Haddad Chadia, Malhab Sandrella Bou, Sacre Hala, Malaeb Diana, Azzi Joelle, Khachman Dalia, Lahoud Nathalie, Salameh Pascale
Research department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.
INSPECT-LB (Institut National de Santé Publique, d'Épidémiologie Clinique Et de Toxicologie-Liban), Beirut, Lebanon.
Arch Public Health. 2022 Feb 25;80(1):68. doi: 10.1186/s13690-022-00833-2.
Home confinement and lockdowns have created challenges and vulnerabilities, causing relevant changes in sexual health and couple stability, particularly in women. The objective of this study was to evaluate the socio-economic and psychological factors related to current pregnancy status and unwanted pregnancy among Lebanese women during the COVID-19 lockdown.
A cross-sectional online study conducted between June 8 and August 1, 2020, enrolled 369 Lebanese women using the snowball technique for data collection. All married women between 18 and 51, with access to the internet and currently living with their partners, were eligible to participate. Current pregnancy status and unwanted pregnancy were assessed using binary questions. The SPSS software 25 was used for data analysis, and multivariable analysis was performed, taking the pregnancy status and unwanted pregnancy as the dependent variables. The statistical significance was set at a p-value < 0.05.
Our results showed that 11.1% of women were pregnant, of whom 22.0% reported unwanted pregnancies. Having children (ORa = 0.183) and taking contraceptives (ORa = 0.231) were significantly associated with a reduced chance of becoming pregnant. Higher psychological violence would negatively affect pregnancy, but the association was not significant (p = 0.065). Regular visits to the physician for routine checks were also linked to a decreased risk of unwanted pregnancy (ORa = 0.053). Higher psychological violence would affect unwanted pregnancy; however, the association was insignificant (p = 0.056).
The study findings showed that having children and taking contraceptives are associated with a reduced pregnancy. Additionally, psychological violence was found to be related to current pregnancy status and unplanned pregnancy. During a pandemic, vulnerable women should be identified and given adequate care, knowledge, and awareness regarding their reproductive health.
居家隔离和封锁带来了挑战和脆弱性，导致性健康和夫妻关系稳定性发生相关变化，尤其是对女性而言。本研究的目的是评估新冠疫情封锁期间黎巴嫩女性当前怀孕状况和意外怀孕相关的社会经济及心理因素。
2020年6月8日至8月1日进行的一项横断面在线研究，采用滚雪球技术收集数据，招募了369名黎巴嫩女性。所有年龄在18至51岁之间、能上网且目前与伴侣同住的已婚女性均有资格参与。通过二元问题评估当前怀孕状况和意外怀孕情况。使用SPSS软件25进行数据分析，并以怀孕状况和意外怀孕为因变量进行多变量分析。统计学显著性设定为p值<0.05。
我们的结果显示，11.1%的女性怀孕，其中22.0%报告为意外怀孕。有孩子（优势比a=0.183）和采取避孕措施（优势比a=0.231）与怀孕几率降低显著相关。更高程度的心理暴力会对怀孕产生负面影响，但这种关联不显著（p=0.065）。定期就医进行常规检查也与意外怀孕风险降低有关（优势比a=0.053）。更高程度的心理暴力会影响意外怀孕；然而，这种关联不显著（p=0.056）。
研究结果表明，有孩子和采取避孕措施与怀孕几率降低有关。此外，发现心理暴力与当前怀孕状况和意外怀孕有关。在大流行期间，应识别出脆弱女性，并给予她们关于生殖健康的充分护理、知识和意识。
