Being Pregnant during COVID-19: Exploring the COVID-19 Related Beliefs, Behaviors, and Birth Outcome among Users of a Pregnancy App.
Being Pregnant during COVID-19: Exploring the COVID-19 Related Beliefs, Behaviors, and Birth Outcome among Users of a Pregnancy App.
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DOI：
10.3390/ijerph21010034
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发表时间：
2023-12-26
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在新冠肺炎期间怀孕会增加出现严重新冠肺炎症状的风险，进而增加并发症的风险。这项研究旨在调查胎儿运动跟踪应用Count the Kicks用户与新冠肺炎相关的信念、行为和出生结局。这项研究使用了1037名CTK使用者的终止妊娠调查数据。我们使用描述性分析来分析新冠肺炎相关的信念和行为，并使用卡方检验和Z统计量来检验与接种疫苗和出生结局相关的因素。近一半的调查受访者报告称，他们并不担心亲自产前检查可能会导致接触新冠肺炎。大多数受访者(65.9%)在调查时已经接种了新冠肺炎疫苗。在统计上，非裔美国人的疫苗接种率明显低于其余种族/民族(主要是白人)。在高危妊娠的受访者中，健康出生率较低，而在西班牙裔中，死产率最高。疫苗接种状况与健康分娩的可能性无关。我们的发现证实，接种疫苗不会影响出生结果，进一步有助于现有证据表明COVID疫苗在怀孕期间是安全的。这项研究还展示了一个使用怀孕应用程序的数据来促进对应用程序用户的实时研究的例子。
Being pregnant during COVID-19 increases the risk of experiencing severe COVID-19 symptoms, which in turn increases the risk of complications. This study aimed to examine COVID-19-related beliefs, behaviors, and birth outcomes among users of Count the Kicks (CTK), a fetal movement tracking app. This study used the End of Pregnancy Survey data from 1037 CTK users. We used descriptive analyses to analyze COVID-19-related beliefs and behaviors and used the chi-square statistic and Z statistic to examine factors associated with vaccination and birth outcome. Nearly half of the survey respondents reported not being concerned that in-person prenatal visits might lead to COVID-19 exposure. Most respondents (65.9%) had already received the COVID-19 vaccine at the time of the survey. The vaccination rate was statistically significantly lower among African Americans than the remaining race/ethnicity groups (mostly white). The healthy birth rate is lower among respondents with high-risk pregnancies, while the stillbirth rate is highest among Hispanics. Vaccination status was not associated with the likelihood of a healthy birth. Our findings confirmed that vaccination does not compromise birth outcomes, further contributing to the existing evidence of COVID vaccine safety during pregnancy. This study also demonstrates an example of using data from a pregnancy app to facilitate research on app users in real-time.