COVID-19 大流行对澳大利亚悉尼“BABY1000”出生队列研究中入组的新父母的影响：一项混合方法研究。

Impact of the COVID-19 pandemic on new parents enrolled in the 'BABY1000' birth cohort study in Sydney, Australia: A mixed-methods study.

机构信息

The University of Sydney, Faculty of Medicine and Health, Central Clinical School, Sydney, Australia; Charles Perkins Centre, The University of Sydney, Sydney, Australia.

The University of Sydney, Faculty of Medicine and Health, School of Public Health, Sydney Health Literacy Lab, Sydney, Australia; Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia.

出版信息

Aust N Z J Public Health. 2024 Feb;48(1):100127. doi: 10.1016/j.anzjph.2024.100127. Epub 2024 Feb 13.

DOI:10.1016/j.anzjph.2024.100127

PMID:38354625

Abstract

OBJECTIVE

The COVID-19 pandemic was, and continues to be, uniquely experienced by women in the perinatal period and their families. Whilst long-term impacts of the pandemic are unknown, exposures in pregnancy and early life have impacts across the life-course and future generations. The objective of this manuscript was to explore how the pregnancy, postpartum and parenting experiences of a subset of participants from the 'BABY1000' cohort in Sydney, Australia, were affected by the COVID-19 pandemic, and explore associations between these experiences and state anxiety.

METHODS

Mixed methods were used. Participants were requested to complete an online survey including the State-Trait Anxiety Inventory short form (STAI-6), followed by an invitation to participate in focus group discussions (FGDs).

RESULTS

From September to November 2021, 88 parents completed the survey (mean age 33.5 years, 60% born in Australia, 58% primiparous). Twenty-two parents participated in FGDs. Six themes were identified regarding the experience of parents: (1) Maternal support, (2) Family relationships, (3) Stress and mental health, (4) Healthcare, (5) Family lifestyle and routine, and (6) Long-term impacts. The mean STAI-6 score was 40 (SD 12.3), representing high anxiety. High anxiety was significantly associated with concern regarding COVID-19 and feeling overburdened and lonely.

CONCLUSIONS

The COVID-19 pandemic and associated public health orders significantly impacted participants' pregnancy, postpartum and parenting experiences. Whilst these experiences included some unexpected positives, for many, these were outweighed by negative impacts on mental health, social support, health behaviours, and family relationships.

IMPLICATIONS FOR PUBLIC HEALTH

Ongoing longitudinal research is imperative to identify potential long-term effects of the pandemic across the life-course, better support families in the short and long-term, and plan for public health crises in the future.

摘要

目的

新冠疫情期间，围产期女性及其家庭经历了独特的挑战。尽管疫情的长期影响尚不清楚，但孕期和生命早期的暴露会对整个生命周期和后代产生影响。本研究旨在探讨澳大利亚悉尼“BABY1000”队列的一部分参与者的妊娠、产后和育儿经历如何受到新冠疫情的影响，并探讨这些经历与状态焦虑之间的关联。

方法

采用混合方法。参与者被要求完成一项在线调查，包括状态特质焦虑量表短表（STAI-6），随后受邀参加焦点小组讨论（FGD）。

结果

2021 年 9 月至 11 月，88 名家长完成了调查（平均年龄 33.5 岁，60%在澳大利亚出生，58%为初产妇）。22 名家长参加了 FGD。确定了六个与父母经历相关的主题：（1）产妇支持，（2）家庭关系，（3）压力和心理健康，（4）医疗保健，（5）家庭生活方式和常规，以及（6）长期影响。STAI-6 的平均得分为 40（SD 12.3），表示高度焦虑。高度焦虑与对新冠疫情的担忧、感到负担过重和孤独显著相关。