COVID-19大流行一直影响着人们的心理健康,尤其是孕妇。我们旨在研究大流行期间孕妇对COVID-19的恐惧,焦虑和抑郁的相关因素,其中强调了健康饮食行为(HES)和健康素养(HL)的影响。
一项横断面研究于2020年2月14日至2020年5月31日在越南18个保健中心和医院进行。分析了518名孕妇的数据,包括社会人口统计学,怀孕相关因素,HES,HL,与健康相关的行为,对COVID-19量表(FCoV-19S)的恐惧,焦虑(使用广泛性焦虑障碍(GAD-7))和抑郁(使用9项患者健康问卷(PHQ-9))。使用回归分析来探索关联。
HES和HL评分较高的孕妇焦虑的可能性较低(比值比,OR,0.79;95%置信区间(95CI),0.73,0.87;p<.001;或,0.94;95CI,0.90,0.99;p=.018)和抑郁(OR,0.84;95CI,0.78,0.91;p<.001;和OR,0.96;95CI,0.91,0.99;p=.044),分别。受雇孕妇的FCoV-19S评分较低(回归系数,B,-1.46;95CI,-2.51,-0.40;p=.007)。此外,焦虑的其他重要预测因素是在大流行期间吃得更健康,不变或更多的体力活动,胎龄升高和吸烟。抑郁症的其他重要预测因素是在大流行期间饮食更健康,胎龄升高和吸烟。
其中,HES和HL对保护孕妇免受焦虑和抑郁的影响。改善HES和HL应作为大流行期间改善生殖健康的战略方法。关键信息与大流行前相比,新冠肺炎大流行对产前精神障碍的影响程度更高。在COVID-19危机期间,健康的饮食行为和更好的健康素养(HL)在降低产前焦虑和抑郁方面发挥了关键作用。应建议采取改善健康饮食和HL的战略方法,以保护孕妇在大流行期间免受心理健康问题的影响。
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.
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.
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.
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.