Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States.
Int J Public Health. 2022 May 4;67:1604433. doi: 10.3389/ijph.2022.1604433. eCollection 2022.
This study evaluated whether COVID-19 pandemic-related health, healthcare and economic factors during pregnancy are associated with prenatal depression and anxiety. 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. 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. 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.
这项研究评估了与 COVID-19 大流行相关的孕期健康、医疗保健和经济因素是否与产前抑郁和焦虑有关。我们对 Kaiser Permanente Northern California 的 6628 名怀孕成员进行了横断面研究，他们在 2020 年 6 月 22 日至 9 月 30 日期间对一项调查做出了回应。该调查包括关于抑郁（患者健康问卷）和焦虑（广泛性焦虑障碍）症状以及与 COVID-19 相关的健康和医疗保健（例如，患有 COVID-19）和经济（例如，粮食不安全）因素的问题。超过三分之一的人报告了抑郁（25%轻度、8%中度、3%重度）或焦虑（22%轻度、8%中度、5%重度）症状。在多变量分析中，怀孕期间的 COVID-19、与 COVID-19 相关的更高风险的就业、对产前护理变化的困扰、失业、儿童保育变化和粮食不安全与产前抑郁或焦虑的几率增加有关。研究结果表明，COVID-19 大流行可能对孕妇的心理健康产生严重影响。为了应对这些与 COVID-19 相关的因素而对孕妇提供支持服务，并对那些在 COVID-19 大流行期间出现中度/重度产前抑郁和焦虑症状的人进行监测是必要的。
