Araujo-Chaveron Lucia, Doncarli Alexandra, Vivanti Alexandre J, Salanave Benoît, Lasbeur Linda, Gorza Maud, Raude Jocelyn, Regnault Nolwenn
Direction of Non-Communicable Diseases and Trauma, Santé Publique France, Saint-Maurice, France.
Division of Obstetrics and Gynecology, Antoine Béclère Hospital, Clamart, France.
Prev Med Rep. 2022 Jun;27:101807. doi: 10.1016/j.pmedr.2022.101807. Epub 2022 Apr 26.
We aimed to describe pregnant women's worry about the SARS-CoV-2 pandemic, the associated reasons, their perceived vulnerability to this infection, and factors influencing continued poor/non-existent or decreased implementation of preventive measures over time.
A cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 women who were pregnant during the first lockdown in France (March-May 2020). Questions focused on worry caused by the pandemic, perceived vulnerability to infection by SARS-CoV-2 and implementation of preventive measures during and after lockdown. A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPR) for perceived vulnerability and continued poor/non-existent or decreased implementation of preventive measures.
Participants felt significantly more vulnerable to infection than women of childbearing age who were included in a parallel study on the French general population, but were significantly less worried about the pandemic. Obese participants and those who unsuccessfully sought exchanges with healthcare professionals about their infection risk felt significantly more vulnerable (aPR = 1.32 95%CI[1.05-1.64] and 1.88 [1.43-2.48], respectively). Participants with continued poor/non-existent or decreased implementation of preventive measures two months after the lockdown ended were more likely to have experienced violence during the lockdown (2.06, [1.32-3.22]), or to live in areas less affected by the pandemic (1.66 [1.05-2.62]). A good knowledge of viral transmission (0.54 [0.30-0.97]) and a high perceived vulnerability score (0.66 [0.44-0.99]) were associated with maintained/increased implementation of preventive measures.
Our results can guide prevention and support policies for pregnant women during pandemics, current or future.
我们旨在描述孕妇对新冠疫情的担忧、相关原因、她们认为自己对这种感染的易感性，以及随着时间推移影响预防措施持续执行不力/未执行或执行情况减少的因素。
2020年7月进行了一项横断面研究，使用网络问卷对500名在法国首次封锁期间（2020年3月至5月）怀孕的女性进行调查。问题集中在疫情引起的担忧、对感染新冠病毒的易感性认知以及封锁期间和之后的预防措施执行情况。采用稳健方差泊松回归模型来估计对感染易感性以及预防措施持续执行不力/未执行或执行情况减少的调整患病率比（aPR）。
与纳入法国普通人群平行研究的育龄女性相比，参与者感觉自己更容易感染，但对疫情的担忧明显更少。肥胖参与者以及那些就感染风险与医护人员沟通未成功的人感觉自己更容易感染（调整患病率比分别为1.32，95%置信区间[1.05 - 1.64]和1.88 [1.43 - 2.48]）。在封锁结束两个月后预防措施持续执行不力/未执行或执行情况减少的参与者，更有可能在封锁期间经历暴力事件（2.06，[1.32 - 3.22]），或者居住在受疫情影响较小的地区（1.66 [1.05 - 2.62]）。对病毒传播有充分了解（0.54 [0.30 - 0.97]）和较高的易感性认知得分（0.66 [0.44 - 0.99]）与预防措施的持续执行/增加执行相关。
我们的结果可为当前或未来疫情期间针对孕妇的预防和支持政策提供指导。
