{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T11:27:12Z","timestamp":1762342032665,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T00:00:00Z","timestamp":1680134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002141","name":"Public Health England","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002141","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000682","name":"Royal College of Obstetricians and Gynaecologists","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000682","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The physical and mental health of women prior to conception can have a significant impact on pregnancy and child outcomes. Given the rising burden of non\u2010communicable diseases, the aim was to explore the relation between mental health, physical health and health behaviour in women planning a pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010sectional analysis of responses from 131\u2009182 women to a preconception health digital education tool, providing data on physical and mental health and health behaviour. Logistic regression was used to explore associations between mental health and physical health variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Physical health conditions were reported by 13.1% and mental health conditions by 17.8%. There was evidence for an association between self\u2010reported physical and mental health conditions (odds ratio [OR] 2.22, 95% CI 2.14\u20132.3). Those with a mental health condition were less likely to engage with healthy behaviour at preconception such as folate supplementation (OR 0.89, 95% CI 0.86\u20130.92) and consumption of the recommended amount of fruit and vegetables (OR 0.77, 95% CI 0.74\u20130.79). They were more likely to be physically inactive (OR 1.14, 95% CI 1.11\u20131.18), smoke tobacco (OR 1.72, 95% CI 1.66\u20131.78) and use illicit substances (OR 2.4, 95% CI 2.25\u20132.55).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Greater recognition of mental and physical comorbidities is needed and closer integration of physical and mental healthcare in the preconception period, which could support people to optimise their health during this time and improve long\u2010term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17447","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T09:58:49Z","timestamp":1678269529000},"page":"1028-1037","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The physical\u2010mental health interface in the preconception period: analysis of 131\u2009182 women planning pregnancy in the <scp>UK<\/scp>"],"prefix":"10.1111","volume":"130","author":[{"given":"Conor","family":"Tosh","sequence":"first","affiliation":[{"name":"Department of Mathematics and Statistics University of Strathclyde  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberley","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics University of Strathclyde  Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela C","family":"Flynn","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith","family":"Stephenson","sequence":"additional","affiliation":[{"name":"Institute for Women's Health, University College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7979-0508","authenticated-orcid":false,"given":"Sara L","family":"White","sequence":"additional","affiliation":[{"name":"Department of Women and Children's Health King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3672-6359","authenticated-orcid":false,"given":"Raquel","family":"Catalao","sequence":"additional","affiliation":[{"name":"Section of Women's Mental Health King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2169-5115","authenticated-orcid":false,"given":"Claire A","family":"Wilson","sequence":"additional","affiliation":[{"name":"Section of Women's Mental Health King's College London  London UK"},{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,30]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Adult Psychiatric Morbidity Survey: Survey of Mental Health and Wellbeing England.NHS Digital.2014Available from:https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/adult\u2010psychiatric\u2010morbidity\u2010survey\/adult\u2010psychiatric\u2010morbidity\u2010survey\u2010survey\u2010of\u2010mental\u2010health\u2010and\u2010wellbeing\u2010england\u20102014. Accessed Dec 2021."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f2969"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2016.6248"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13611"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.6.1069"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30981-4"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002665"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03094-5"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2014.05.030"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12469"},{"volume-title":"Antenatal and postnatal mental health: clinical management and service guidance","year":"2014","author":"NICE","key":"e_1_2_12_12_1"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp21X715733"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0103085"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-04007-w"},{"key":"e_1_2_12_16_1","unstructured":"KnightM BunchK TuffnellD JayakodyH ShakespeareJ KotnisR et al.Saving Lives Improving Mothers' Care Maternal Newborn and Infant Clinical Outcome Review Programme.2018."},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62071-1"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2020.02.022"},{"key":"e_1_2_12_19_1","unstructured":"Tommy's.New Planning for Pregnancy tool launched to support safe and healthy pregnancies.2018Available from:https:\/\/www.tommys.org\/pregnancy\u2010information\/im\u2010pregnant\/pregnancy\u2010news\u2010and\u2010blogs\/new\u2010planning\u2010pregnancy\u2010tool\u2010launched\u2010support\u2010safe\u2010and\u2010healthy\u2010pregnancies. Acessed Dec 2021"},{"key":"e_1_2_12_20_1","unstructured":"KnightM BunchK TuffnellD ShakespeareJ KotnisR KenyonS et al.Saving Lives Improving Mothers' Care Maternal Newborn and Infant Clinical Outcome Review Programme.2020Available from:https:\/\/www.npeu.ox.ac.uk\/assets\/downloads\/mbrrace\u2010uk\/reports\/maternal\u2010report\u20102020\/MBRRACE\u2010UK_Maternal_Report_Dec_2020_v10_ONLINE_VERSION_1404.pdf. Accessed Dec 2021"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718003689"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-020-01081-5"},{"key":"e_1_2_12_23_1","unstructured":"HowardL EasterA AtmoreK.Delivering preconception care to women of childbearing age with serious mental illness.2020Available from:https:\/\/www.tommys.org\/sites\/default\/files\/2021\u201002\/Pre\u2010conception%20care%20and%20serious%20mental%20illness%20FINAL_updated_0.pdf"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-059257"},{"key":"e_1_2_12_25_1","article-title":"Barriers to accessing mental health services for women with perinatal mental illness: systematic review and meta\u2010synthesis of qualitative studies in the UK","volume":"9","author":"Smith MS","year":"2019","journal-title":"BMJ Open"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-020-01711-w"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20769"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.3109\/13814788.2015.1099039"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30313-1"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.17447","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.17447","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T19:07:34Z","timestamp":1692212854000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.17447"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,30]]},"references-count":28,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1111\/1471-0528.17447"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.17447","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"type":"print","value":"1470-0328"},{"type":"electronic","value":"1471-0528"}],"subject":[],"published":{"date-parts":[[2023,3,30]]},"assertion":[{"value":"2022-08-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}