Department of Global Health and Population, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA
Department of Community Health, Federal University of Ceara, Fortaleza, Ceara, Brazil.
BMJ Open. 2022 Jun 1;12(6):e060824. doi: 10.1136/bmjopen-2022-060824.
Maternal and child health and parenting practices during the COVID-19 pandemic in Ceará (Iracema-COVID) is a longitudinal, prospective population-based birth cohort designed to understand the effects of the pandemic and social withdrawal in maternal mental health, child development and parenting practices of mothers and families.
A sample of mothers who gave birth in July and August 2020 (n=351) was enrolled in the study in January 2021. Interviews were conducted by telephone. Data were collected through standardised questionnaires that, in addition to sociodemographic and economic data, collected information on breast feeding, mental health status and COVID-19.
Results from the first wave show that the majority of participants have 9-11 years of schooling (54.4%; 95% CI 61.0 to 70.9) and are of mixed race (71.5%; 95% CI 66.5 to 76.0). At the time of the survey, 27.9% of the participants were out of the labor force (95% CI 23.5 to 32.9) and 78.6% reported a decrease in family income after restrictions imposed due to the pandemic (95% CI 74.0 to 82.6). The prevalence of maternal common mental disorder symptoms was 32.5% (95% CI 27.8 to 37.6).
Follow-up visits are planned to occur every 6 months for the next five years (2021-2025). Additional topics will be included in future waves (eg, food insecurity and parenting practices). Communication strategies for bonding, such as picture cards, pictures of mothers with their children and phone calls to the participants, will be used to minimise attrition. Results of this prospective cohort will generate novel knowledge on the impact of the COVID-19 pandemic on maternal and child health and parenting practices in a population of women and children living in fifth largest city of Brazil.
在塞阿拉州（Iracema-COVID）进行的母婴健康和育儿实践研究是一项纵向、前瞻性的基于人群的出生队列研究，旨在了解大流行和社会隔离对产妇心理健康、儿童发育和母亲及家庭育儿实践的影响。
2020 年 7 月和 8 月分娩的 351 名母亲于 2021 年 1 月入组该研究。通过电话进行访谈。数据通过标准化问卷收集，除了社会人口经济学数据外，还收集了母乳喂养、心理健康状况和 COVID-19 信息。
第一波结果显示，大多数参与者的受教育年限为 9-11 年（54.4%；95%CI 61.0 至 70.9），且为混合种族（71.5%；95%CI 66.5 至 76.0）。在调查时，27.9%的参与者失业（95%CI 23.5 至 32.9），78.6%的参与者报告因大流行限制而导致家庭收入减少（95%CI 74.0 至 82.6）。产妇常见精神障碍症状的患病率为 32.5%（95%CI 27.8 至 37.6）。
计划在未来五年内每 6 个月进行一次随访（2021-2025 年）。未来的波次将纳入其他主题（例如，食物不安全和育儿实践）。将使用联系沟通策略，如图片卡片、母亲和孩子的照片以及给参与者打电话，以尽量减少流失。这项前瞻性队列研究的结果将产生新的知识，了解 COVID-19 大流行对巴西第五大城市的妇女和儿童的母婴健康和育儿实践的影响。
