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Fear, anxiety and depression among pregnant women during COVID-19 pandemic: impacts of healthy eating behaviour and health literacy.
Luong, Thuc C; Pham, Thu T M; Nguyen, Minh H; Do, Anh Q; Pham, Linh V; Nguyen, Hoang C; Nguyen, Huu C; Ha, Tung H; Dao, Hung K; Trinh, Manh V; Do, Thinh V; Nguyen, Hung Q; Nguyen, Thao T P; Tran, Cuong Q; Tran, Khanh V; Duong, Trang T; Pham, Hai X; Do, Thao T; Nguyen, Phuoc B; Tra, Anh L; Phan, Dung T; Do, Binh N; Duong, Tuyen Van.
  • Luong TC; Department of Cardiology, Cardiovascular Center, Military Hospital 103, Hanoi, Vietnam.
  • Pham TTM; Director Office, Military Hospital 103, Hanoi, Vietnam.
  • Nguyen MH; School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
  • Do AQ; Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam.
  • Pham LV; International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
  • Nguyen HC; International Ph.D. Program for Cell Therapy and Regeneration Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
  • Nguyen HC; Department of Obstetrics and Gynecology, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam.
  • Ha TH; Department of Pulmonary and Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam.
  • Dao HK; Director Office, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam.
  • Trinh MV; Director Office, Thai Nguyen National Hospital, Thai Nguyen, Vietnam.
  • Do TV; President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam.
  • Nguyen HQ; Director Office, E Hospital, Hanoi, Vietnam.
  • Nguyen TTP; Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Vietnam.
  • Tran CQ; Director Office, General Hospital of Agricultural, Hanoi, Vietnam.
  • Tran KV; Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, Vietnam.
  • Duong TT; Director Office, Quang Ninh General Hospital, Quang Ninh, Vietnam.
  • Pham HX; Director Office, Bai Chay Hospital, Quang Ninh, Vietnam.
  • Do TT; Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Vietnam.
  • Nguyen PB; Health Management Training Institute, University of Medicine and Pharmacy, Hue University, Thua Thien Hue, Vietnam.
  • Tra AL; Director Office, Thu Duc District Health Center, Ho Chi Minh City, Vietnam.
  • Phan DT; Faculty of Health, Mekong University, Vinh Long, Vietnam.
  • Do BN; Director Office, Le Van Thinh Hospital (previously Hospital District 2), Ho Chi Minh City, Vietnam.
  • Duong TV; Nursing Office, Tan Phu District Hospital, Ho Chi Minh City, Vietnam.
Ann Med ; 53(1): 2120-2131, 2021 12.
Article in English | MEDLINE | ID: covidwho-1510753
ABSTRACT

INTRODUCTION:

The COVID-19 pandemic has been influencing people's psychological health, especially in pregnant women. We aimed to examine associated factors of fear of COVID-19, anxiety and depression among pregnant women during the pandemic where the impacts of healthy eating behaviour (HES) and health literacy (HL) were emphasized.

METHODS:

A cross-sectional study was conducted between 14 February 2020 and 31 May 2020 in 18 health centres and hospitals across Vietnam. Data of 518 pregnant women were analysed, including socio-demographics, pregnant-related factors, HES, HL, health-related behaviours, fear of COVID-19 scale (FCoV-19S), anxiety (using the generalized anxiety disorder (GAD-7)) and depression (using the patient health questionnaire with 9 items (PHQ-9)). Regression analysis was utilized to explore the associations.

RESULTS:

Pregnant women with higher scores of HES and HL had lower likelihood of anxiety (odds ratio, OR, 0.79; 95% confidence interval (95%CI), 0.73, 0.87; p < .001; and OR, 0.94; 95%CI, 0.90, 0.99; p = .018) and depression (OR, 0.84; 95%CI, 0.78, 0.91; p < .001; and OR, 0.96; 95%CI, 0.91, 0.99; p = .044), respectively. Pregnant women being employed had a lower FCoV-19S score (regression coefficient, B, -1.46; 95%CI, -2.51, -0.40; p = .007). Besides, other significant predictors of anxiety were eating healthier during the pandemic, unchanged or more physical activity, elevated gestational age and smoking. Other significant predictors of depression were eating healthier during the pandemic, elevated gestational age and smoking.

CONCLUSIONS:

Among others, HES and HL had positive impacts on protecting pregnant women against anxiety and depression. Improving HES and HL should be addressed as a strategic approach to improve reproductive health during the pandemic.KEY MESSAGEThe COVID-19 pandemic influences antenatal mental disorders with the higher level as opposed to that before the pandemic.Healthy eating behaviour and better health literacy (HL) had critical roles in lowering prenatal anxiety and depression during the COVID-19 crisis.Strategic approaches for improving healthy eating and HL should be recommended for protecting pregnant women from mental health problems during the pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pregnant Women / Depression / Fear / Health Literacy / Diet, Healthy / COVID-19 Type of study: Prevalence study / Prognostic study / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Pregnancy Language: English Journal: Ann Med Journal subject: Medicine Year: 2021 Document Type: Article Affiliation country: 07853890.2021.2001044

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pregnant Women / Depression / Fear / Health Literacy / Diet, Healthy / COVID-19 Type of study: Prevalence study / Prognostic study / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Pregnancy Language: English Journal: Ann Med Journal subject: Medicine Year: 2021 Document Type: Article Affiliation country: 07853890.2021.2001044