González Alma Patricia, Camacho-Osuna Diana Gabriela, López-Martínez Raymundo, Rocha-Sánchez Yaira María José, Paque-Bautista Carlos, Luna-Anguiano José Luis Felipe, Valderrama-Santillán José de Jesús, Sosa-Bustamante Gloria Patricia
Instituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Gineco Pediatría No. 48, Dirección de Educación e Investigación en Salud. León, Guanajuato, México.
Instituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Gineco Pediatría No. 48, Servicio de Ginecología. León, Guanajuato, México.
Rev Med Inst Mex Seguro Soc. 2025 May 2;63(3):e6658. doi: 10.5281/zenodo.15178479.
Confinement due to health emergencies such as the coronavirus disease 19 (COVID-19) creates additional challenges for pregnant women (PW), negatively influencing their mental health.
To evaluate the presence of symptoms suggestive of depression (SSD), anxiety (SSA), and stress (SSS) and associated factors in PW during confinement due to the COVID-19 pandemic.
Analytical and prolific prevalence study carried out in hospitalized primigravidae PW, aged 14 to 41 years. Clinical, psychosocial, and sociodemographic data from the PM and medical records were collected, and the DASS-21 questionnaire was administered. Chi-square or Fisher's exact test, odds ratio (OR), and logistic regression were used.
232 PW with a median age of 23 years (20-27) were included. The incidence of SSD was 37.07%, SSA 45.69%, SSS 35.78%. Risk factors for SSD were not having a partner: OR 2.12 (95% CI 1.15-3.93), p = 0.01, and having low socioeconomic status 3.06 (95% CI 1.70-5.49), p = 0.0001. In SSA, unemployment was 1.76 (1.04-2.96), p = 0.03. And for SES, basic education showed 0.49 (95% CI 0.28-0.88), p = 0.01, low socioeconomic status 1.80 (95% CI 1.01-3.22), p = 0.04, and comorbidities 2.15 (95% CI 1.04-4.44), p = 0.03.
During the COVID-19 lockdown, the frequency of SSD, SSA and SSS in primigravidae PW was high, and associated factors were not having a partner, low socioeconomic status, unemployment, and comorbidities.
诸如冠状病毒病19（COVID-19）等突发公共卫生事件导致的隔离给孕妇带来了额外挑战，对其心理健康产生负面影响。
评估在因COVID-19大流行而实施隔离期间，孕妇中提示抑郁（SSD）、焦虑（SSA）和压力（SSS）的症状及其相关因素的存在情况。
对年龄在14至41岁的住院初产妇进行分析性和现况患病率研究。收集了孕妇的临床、心理社会和社会人口学数据以及病历，并进行了DASS-21问卷调查。使用卡方检验或费舍尔精确检验、比值比（OR）和逻辑回归分析。
纳入了232名年龄中位数为23岁（20-27岁）的孕妇。SSD的发生率为37.07%，SSA为45.69%，SSS为35.78%。SSD的危险因素为没有伴侣：OR为2.12（95%CI 1.15-3.93），p = 0.01；以及社会经济地位低，OR为3.06（95%CI 1.70-5.49），p = 0.0001。在SSA方面，失业的OR为1.76（1.04-2.96），p = 0.03。对于SSS，基础教育的OR为0.49（95%CI 0.28-0.88），p = 0.01；社会经济地位低的OR为1.80（95%CI 1.01-3.22），p = 0.04；合并症的OR为2.15（95%CI 1.04-4.44），p = 0.03。
在COVID-19封锁期间，初产妇中SSD、SSA和SSS的发生率较高，相关因素包括没有伴侣、社会经济地位低、失业和合并症。
