The Disproportionate Burden of the COVID-19 Pandemic Among Pregnant Black Women.
The Disproportionate Burden of the COVID-19 Pandemic Among Pregnant Black Women.
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DOI：
10.1016/j.psychres.2020.113475
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发表时间：
2020-11
影响因子：
11.3
通讯作者：
Elovitz MA
中科院分区：
文献类型：
--
作者：
Gur RE;White LK;Waller R;Barzilay R;Moore TM;Kornfield S;Njoroge WFM;Duncan AF;Chaiyachati BH;Parish-Morris J;Maayan L;Himes MM;Laney N;Simonette K;Riis V;Elovitz MA
COVID-19 大流行对美国弱势群体（包括黑人）的福祉造成了不成比例的影响。对孕妇的影响尤其要关注其后代的宫内和产后发育。我们在一项在线调查中对费城地区 913 名孕妇（其中 216 名黑人、571 名白人、126 名其他妇女）进行了为期 2 周的居家令样本评估。我们应用逻辑回归模型和协方差分析来检查一般和怀孕特定的担忧以及因 COVID-19 大流行而产生的负面后果、焦虑和抑郁症状以及恢复力。黑人孕妇报告称，她们的就业受到负面影响的可能性更大，更担心持久的经济负担，更担心她们的产前护理、分娩经历和产后需求。在全部样本中，11.1% 的女性符合焦虑筛查标准，9.9% 的女性符合抑郁筛查标准。黑人女性比白人女性更有可能符合抑郁症标准，但考虑到协变量，这种差异并不显着。黑人女性的弹性因素（包括自力更生和情绪调节）更高。孕妇与 COVID-19 相关的种族差异可以促进对妊娠相关压力源的理解，并促进心理健康需求的早期识别。
The COVID-19 pandemic has disproportionately impacted the well-being of vulnerable populations in the US, including Black people. The impact on pregnant women is of special concern for the intrauterine and post-natal development of their offspring. We evaluated in an online survey a sample of 913 pregnant women, 216 Black, 571 White, 126 Other, during a 2-week stay-at-home mandate in the Philadelphia region. We applied logistic regression models and analysis of covariance to examine general and pregnancy-specific worries and negative consequences arising from the COVID-19 pandemic, symptoms of anxiety and depression, and resilience. Black pregnant women reported greater likelihood of having their employment negatively impacted, more concerns about a lasting economic burden, and more worries about their prenatal care, birth experience, and post-natal needs. In the full sample, 11.1% of women met screening criteria for anxiety and 9.9% met criteria for depression. Black women were more likely to meet criteria for depression than White women, but this difference was not significant accounting for covariates. Resilience factors including self-reliance and emotion regulation were higher in Black women. Racial disparities related to COVID-19 in pregnant women can advance the understanding of pregnancy related stressors and improve early identification of mental health needs.
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影响因子：
10.6
作者：
Bale, Tracy L.;Baram, Tallie Z.;Brown, Alan S.;Goldstein, Jill M.;Insel, Thomas R.;McCarthy, Margaret M.;Nemeroff, Charles B.;Reyes, Teresa M.;Simerly, Richard B.;Susser, Ezra S.;Nestler, Eric J.
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通讯作者：
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DOI：
10.1007/s40615-020-00774-y
发表时间：
2020-05-30
影响因子：
3.9
作者：
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通讯作者：
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影响因子：
6.6
作者：
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