title: Mental and physical distress and high-risk behaviors among reproductive-age women.
abstract: OBJECTIVE
  To examine the prevalence of mental and physical distress indicators among women of reproductive age and the association of these indicators with cigarette smoking and alcohol use, by pregnancy status.
  
  
  METHODS
  The Behavioral Risk Factor Surveillance System data for several years were aggregated across states and weighted for this analysis. Seven measures of self-reported mental and physical distress and general health were examined along with demographic variables.
  
  
  RESULTS
  Overall, 6.7% (95% confidence interval [CI] 6.5-6.9) of women reported frequent physical distress, 12.3% (95% CI 12.0-12.6) reported frequent mental distress, 9.9% (95% CI 9.4-10.4) reported frequent depression, 18.4% (95% CI 17.8-19.1) reported feeling anxious, and 34.3% (95% CI 33.5-35.1) reported that they frequently did not get enough rest. At the time of the survey 4.6% of the women were pregnant. Pregnant women were less likely than nonpregnant women to report frequent mental distress. Although there was attenuation of cigarette smoking and alcohol use during pregnancy, those with mental and physical distress were more likely to consume cigarettes and alcohol than were those without such experiences.
  
  
  CONCLUSIONS
  High proportions of reproductive-age women report frequent mental and physical distress. Women experiencing mental and physical distress were more likely to report consuming cigarettes and alcohol than women without such experiences.
authors.affiliation: Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341-3724, USA. Iahluwalia@cdc.gov
authors.forename: Indu B
authors.initials: IB
authors.lastname: Ahluwalia
authors.forename: Karin A
authors.initials: KA
authors.lastname: Mack
authors.forename: Ali
authors.initials: A
authors.lastname: Mokdad
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011788:Quality of Life; D012309:Risk-Taking; D013315:Stress, Psychological / Q000453:epidemiology*; D011795:Surveys and Questionnaires