Hinoveanu Denisa, Anastasiu Doru Mihai, Citu Cosmin, Popa Zoran Laurentiu, Erdelean Izabella, Dumitru Catalin, Biris Marius, Olaru Flavius, Neda-Stepan Oana, Fericean Roxana Manuela, Boia Eugen Radu, Domuta Eugenia Maria, Stelea Lavinia
Department of Obstetrics and Gynecology, "Victor Babes" University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania.
Doctoral School, "Victor Babes" University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 Timisoara, Romania.
Healthcare (Basel). 2023 Nov 19;11(22):2990. doi: 10.3390/healthcare11222990.
During the COVID-19 pandemic, significant shifts occurred in reproductive health, especially among teenagers and young adult women in Romania. This study, conducted from 2020 to 2022, aimed to longitudinally assess contraceptive awareness and its correlation with mental well-being in this demographic. A cohort of 210 participants aged 15-25, with a history of wanted or unwanted pregnancy, was studied. The research involved collaborations with Romanian educational institutions and strict adherence to ethical standards. Participants' data on contraceptive knowledge and practices were analyzed, considering factors like substance use and prior sexual education. Mental well-being was evaluated using the SF-36, WHOQOL-BREF, GAD-7, and PHQ-9 scales. The study revealed a positive correlation between increased contraceptive knowledge and improved mental health scores. In 2022, 68% of participants displayed proficient contraceptive awareness, up from 52% in 2020. Those with good contraceptive knowledge had an average SF-36 score of 72, indicating a better quality of life, compared to a score of 58 among those with limited knowledge. Furthermore, there was a notable decrease in GAD-7 and PHQ-9 scores among individuals with better contraceptive awareness, suggesting reduced anxiety and depression levels. The SF-36 survey results showed significant improvements across the years: the physical score increased from 52.1 (±6.3) in 2020 to 56.5 (±6.8) in 2022, the mental score from 51.4 (±7.2) to 55.0 (±6.9), and the total score from 53.6 (±7.9) to 57.5 (±8.0). WHOQOL-BREF results showed a substantial increase in the social domain score from 53.6 (±18.2) in 2020 to 63.0 (±20.5) in 2022. GAD-7 scores declined from 7.9 (±2.6) in 2020 to 6.5 (±3.3) in 2022, indicating a decrease in anxiety symptoms. PHQ-9 scores, measuring depression, also showed a downward trend, from 4.8 (±2.2) in 2020 to 3.9 (±2.8) in 2022. These findings highlight the intertwined nature of contraceptive awareness and mental well-being. The improvements in contraceptive awareness positively impacted mental health outcomes, emphasizing the need for targeted educational interventions in this demographic, particularly during global crises like the pandemic.
在新冠疫情期间，罗马尼亚青少年和年轻成年女性的生殖健康发生了显著变化。这项于2020年至2022年开展的研究旨在纵向评估这一人群的避孕意识及其与心理健康的相关性。研究对象为210名年龄在15至25岁之间、有过有意或意外怀孕经历的参与者。该研究与罗马尼亚教育机构合作开展，并严格遵守伦理标准。分析了参与者关于避孕知识和做法的数据，同时考虑了药物使用和先前性教育等因素。使用SF-36、WHOQOL-BREF、GAD-7和PHQ-9量表评估心理健康状况。研究发现，避孕知识的增加与心理健康得分的提高呈正相关。2022年，68%的参与者表现出熟练的避孕意识，高于2020年的52%。避孕知识掌握良好的参与者SF-36平均得分为72分，表明生活质量较好，而知识有限的参与者该得分为58分。此外，避孕意识较好的个体GAD-7和PHQ-9得分显著下降，表明焦虑和抑郁水平降低。SF-36调查结果显示，多年来有显著改善：身体得分从2020年的52.1（±6.3）提高到2022年的56.5（±6.8），心理得分从51.4（±7.2）提高到55.0（±6.9），总分从53.6（±7.9）提高到57.5（±8.0）。WHOQOL-BREF结果显示，社会领域得分从2020年的53.6（±18.2）大幅提高到2022年的63.0（±20.5）。GAD-7得分从2020年的7.9（±2.6）降至2022年的6.5（±3.3），表明焦虑症状有所减轻。衡量抑郁的PHQ-9得分也呈下降趋势，从2020年的4.8（±2.2）降至2022年的3.9（±2.8）。这些发现凸显了避孕意识与心理健康之间的相互关联。避孕意识的提高对心理健康结果产生了积极影响，强调了针对这一人群开展有针对性教育干预的必要性，尤其是在疫情等全球危机期间。
