC 95%: 1.077 -9.083) e 7.4 vezes mais risco quando têm menos de 5 consultas pré-natais (OR: 7.42; IC 95%: 2.85 - 19.33).  Conclusões Identificaram-se a depressão, sintomatologia depressiva, violência e o número de consultas pré-natais menor a 5 como fatores de risco psicossociais associados à pré-eclâmpsia. Estes resultados permitiram propor um modelo de intervenção integral de enfermagem para diminuilos.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[preeclampsia]]></kwd>
<kwd lng="es"><![CDATA[depresión]]></kwd>
<kwd lng="es"><![CDATA[estrés psicológico]]></kwd>
<kwd lng="es"><![CDATA[violencia doméstica]]></kwd>
<kwd lng="es"><![CDATA[apoyo social]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[Risk factors]]></kwd>
<kwd lng="en"><![CDATA[pre-eclampsia]]></kwd>
<kwd lng="en"><![CDATA[depression]]></kwd>
<kwd lng="en"><![CDATA[stress, physiological]]></kwd>
<kwd lng="en"><![CDATA[domestic violence]]></kwd>
<kwd lng="en"><![CDATA[social support]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
<kwd lng="pt"><![CDATA[Fatores de risco]]></kwd>
<kwd lng="pt"><![CDATA[pré-eclâmpsia]]></kwd>
<kwd lng="pt"><![CDATA[depressão]]></kwd>
<kwd lng="pt"><![CDATA[estresse psicológico]]></kwd>
<kwd lng="pt"><![CDATA[violência doméstica]]></kwd>
<kwd lng="pt"><![CDATA[apoio social]]></kwd>
<kwd lng="pt"><![CDATA[México]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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