Department of Obstetrics and Gynecology, Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU Munich, Munich, Germany.
Center for Leadership and People Management, LMU Munich, Munich, Germany.
BMC Public Health. 2023 Feb 2;23(1):232. doi: 10.1186/s12889-023-15127-7.
The COVID-19 pandemic continues to spread across the globe and is associated with significant clinical and humanitarian burden. The desire for parenthood has been described to be positively correlated with psychological well-being: An unfulfilled wish for parenthood is associated with impaired mental health, and the wish for parenthood is a predictor for the development of depressive symptoms. While higher rates of anxiety and depression have been reported in individuals with minoritized sexual identities (compared to heterosexual individuals) during the COVID-19 pandemic, the specific impact of the pandemic and its social restriction measures on this population is poorly understood.
From April to July 2020, we conducted an anonymous cross-sectional survey online among N = 2463 adults living in Germany. We screened for depressive symptoms (Patient Health Questionnaire-4; PHQ-4) and assessed individuals' desire for parenthood during the pandemic, and motives for or against the desire for parenthood (Leipzig questionnaire on motives for having a child, Version 20; LKM-20), with the aim of identifying differences between individuals with minoritized sexual identities and heterosexual individuals.
Compared to heterosexual individuals (n = 1304), individuals with minoritized sexual identities (n = 831) indicated higher levels of depressive symptoms. In our study sample the majority of all participants (81.9%) reported no change in the desire for parenthood since the COVID-19 pandemic.
The findings underline the unmet need for social, psychological and medical support in regard to family-planning and the desire for parenthood during a pandemic. Furthermore, future research should explore COVID-19-related psychological consequences on individuals' desire for parenthood and building a family.
COVID-19 大流行仍在全球范围内蔓延,给人们带来了沉重的临床和人道主义负担。有研究表明,人们对为人父母的渴望与心理健康呈正相关:对为人父母的愿望未能实现与心理健康受损有关,而对为人父母的愿望则是抑郁症状发展的预测因素。虽然在 COVID-19 大流行期间,少数性取向人群(与异性恋者相比)的焦虑和抑郁发生率更高,但大流行及其社会限制措施对这一人群的具体影响还知之甚少。
2020 年 4 月至 7 月,我们在德国对 2463 名成年人进行了一项匿名横断面在线调查。我们筛查了抑郁症状(PHQ-4),评估了个体在大流行期间对为人父母的渴望,以及对为人父母的动机(赞成或反对)(莱比锡生育动机问卷,第 20 版;LKM-20),旨在确定少数性取向个体与异性恋个体之间的差异。
与异性恋个体(n=1304)相比,少数性取向个体(n=831)报告的抑郁症状水平更高。在我们的研究样本中,大多数参与者(81.9%)表示,自 COVID-19 大流行以来,对为人父母的渴望没有改变。
研究结果强调了在大流行期间,社会、心理和医疗支持方面对计划生育和为人父母的渴望存在未满足的需求。此外,未来的研究应探讨 COVID-19 相关的心理后果对个体对为人父母和建立家庭的渴望。