Stressors, coping, and resources needed during the COVID-19 pandemic in a sample of perinatal women.
Stressors, coping, and resources needed during the COVID-19 pandemic in a sample of perinatal women.
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DOI：
10.1186/s12884-021-03665-0
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发表时间：
2021-03-01
影响因子：
3.1
通讯作者：
Gartstein MA
中科院分区：
文献类型：
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作者：
Barbosa-Leiker C;Smith CL;Crespi EJ;Brooks O;Burduli E;Ranjo S;Carty CL;Hebert LE;Waters SF;Gartstein MA
怀孕期间经历的心理压力和应对会对母婴健康产生重要影响，这也会因种族、民族和社会经济地位而异。因此，我们对美国162名围产期妇女（125名孕妇和37名产后妇女）的样本进行了评估，评估了与COVID-19大流行相关的压力源、应对行为和所需资源。一项混合方法研究捕获了有关压力源和应对的定量反应，以及对有关COVID-19大流行期间压力和所需资源的开放式问题的定性反应。使用Logistic和线性回归模型分析孕妇和产后参与者之间的差异，以及关键人口统计变量之间的差异。采用定性内容分析法对开放性问题进行分析。在2019冠状病毒病大流行期间，粮食短缺和就地安置限制使孕妇难以找到健康食品。参与者还报告缺少产前预约，尽管许多人报告使用远程医疗来获得这些服务。经济问题在我们的样本中普遍存在，参与者很难获得儿童保育。在控制人口统计变量后，孕妇比产后妇女更不可能从事健康的压力应对行为。最后，我们能够在种族和少数民族以及低收入状况的围产期妇女中发现由COVID-19大流行引起的压力源增加和社会支持减少的信号。定性结果支持我们的调查结果，因为参与者表达了对其婴儿在医院感染COVID-19的担忧，重要的其他人错过了分娩或关键的产科预约，并希望得到朋友、家人和分娩课程的支持。财政资源、与母婴健康结果有关的COVID-19信息和研究、获得安全医疗保健以及获得婴儿用品（配方奶粉、尿布等）成为参与者需要的主要资源。为了在2019冠状病毒病大流行期间更好地支持围产期妇女的心理健康，医疗保健提供者应参与有关获取新生儿护理所需资源的对话，将患者转介到咨询服务（可通过在线/电话提供）和虚拟支持小组，并持续筛查孕妇的压力源。在线版本包含补充材料，可在10.1186/s12884-021-03665-0获得。
Psychological stress and coping experienced during pregnancy can have important effects on maternal and infant health, which can also vary by race, ethnicity, and socioeconomic status. Therefore, we assessed stressors, coping behaviors, and resources needed in relation to the COVID-19 pandemic in a sample of 162 perinatal (125 pregnant and 37 postpartum) women in the United States. A mixed-methods study captured quantitative responses regarding stressors and coping, along with qualitative responses to open-ended questions regarding stress and resources needed during the COVID-19 pandemic. Logistic and linear regression models were used to analyze differences between pregnant and postpartum participants, as well as differences across key demographic variables. Qualitative content analysis was used to analyze open-ended questions. During the COVID-pandemic, food scarcity and shelter-in-place restrictions made it difficult for pregnant women to find healthy foods. Participants also reported missing prenatal appointments, though many reported using telemedicine to obtain these services. Financial issues were prevalent in our sample and participants had difficulty obtaining childcare. After controlling for demographic variables, pregnant women were less likely to engage in healthy stress-coping behaviors than postpartum women. Lastly, we were able to detect signals of increased stressors induced by the COVID-19 pandemic, and less social support, in perinatal women of racial and ethnic minority, and lower-income status. Qualitative results support our survey findings as participants expressed concerns about their baby contracting COVID-19 while in the hospital, significant others missing the delivery or key obstetric appointments, and wanting support from friends, family, and birthing classes. Financial resources, COVID-19 information and research as it relates to maternal-infant health outcomes, access to safe healthcare, and access to baby supplies (formula, diapers, etc.) emerged as the primary resources needed by participants. To better support perinatal women’s mental health during the COVID-19 pandemic, healthcare providers should engage in conversations regarding access to resources needed to care for newborns, refer patients to counseling services (which can be delivered online/via telephone) and virtual support groups, and consistently screen pregnant women for stressors. The online version contains supplementary material available at 10.1186/s12884-021-03665-0.
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影响因子：
5
作者：
FOLKMAN, S;LAZARUS, RS
通讯作者：
LAZARUS, RS
影响因子：
33.9
作者：
Killerby, Marie E.;Link-Gelles, Ruth;Tate, Jacqueline E.
通讯作者：
Tate, Jacqueline E.
影响因子：
5.4
作者：
Preis, Heidi;Mahaffey, Brittain;Lobel, Marci
通讯作者：
Lobel, Marci
DOI：
10.1080/02646838.2015.1024211
发表时间：
2015-10-20
影响因子：
2.5
作者：
Barbosa-Leiker, Celestina;Fleming, Susan;Martin, Colin R.
通讯作者：
Martin, Colin R.
影响因子：
7.2
作者：
通讯作者：
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