PDF(Pubmed)
Abstract：
OBJECTIVE: This study explored the impact of COVID-19 on the mental health and adaptation of behavior of Zhuang women in China to provide more specific guidance for the social and medical practice of pregnant women during public health emergencies.
METHODS: This cross-sectional study recruited 446 pregnant Zhuang women from obstetric outpatient clinics in four tertiary hospitals and online maternity schools in Nanning, Guangxi, between February 24 and March 1, 2020. Self-designed questionnaires and the Self-Rating Anxiety Scale were used.
RESULTS: During the COVID-19 pandemic, the prevalence rate of anxiety among women was 36.77%, and some adaptation of behavior was observed. Logistic regression analysis showed that pregnant women who had an annual household income of less than $7,000, were primiparous, went out for prenatal examination, wanted to self-monitor during pregnancy but did not know how to do it, believed that they should be strictly isolated at home and cancel prenatal examinations, and expected to receive pregnancy healthcare through teleconsultation services showed a higher risk of anxiety. Nevertheless, pregnant Zhuang women who were 22-35 years old, undergraduate-educated, and in their second trimester were less likely to suffer from anxiety.
CONCLUSIONS: The COVID-19 pandemic has a significant psychological impact on pregnant women from ethnic minorities. Factors related to quarantine and social isolation policies appear to drive changes in behaviors and anxiety disorders. Multidisciplinary mental health services and culturally sensitive interventions are necessary for minority pregnant women, especially for low-income primiparous women in the first or third trimester.
METHODS: This cross-sectional study recruited 446 pregnant Zhuang women from obstetric outpatient clinics in four tertiary hospitals and online maternity schools in Nanning, Guangxi, between February 24 and March 1, 2020. Self-designed questionnaires and the Self-Rating Anxiety Scale were used.
RESULTS: During the COVID-19 pandemic, the prevalence rate of anxiety among women was 36.77%, and some adaptation of behavior was observed. Logistic regression analysis showed that pregnant women who had an annual household income of less than $7,000, were primiparous, went out for prenatal examination, wanted to self-monitor during pregnancy but did not know how to do it, believed that they should be strictly isolated at home and cancel prenatal examinations, and expected to receive pregnancy healthcare through teleconsultation services showed a higher risk of anxiety. Nevertheless, pregnant Zhuang women who were 22-35 years old, undergraduate-educated, and in their second trimester were less likely to suffer from anxiety.
CONCLUSIONS: The COVID-19 pandemic has a significant psychological impact on pregnant women from ethnic minorities. Factors related to quarantine and social isolation policies appear to drive changes in behaviors and anxiety disorders. Multidisciplinary mental health services and culturally sensitive interventions are necessary for minority pregnant women, especially for low-income primiparous women in the first or third trimester.
摘要：
目的：本研究探讨COVID-19对中国壮族妇女心理健康和行为适应的影响，为突发公共卫生事件中孕妇的社会和医疗实践提供更具体的指导。
方法：这项横断面研究从南宁市的四所三级医院和网上妇产学校的产科门诊招募了446名壮族孕妇，广西,2020年2月24日至3月1日。使用自行设计的问卷和焦虑自评量表。
结果：在COVID-19大流行期间，女性焦虑患病率为36.77%，并观察到一些行为的适应。Logistic回归分析显示,家庭年收入低于7000元的孕妇,出去做了产前检查,想在怀孕期间自我监控，但不知道如何做，认为他们应该严格隔离在家，取消产前检查，并且预期通过远程会诊服务接受怀孕医疗显示出更高的焦虑风险。然而，22-35岁的壮族孕妇，本科教育，在他们的孕中期，患焦虑症的可能性较小。
结论：COVID-19大流行对少数民族孕妇的心理影响显著。与隔离和社会隔离政策相关的因素似乎会导致行为和焦虑症的变化。多学科精神卫生服务和文化敏感的干预措施对于少数群体孕妇是必要的，特别是对于早期或晚期的低收入初产妇。
方法：这项横断面研究从南宁市的四所三级医院和网上妇产学校的产科门诊招募了446名壮族孕妇，广西,2020年2月24日至3月1日。使用自行设计的问卷和焦虑自评量表。
结果：在COVID-19大流行期间，女性焦虑患病率为36.77%，并观察到一些行为的适应。Logistic回归分析显示,家庭年收入低于7000元的孕妇,出去做了产前检查,想在怀孕期间自我监控，但不知道如何做，认为他们应该严格隔离在家，取消产前检查，并且预期通过远程会诊服务接受怀孕医疗显示出更高的焦虑风险。然而，22-35岁的壮族孕妇，本科教育，在他们的孕中期，患焦虑症的可能性较小。
结论：COVID-19大流行对少数民族孕妇的心理影响显著。与隔离和社会隔离政策相关的因素似乎会导致行为和焦虑症的变化。多学科精神卫生服务和文化敏感的干预措施对于少数群体孕妇是必要的，特别是对于早期或晚期的低收入初产妇。
