The Impact of the COVID-19 Pandemic on Women's Reproductive Health.
The Impact of the COVID-19 Pandemic on Women's Reproductive Health.
复制标题
DOI：
10.3389/fendo.2021.642755
复制
发表时间：
2021
影响因子：
5.2
通讯作者：
Owens L
中科院分区：
文献类型：
--
作者：
Phelan N;Behan LA;Owens L
2019冠状病毒病大流行深刻影响了全球人民的生活。众所周知，压力和心理困扰会影响女性的月经周期。因此，到目前为止，我们对大流行期间的妇女生殖健康进行了一项观察性研究。作者于2020年9月在社交媒体上分享了一项匿名数字调查。所有育龄妇女都被邀请完成这项调查。1031名女性完成了这项调查。平均年龄36.7±6.6岁（15 ~ 54岁）。693/70%的人表示使用应用程序或日记记录她们的周期。233/23%采用激素避孕。441/46%的妇女报告说，自大流行开始以来，她们的月经周期发生了变化。与大流行前相比，483/53%的人报告经前症状加重，100/18%的人报告新的月经较多（p = 0.003）， 173/30%的人报告新的痛经（p < 0.0001）。72/9%的患者报告未来月经（p = 0.003），未来月经的中位数为2（1-3）。17/21%在大流行前“偶尔”错过月经的人在大流行期间“经常”错过月经。467/45%的人报告性欲下降。中位周期长度（28天）和出血天数（5天）没有变化，但周期长度的变异性更大（p = 0.01），最小周期长度（p < 0.0001）和最大周期长度（p = 0.009）中位减少了1天。女性自我报告的体重中位数增加了2公斤，每周锻炼中位数增加了30分钟。517/50%的妇女表示，她们的饮食比大流行前更差，232/23%的妇女表示，她们的饮食比大流行前更好。407/40%的人工作时间更长，169/16%的人工作时间更短。女性情绪低落（p < 0.0001）、食欲不振（p < 0.0001）、暴饮暴食（p < 0.0001）、注意力不集中（p < 0.0001）、焦虑（p < 0.0001）、睡眠不佳（p < 0.0001）、孤独（p < 0.0001）和过量饮酒（p < 0.0001）显著增加。报告的具体压力源包括工作压力（499/48%）、难以获得医疗保健（254/25%）、财务状况变化（201/19%）、在家上学困难（191/19%）或儿童保育困难（99/10%）、家庭或伴侣冲突（170/16%）、家庭疾病或丧亲之痛（156/15%）。2019冠状病毒病大流行严重影响了妇女的生殖健康。这对健康的长期影响还有待确定，未来的研究应该解决这个问题。
The COVID-19 pandemic has profoundly affected the lives of the global population. It is known that periods of stress and psychological distress can affect women’s menstrual cycles. We therefore performed an observational study of women’s reproductive health over the course of the pandemic thus far. An anonymous digital survey was shared by the authors via social media in September 2020. All women of reproductive age were invited to complete the survey. 1031 women completed the survey. Mean age was 36.7 ± 6.6 years (range, 15–54). 693/70% reported recording their cycles using an app or diary. 233/23% were using hormonal contraception. 441/46% reported a change in their menstrual cycle since the beginning of the pandemic. 483/53% reported worsening premenstrual symptoms, 100/18% reported new menorrhagia (p = 0.003) and 173/30% new dysmenorrhea (p < 0.0001) compared to before the pandemic. 72/9% reported missed periods who not previously missed periods (p = 0.003) and the median number of missed periods was 2 (1–3). 17/21% of those who “occasionally” missed periods pre-pandemic missed periods “often” during pandemic. 467/45% reported a reduced libido. There was no change in the median cycle length (28 days) or days of bleeding (5) but there was a wider variability of cycle length (p = 0.01) and a 1 day median decrease in the minimum (p < 0.0001) and maximum (p = 0.009) cycle length. Women reported a median 2 kg increase in self-reported weight and a 30-min increase in median weekly exercise. 517/50% of women stated that their diet was worse and 232/23% that it was better than before the pandemic. 407/40% reported working more and 169/16% were working less. Women related a significant increase in low mood (p < 0.0001), poor appetite (p < 0.0001), binge eating (p < 0.0001), poor concentration (p < 0.0001), anxiety (p < 0.0001), poor sleep (p < 0.0001), loneliness (p < 0.0001) and excess alcohol use (p < 0.0001). Specific stressors reported included work stress (499/48%), difficulty accessing healthcare (254/25%), change in financial (201/19%) situation, difficulties with home schooling (191/19%) or childcare (99/10%), family or partner conflict (170/16%), family illness or bereavement (156/15%). The COVID-19 pandemic has significantly impacted the reproductive health of women. The long term health implications of this are yet to be determined and future studies should address this.
登录
查看更多内容
DOI：
10.1097/med.0b013e32836318ce
发表时间：
2013-08
期刊：
Current opinion in endocrinology, diabetes, and obesity
影响因子：
--
作者：
Navarro VM;Kaiser UB
通讯作者：
Kaiser UB
影响因子：
2.2
作者：
Ibrahim NK;AlGhamdi MS;Al-Shaibani AN;AlAmri FA;Alharbi HA;Al-Jadani AK;Alfaidi RA
通讯作者：
Alfaidi RA
影响因子：
168.9
作者：
Chan, Jasper Fuk-Woo;Yuan, Shuofeng;Yuen, Kwok-Yung
通讯作者：
Yuen, Kwok-Yung
影响因子：
5.8
作者：
Gordon, Catherine M.;Ackerman, Kathryn E.;Warren, Michelle P.
通讯作者：
Warren, Michelle P.
影响因子：
5.8
作者：
Laughlin, GA;Dominguez, CE;Yen, SSC
通讯作者：
Yen, SSC