USA Centers for Disease Control and Prevention, 4770 Buford Highway, MS 107-2, Atlanta, GA, 30341, USA.
Arch Womens Ment Health. 2023 Dec;26(6):767-776. doi: 10.1007/s00737-023-01364-7. Epub 2023 Aug 22.
The objective of this analysis was to assess the associations between pandemic-related stressors and feeling more anxious/depressed, among women with a live birth. We analyzed data from the Pregnancy Risk Assessment Monitoring System (PRAMS) COVID-19 maternal experiences supplement, implemented in 29 U.S. jurisdictions from October 2020-June 2021, among women with a live birth during April-December 2020. We examined stressors by type (economic, housing, childcare, food insecurity, partner, COVID-19 illness) and score (number of stressor types experienced [none, 1-2, 3-4, or 5-6]). Outcomes were feeling 1) more anxious and 2) more depressed than usual due to the pandemic. We calculated adjusted prevalence ratios estimating associations between stressors and outcomes. Among 12,525 respondents, half reported feeling more anxious and 28% more depressed than usual. The prevalence of stressor types was 50% economic, 41% childcare, 18% partner, 17% food insecurity, 12% housing, and 10% COVID-19 illness. Respondents who experienced partner stressors (anxious aPR: 1.81, 95% CI: 1.73-1.90; depressed aPR: 3.01, 95% CI: 2.78-3.25) and food insecurity (anxious aPR: 1.79, 95% CI: 1.71-1.88; depressed aPR: 2.32, 95% CI: 2.13-2.53) had the largest associations with feeling more anxious and depressed than usual. As stressor scores increased, so did the aPRs for feeling more anxious and more depressed due to the pandemic. COVID-19 stressors, not COVID-19 illness, were found to be significantly associated with feeling more anxious and depressed. Pregnant and postpartum women might benefit from access to supports and services to address pandemic-related stressors/social-determinants and feelings of anxiety and depression.
本分析旨在评估与大流行相关的应激源与有活产的女性感到更焦虑/抑郁之间的关联。我们分析了 2020 年 10 月至 2021 年 6 月期间在美国 29 个司法管辖区实施的妊娠风险评估监测系统 (PRAMS) COVID-19 产妇体验补充调查的数据，该调查针对的是 2020 年 4 月至 12 月期间有活产的女性。我们根据类型（经济、住房、儿童保育、食品安全、伴侣、COVID-19 疾病）和分数（经历的应激源类型数量[无、1-2、3-4 或 5-6]）来检查应激源。结果是由于大流行而感到 1）更焦虑和 2）比平时更沮丧。我们计算了调整后的患病率比，以估计应激源与结果之间的关联。在 12525 名受访者中，有一半人表示由于大流行而感到比平时更焦虑，28%的人表示更沮丧。应激源类型的发生率为 50%是经济方面的，41%是儿童保育方面的，18%是伴侣方面的，17%是食品安全方面的，12%是住房方面的，10%是 COVID-19 疾病方面的。经历伴侣应激源的受访者（焦虑的 aPR：1.81，95%CI：1.73-1.90；抑郁的 aPR：3.01，95%CI：2.78-3.25）和食品安全问题（焦虑的 aPR：1.79，95%CI：1.71-1.88；抑郁的 aPR：2.32，95%CI：2.13-2.53）与感到比平时更焦虑和抑郁的关联最大。随着应激源分数的增加，由于大流行而感到更焦虑和更抑郁的 aPR 也随之增加。与感到更焦虑和抑郁相关的是 COVID-19 应激源，而不是 COVID-19 疾病。怀孕和产后妇女可能受益于获得支持和服务，以解决与大流行相关的应激源/社会决定因素以及焦虑和抑郁情绪。
