Abstract：
BACKGROUND: The intersection between perinatal mental health and the coronavirus disease 2019 (COVID-19) pandemic remains of significant public health importance. The current study examined the emotional and financial well-being and predictors of elevated depressive symptoms among pregnant women during the COVID-19 pandemic.
METHODS: This online survey was conducted with 2118 women ≥18 years old who were pregnant at the time of the survey and living in the United States or Puerto Rico. Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale, with scores ≥10 indicative of elevated depressive symptoms. The final logistic regression model included housing insecurity, financial distress, COVID-19 diagnosis, exposure to COVID-19, and demographic covariates.
RESULTS: More than half the sample (53.8%) had elevated depressive symptoms. In logistic regression analyses, the odds of having elevated depressive symptoms were significantly higher for participants reporting housing insecurity (adjusted odds ratio [aOR], 1.56; 95% CI, 1.22-2.01), financial distress (aOR, 1.57; 95% CI, 1.17-2.12), COVID-19 diagnosis (aOR, 2.53; 95% CI, 1.53-4.17), and COVID-19 exposure (aOR, 1.41; 95% CI, 1.07-1.86), after adjusting for covariates. The association of elevated depressive symptoms with housing insecurity was especially strong among those who experienced COVID-19 (aOR, 6.04; 95% CI, 2.15-17.0).
CONCLUSIONS: Our findings are consistent with previous literature revealing that diagnosis, exposure, concerns about family, and effects on financial stability were related to depressive symptoms during the pandemic. The relationships between financial and housing concerns with elevated depressive symptoms, independent of concerns about infection in family members, suggest that there may be direct and indirect effects of the pandemic on mental health.
METHODS: This online survey was conducted with 2118 women ≥18 years old who were pregnant at the time of the survey and living in the United States or Puerto Rico. Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale, with scores ≥10 indicative of elevated depressive symptoms. The final logistic regression model included housing insecurity, financial distress, COVID-19 diagnosis, exposure to COVID-19, and demographic covariates.
RESULTS: More than half the sample (53.8%) had elevated depressive symptoms. In logistic regression analyses, the odds of having elevated depressive symptoms were significantly higher for participants reporting housing insecurity (adjusted odds ratio [aOR], 1.56; 95% CI, 1.22-2.01), financial distress (aOR, 1.57; 95% CI, 1.17-2.12), COVID-19 diagnosis (aOR, 2.53; 95% CI, 1.53-4.17), and COVID-19 exposure (aOR, 1.41; 95% CI, 1.07-1.86), after adjusting for covariates. The association of elevated depressive symptoms with housing insecurity was especially strong among those who experienced COVID-19 (aOR, 6.04; 95% CI, 2.15-17.0).
CONCLUSIONS: Our findings are consistent with previous literature revealing that diagnosis, exposure, concerns about family, and effects on financial stability were related to depressive symptoms during the pandemic. The relationships between financial and housing concerns with elevated depressive symptoms, independent of concerns about infection in family members, suggest that there may be direct and indirect effects of the pandemic on mental health.
摘要：
背景：围产期心理健康与2019年冠状病毒病（COVID-19）大流行之间的交集仍然具有重要的公共卫生重要性。当前的研究调查了COVID-19大流行期间孕妇的情绪和财务状况以及抑郁症状升高的预测因素。
方法：这项在线调查是对2118名在调查时怀孕并居住在美国或波多黎各的18岁以上女性进行的。使用流行病学研究中心抑郁量表评估抑郁症状，得分≥10表示抑郁症状升高。最终的逻辑回归模型包括住房不安全，财务困境，COVID-19诊断，暴露于COVID-19和人口统计学协变量。
结果：超过一半的样本（53.8%）有抑郁症状升高。在逻辑回归分析中，对于报告住房不安全的参与者，抑郁症状升高的几率显著更高(调整后的优势比[AOR]，1.56；95%CI，1.22-2.01），财务困境(AOR，1.57；95%CI，1.17-2.12），COVID-19诊断(aOR，2.53；95%CI，1.53-4.17），和COVID-19暴露(AOR，1.41；95%CI，1.07-1.86），在调整协变量后。在经历过COVID-19的人群中，抑郁症状升高与住房不安全的关联特别强(aOR，6.04；95%CI，2.15-17.0）。
结论：我们的发现与以前的文献一致，暴露,关心家庭,对金融稳定的影响与大流行期间的抑郁症状有关。金融和住房问题与抑郁症状升高之间的关系，独立于对家庭成员感染的担忧，这表明大流行可能对心理健康产生直接和间接影响。
方法：这项在线调查是对2118名在调查时怀孕并居住在美国或波多黎各的18岁以上女性进行的。使用流行病学研究中心抑郁量表评估抑郁症状，得分≥10表示抑郁症状升高。最终的逻辑回归模型包括住房不安全，财务困境，COVID-19诊断，暴露于COVID-19和人口统计学协变量。
结果：超过一半的样本（53.8%）有抑郁症状升高。在逻辑回归分析中，对于报告住房不安全的参与者，抑郁症状升高的几率显著更高(调整后的优势比[AOR]，1.56；95%CI，1.22-2.01），财务困境(AOR，1.57；95%CI，1.17-2.12），COVID-19诊断(aOR，2.53；95%CI，1.53-4.17），和COVID-19暴露(AOR，1.41；95%CI，1.07-1.86），在调整协变量后。在经历过COVID-19的人群中，抑郁症状升高与住房不安全的关联特别强(aOR，6.04；95%CI，2.15-17.0）。
结论：我们的发现与以前的文献一致，暴露,关心家庭,对金融稳定的影响与大流行期间的抑郁症状有关。金融和住房问题与抑郁症状升高之间的关系，独立于对家庭成员感染的担忧，这表明大流行可能对心理健康产生直接和间接影响。
