Early effects of the COVID-19 pandemic on fertility preferences in the United States: an exploratory study.

Early effects of the COVID-19 pandemic on fertility preferences in the United States: an exploratory study.
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DOI:
10.1016/j.fertnstert.2021.05.092
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发表时间:
2021-10
影响因子:
6.7
通讯作者:
Dunton GF
Dunton GF
中科院分区:
医学2区
文献类型:
--
作者:
Naya CH;Saxbe DE;Dunton GF

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探索COVID-19大流行对生育偏好的早期不同影响横断面研究在线调查问卷共有440名在过去一年或目前试图怀孕(TTC)的女性参与者。未采取干预措施。生育偏好的变化约三分之一的参与者报告因COVID-19大流行而改变了他们的生育偏好。在那些报告改变生育偏好的人中,23.9%的人报告TTC较早,61.6%的人报告TTC较晚。初步研究结果显示,黑人或非裔美国妇女生育偏好改变的几率是白色妇女的5.45倍(95%置信区间[CI],1.50-19.90),非异性恋妇女是异性恋妇女的2.76倍(95% CI,1.41-5.42)。此外,状态焦虑和抑郁症状每增加1个单位,推迟TTC的几率分别增加26%(95%CI,3%-54%)或17%(95%CI,5%-31%)。这项探索性研究强调了种族和少数民族,性少数群体以及那些经历心理健康问题的人的生育偏好可能会受到大流行病的影响。需要进行研究,以进一步研究COVID-19大流行对生育偏好的不同影响。
To explore early disparate impacts of the COVID-19 pandemic on fertility preferences Cross-sectional study Online survey questionnaire A total of 440 female participants who were trying to conceive (TTC) in the past year or currently are TTC. No interventions administered. Change in fertility preference Approximately 1 in 3 participants reported changing their fertility preferences because of the COVID-19 pandemic. Of those that reported changing their fertility preferences, 23.9% reported TTC earlier and 61.6% reported TTC later. Preliminary findings show the odds of changing fertility preferences in black or African American women were 5.45 (95% confidence interval [CI], 1.50–19.90) times that of white women and in nonheterosexual women were 2.76 (95% CI, 1.41–5.42) times that of heterosexual women. Furthermore, every 1 unit increase in state anxiety and depressive symptoms was associated with a 26% (95% CI, 3%–54%) or 17% (95% CI, 5%–31%) increase in odds of pushing back TTC, respectively. This exploratory study highlights how the fertility preferences of racial and ethnic minorities, sexual minorities, and those experiencing mental health issues may be disparately influenced by the pandemic. Research is needed to examine further the disparate effect of the COVID-19 pandemic on fertility preferences.
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