Department of Pediatrics, New York University Grossman School of Medicine, New York, NY, United States.
Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States.
Int J Public Health. 2022 Apr 11;67:1604497. doi: 10.3389/ijph.2022.1604497. eCollection 2022.
We examined whether pre-pandemic mental health and sociodemographic characteristics increased the susceptibility of pregnant women and mothers of young children to stress in the early months of the COVID-19 pandemic. Between April and August 2020, we surveyed 1560 women participating in a sociodemographically diverse birth cohort in New York City. Women reported their perceived stress, resiliency, and financial, familial/societal, and health-related concerns. We extracted pre-pandemic information from questionnaires and electronic health records. Pre-pandemic history of depression, current financial difficulties, and COVID-19 infection were the main risk factors associated with high perceived stress. Being Hispanic and having higher resiliency scores and preexisting social support were protective against high perceived stress. Major contributors to current perceived stress were financial and familial/societal factors related to the COVID-19 pandemic. Among pregnant women, changes to prenatal care were common, as were changes to experiences following birth among postpartum women and difficulties in arranging childcare among mothers of young children. Our findings suggest that major risk factors of higher stress during the pandemic were similar to those of other major traumatic events.
我们研究了在 COVID-19 大流行的早期，孕前心理健康和社会人口统计学特征是否会增加孕妇和幼儿母亲的压力易感性。2020 年 4 月至 8 月期间，我们调查了纽约市一个社会人口统计学多样化的生育队列中的 1560 名女性。女性报告了她们的感知压力、韧性以及与财务、家庭/社会和健康相关的担忧。我们从问卷和电子健康记录中提取了大流行前的信息。大流行前的抑郁史、当前的财务困难和 COVID-19 感染是与高感知压力相关的主要危险因素。西班牙裔以及更高的韧性评分和预先存在的社会支持是对高感知压力的保护因素。当前感知压力的主要因素是与 COVID-19 大流行相关的财务和家庭/社会因素。在孕妇中，产前保健的变化很常见，产后妇女的分娩后经历以及幼儿母亲的儿童保育安排困难也很常见。我们的研究结果表明，大流行期间压力较高的主要危险因素与其他重大创伤性事件相似。
