{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T05:15:52Z","timestamp":1788498952604,"version":"build-2803163510"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Perception of scientific uncertainty about climate change (PSUCC) may contribute to emotional distress and impede maternal psychological adaptation during pregnancy. However, evidence in pregnant women remains limited. This study examined the level and predictors of PSUCC, as well as its association with prenatal anxiety and maternal\u2013fetal attachment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Convenience sampling method was used to select pregnant women from three tertiary hospitals in Henan Province, China, between October and December 2025. A total of 537 pregnant women completed questionnaires assessing demographic and obstetric characteristics, PSUCC, prenatal anxiety, and maternal\u2013fetal attachment. Multiple linear regression, Pearson correlation analysis, and structural equation modeling (SEM) were used for data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean scores of PSUCC, prenatal anxiety, and maternal\u2013fetal attachment were 30.09\u202f\u00b1\u202f7.63, 11.09\u202f\u00b1\u202f4.56, and 48.02\u202f\u00b1\u202f14.83, respectively. PSUCC was positively correlated with prenatal anxiety (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.679,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) and negatively correlated with maternal\u2013fetal attachment (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.672,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). SEM showed that PSUCC was directly associated with increased prenatal anxiety and reduced maternal\u2013fetal attachment (attachment strength and attachment quality). In addition, prenatal anxiety partially mediated the relationship between PSUCC and maternal\u2013fetal attachment. Overall, higher PSUCC was associated with greater prenatal anxiety and weaker maternal\u2013fetal attachment among pregnant women.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings indicating that PSUCC may be a psychosocial stressor associated with anxiety and maternal\u2013fetal attachment among Chinese pregnant women. The results support the inclusion of climate-related risk communication and psychological support in routine prenatal care to promote maternal psychological adaptation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1930658","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T04:26:04Z","timestamp":1788495964000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perception of scientific uncertainty about climate change and associations with anxiety and maternal\u2013fetal attachment among pregnant women"],"prefix":"10.3389","volume":"14","author":[{"given":"Congcong","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Henan Provincial People\u2019s Hospital, Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou University People\u2019s Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianghong","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Henan Provincial People\u2019s Hospital, Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou University People\u2019s Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Henan Provincial People\u2019s Hospital, Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou University People\u2019s Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Henan Provincial People\u2019s Hospital, Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou University People\u2019s Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenzhen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Henan Provincial People\u2019s Hospital, Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou University People\u2019s Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zheyuan","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Henan Provincial People\u2019s Hospital, Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou University People\u2019s Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengnan","family":"He","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Henan Provincial People\u2019s Hospital, Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou University People\u2019s Hospital","place":["Zhengzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jialei","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Medicine Center, Peking University First Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2346","DOI":"10.1016\/S0140\u20136736(23)01859\u20137","article-title":"The 2023 report of the lancet countdown on health and climate change: the imperative for a health\u2013centred response in a world facing irreversible harms","volume":"402","author":"Romanello","year":"2023","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e118","DOI":"10.1017\/gmh.2024.65","article-title":"The effects of climate change on mental health and psychological well-being: impacts and priority actions","volume":"11","author":"Soomro","year":"2024","journal-title":"Glob Ment Health (Camb)"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"102111","DOI":"10.1016\/j.wombi.2025.102111","article-title":"The psychological impacts of climate change on pregnant women in 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