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Mental health and preventive behaviour of pregnant women in China during the early phase of the COVID-19 period.
Wang, Qian; Mo, Phoenix K H; Song, Bo; Di, Jiang-Li; Zhou, Feng-Rong; Zhao, Juan; Wu, Ying-Lan; Tian, Hong; Qiu, Li-Qian; Xia, Jianhong; Wang, Lan; Li, Fen; Wang, Lin-Hong.
  • Wang Q; National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China.
  • Mo PKH; Center for Health Behaviours Research, School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
  • Song B; National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China.
  • Di JL; National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China.
  • Zhou FR; Shandong Province Hospital for Women and Children's Health, Jinan, China.
  • Zhao J; Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
  • Wu YL; Hunan Provincial Maternal and Child Health Care Hospital, Changsha, China.
  • Tian H; Women and Children's Health Care Hospital of Liaoning Province, Shenyang, China.
  • Qiu LQ; School of Medicine, Women's Hospital, Zhejiang University, Hangzhou, China.
  • Xia J; Guangdong Women and Children Hospital, Guangzhou, China.
  • Wang L; Chong Qing Health Center for Women and Children, Chong Qing, China.
  • Li F; First Affiliated Hospital of Medical College of Xi'an Jiaotong University, Xi'an, China.
  • Wang LH; National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, 13# Rd Nanwei, Xicheng, Beijing, China. linhong@chinawch.org.cn.
Infect Dis Poverty ; 10(1): 37, 2021 Mar 24.
Article in English | MEDLINE | ID: covidwho-1150428
ABSTRACT

BACKGROUND:

The COVID-19 has caused significant toll over the globe. Pregnant women are at risk of infection. The present study examined the frequency of washing hands with soap and wearing face mask when going out, prevalence of depression and anxiety, and identified their associated factors among pregnant women during the early phase of COVID-19 outbreak in China.

METHODS:

A cross-sectional online survey was conducted between 24 February and 3 March 2020. A total of 15 428 pregnant women who were using maternal health care services in China completed a questionnaire which assessed their socio-demographic and pregnancy-related characteristics, contextual, cognitive and social factors related to COVID-19, frequency of washing hands and wearing face masks, and depression and anxiety. Logistics regression analyses were performed to identify the associated factors of preventive behaviours and mental health.

RESULTS:

The prevalence of probable anxiety and depression was 28.2% and 43.6% respectively. 19.8% reported always wearing face mask when going out, and 19.1% reported washing hands with soap for more than 10 times per day. Results from logistic regression analyses showed that older age was associated with lower levels of depression and anxiety (OR = 0.42-0.67) and higher frequency of washing hands (OR = 1.57-3.40). Higher level of education level was associated with probable depression (OR = 1.31-1.45) and higher frequency of wearing face mask (OR = 1.50-1.57). After adjusting for significant socio-demographic and pregnancy-related factors, place of residence being locked down (aOR = 1.10-1.11), being quarantined (aOR = 1.42-1.57), personally knowing someone being infected with COVID-19 (aOR = 1.80-1.92), perception that COVID-19 would pose long term physical harm to human (aOR = 1.25-1.28) were associated with higher levels of depression and anxiety, while the perception that the disease will be under control in the coming month was associated with lower levels of depression and anxiety (aOR = 0.59-0.63) and lower tendency of always wearing face mask (aOR = 0.85). Social support was associated with lower levels of depression and anxiety (aOR = 0.86-0,87) and higher frequency of washing hands (aOR = 1.06).

CONCLUSIONS:

The mental health and preventive behaviours of pregnant women during COVID-19 outbreak was associated with a range of socio-demographic, pregnancy-related, contextual, cognitive and social factors. Interventions to mitigate their mental health problems and to promote preventive behaviours are highly warranted.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / Health Behavior / Mental Health / SARS-CoV-2 / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Pregnancy / Young adult Country/Region as subject: Asia Language: English Journal: Infect Dis Poverty Year: 2021 Document Type: Article Affiliation country: S40249-021-00825-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / Health Behavior / Mental Health / SARS-CoV-2 / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Pregnancy / Young adult Country/Region as subject: Asia Language: English Journal: Infect Dis Poverty Year: 2021 Document Type: Article Affiliation country: S40249-021-00825-4