Associations of COVID-19-Related Health, Healthcare and Economic Factors With Prenatal Depression and Anxiety

被引:9
作者
Avalos, Lyndsay A. [1 ]
Nance, Nerissa [1 ]
Badon, Sylvia E. [1 ]
Young-Wolff, Kelly [1 ]
Ames, Jennifer [1 ]
Zhu, Yeyi [1 ]
Hedderson, Monique M. [1 ]
Ferrara, Assiamira [1 ]
Zerbo, Ousseny [1 ]
Greenberg, Mara [1 ]
Croen, Lisa A. [1 ]
机构
[1] Kaiser Permanente Northern Calif, Div Res, Oakland, CA USA
关键词
perinatal; mental health; psychological distress; mood disorder; pregnancy; HOUSEHOLD FOOD INSECURITY; PREGNANT-WOMEN; OUTCOMES; INTERVENTIONS; SYMPTOMS; DISORDER; BIRTH; RISK;
D O I
10.3389/ijph.2022.1604433
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: This study evaluated whether COVID-19 pandemic-related health, healthcare and economic factors during pregnancy are associated with prenatal depression and anxiety.Methods: We conducted a cross-sectional study of 6,628 pregnant members of Kaiser Permanente Northern California who responded to a survey between 22 June and 30 September 2020. The survey included questions about depression (Patient Health Questionnaire) and anxiety (Generalized Anxiety Disorder) symptoms and COVID-19-related health and healthcare (e.g., had COVID-19) and economic (e.g., food insecurity) factors.Results: Over one third of individuals reported depression (25% mild, 8% moderate, 3% severe) or anxiety (22% mild, 8% moderate, 5% severe) symptoms. In multivariable analyses, COVID-19 during pregnancy, employment with greater risk of COVID-19, distress over changes in prenatal care, job loss, changes in childcare and food insecurity were associated with greater odds of prenatal depression or anxiety.Conclusion: Findings suggest the COVID-19 pandemic may have severe mental health repercussions for pregnant individuals. Support services for pregnant individuals experiencing these COVID-19-related factors and monitoring of those who had moderate/severe prenatal depression and anxiety symptoms during the COVID-19 pandemic is warranted.
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页数:10
相关论文
共 45 条
[1]   Prenatal Depression and Adverse Birth Outcomes: An Updated Systematic Review [J].
Accortt, Eynav Elgavish ;
Cheadle, Alyssa C. D. ;
Schetter, Christine Dunkel .
MATERNAL AND CHILD HEALTH JOURNAL, 2015, 19 (06) :1306-1337
[2]  
ACOG. Coronavirus, 2021, COVID 19 PREGN BREAS
[3]   COVID-19 prevalence, symptoms, and sociodemographic disparities in infection among insured pregnant women in Northern California [J].
Ames, Jennifer L. ;
Ferrara, Assiamira ;
Avalos, Lyndsay A. ;
Badon, Sylvia E. ;
Greenberg, Mara B. ;
Hedderson, Monique M. ;
Kuzniewicz, Michael W. ;
Qian, Yinge ;
Young-Wolff, Kelly C. ;
Zerbo, Ousseny ;
Zhu, Yeyi ;
Croen, Lisa A. .
PLOS ONE, 2021, 16 (09)
[4]   A cross-national study of factors associated with women's perinatal mental health and wellbeing during the COVID-19 pandemic [J].
Basu, Archana ;
Kim, Hannah H. ;
Basaldua, Rebecca ;
Choi, Karmel W. ;
Charron, Lily ;
Kelsall, Nora ;
Hernandez-Diaz, Sonia ;
Wyszynski, Diego F. ;
Koenen, Karestan C. .
PLOS ONE, 2021, 16 (04)
[5]   Prevalence of Depressive Symptoms Among Pregnant and Postpartum Women in China During the COVID-19 Pandemic [J].
Bo, Hai-Xin ;
Yang, Yuan ;
Chen, Jie ;
Zhang, Meng ;
Li, Yilin ;
Zhang, Dong-Ying ;
Li, Ying ;
Li, Rui ;
Cheung, Teris ;
Ng, Chee H. ;
Wu, Xin-Juan ;
Xiang, Yu-Tao .
PSYCHOSOMATIC MEDICINE, 2021, 83 (04) :345-350
[6]   A Systematic, Thematic Review of Social and Occupational Factors Associated With Psychological Outcomes in Healthcare Employees During an Infectious Disease Outbreak [J].
Brooks, Samantha Kelly ;
Dunn, Rebecca ;
Amlot, Richard ;
Rubin, Gideon James ;
Greenberg, Neil .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2018, 60 (03) :248-257
[7]  
CDC. COVID, 2021, LYME DIS DATA TABLES
[8]   Psychological interventions for people affected by the COVID-19 epidemic [J].
Duan, Li ;
Zhu, Gang .
LANCET PSYCHIATRY, 2020, 7 (04) :300-302
[9]   Loss of Resources and Hurricane Experience as Predictors of Postpartum Depression Among Women in Southern Louisiana [J].
Ehrlich, Matthew ;
Harville, Emily ;
Xiong, Xu ;
Buekens, Pierre ;
Pridjian, Gabriella ;
Elkind-Hirsch, Karen .
JOURNAL OF WOMENS HEALTH, 2010, 19 (05) :877-884
[10]   Perinatal depression - A systematic review of prevalence and incidence [J].
Gavin, NI ;
Gaynes, BN ;
Lohr, KN ;
Meltzer-Brody, S ;
Gartlehner, G ;
Swinson, T .
OBSTETRICS AND GYNECOLOGY, 2005, 106 (05) :1071-1083