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Fear, anxiety and depression among pregnant women during COVID-19 pandemic: impacts of healthy eating behaviour and health literacy
Annals of Medicine Số 1, năm 2021 (Tập 53, trang 2120-2131)
ISSN: 7853890
ISSN: 7853890
DOI: 10.1080/07853890.2021.2001044
Tài liệu thuộc danh mục:
Article
English
Từ khóa: Adult; Anxiety; COVID-19; Cross-Sectional Studies; Depression; Diet, Healthy; Fear; Feeding Behavior; Female; Health Literacy; Humans; Pandemics; Pregnancy; Pregnant Women; SARS-CoV-2; Surveys and Questionnaires; adult; antenatal depression; anxiety disorder; Article; clinical indicator; controlled study; coronavirus disease 2019; cross-sectional study; demography; drinking; emotion assessment; fear; fear of covid 19 scale; feeding behavior; female; first trimester pregnancy; Generalized Anxiety Disorder Scale; Generalized Anxiety Disorder-7; gestational age; gestational weight gain; health behavior; health center; health literacy; human; lifestyle modification; major clinical study; maternal smoking; pandemic; Patient Health Questionnaire 9; physical activity; pregnant woman; regression analysis; second trimester pregnancy; self report; Short Form 12; third trimester pregnancy; whole grain; anxiety; depression; fear; feeding behavior; pandemic; pregnancy; pregnant woman; psychology; questionnaire
Tóm tắt tiếng anh
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 MESSAGE The 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. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
