The Disproportionate Burden of the COVID-19 Pandemic Among Pregnant Black Women.
Adolescent
Adult
Black or African American
/ psychology
Betacoronavirus
COVID-19
Coronavirus Infections
/ epidemiology
Cost of Illness
Female
Humans
Mental Health
Middle Aged
Pandemics
/ prevention & control
Pneumonia, Viral
/ epidemiology
Pregnancy
Pregnancy Complications, Infectious
/ epidemiology
Pregnant Women
/ psychology
SARS-CoV-2
Surveys and Questionnaires
Young Adult
COVID-19
Depression
Pregnancy
Racial disparity
Resilience
Stress, Anxiety
Journal
Psychiatry research
ISSN: 1872-7123
Titre abrégé: Psychiatry Res
Pays: Ireland
ID NLM: 7911385
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
18
07
2020
accepted:
19
09
2020
pubmed:
3
10
2020
medline:
2
12
2020
entrez:
2
10
2020
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 33007683
pii: S0165-1781(20)33136-X
doi: 10.1016/j.psychres.2020.113475
pmc: PMC7513921
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
113475Subventions
Organisme : NIMH NIH HHS
ID : K23 MH120437
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH119219
Pays : United States
Organisme : NINR NIH HHS
ID : R01 NR014784
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH019112
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
Références
J Racial Ethn Health Disparities. 2021 Feb;8(1):220-229
pubmed: 32474833
Psychiatry Res. 2020 Aug;290:113172
pubmed: 32512357
Soc Sci Med. 2018 Mar;201:127-135
pubmed: 29494846
J Midwifery Womens Health. 2020 Jul;65(4):466-473
pubmed: 32558179
Neuropsychopharmacology. 2019 Jan;44(1):111-128
pubmed: 30061743
Neurosci Biobehav Rev. 2020 Oct;117:26-64
pubmed: 28757456
PLoS One. 2018 Feb 15;13(2):e0192943
pubmed: 29447245
Am J Obstet Gynecol. 2020 May;222(5):415-426
pubmed: 32105680
Lancet Psychiatry. 2020 May;7(5):441-448
pubmed: 31806473
J Epidemiol Community Health. 2006 Mar;60(3):221-7
pubmed: 16476752
Brain Behav Immun. 2020 Oct;89:531-542
pubmed: 32485289
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
Obstet Gynecol. 2010 Nov;116(5):1064-70
pubmed: 20966690
Obstet Gynecol. 2018 Feb;131(2):328-335
pubmed: 29324613
Am J Obstet Gynecol. 2020 Jun;222(6):521-531
pubmed: 32217113
Front Neuroendocrinol. 2014 Aug;35(3):320-30
pubmed: 24887405
Ann Epidemiol. 2020 Jul;47:37-44
pubmed: 32419766
World Psychiatry. 2020 Jun;19(2):132-150
pubmed: 32394561
Health Equity. 2020 Oct 30;4(1):476-483
pubmed: 33269331
Am J Obstet Gynecol. 2020 Jul;223(1):111.e1-111.e14
pubmed: 32335053
Acta Obstet Gynecol Scand. 2011 Dec;90(12):1325-31
pubmed: 21615712
J Affect Disord. 2016 Aug;200:148-55
pubmed: 27131505
Clin Transl Sci. 2015 Oct;8(5):412-20
pubmed: 26094679
Health Equity. 2020 Jul 28;4(1):330-333
pubmed: 32775943
Acta Neuropsychiatr. 2020 Aug;32(4):226-228
pubmed: 32319879
J Affect Disord. 2020 Dec 1;277:5-13
pubmed: 32777604
Arch Gen Psychiatry. 2008 Jul;65(7):805-15
pubmed: 18606953
Ann Epidemiol. 2006 Jun;16(6):463-8
pubmed: 16257228
J Affect Disord. 2016 Feb;191:62-77
pubmed: 26650969
Qual Health Res. 2020 Jan;30(1):105-118
pubmed: 31752598
Psychiatry Res. 2020 Jun;288:112996
pubmed: 32361336
Stress Health. 2020 Apr;36(2):213-219
pubmed: 31919987
Biol Psychiatry. 2010 Aug 15;68(4):314-9
pubmed: 20674602
Psychol Med. 2016 Feb;46(3):599-610
pubmed: 26492931
Ann Epidemiol. 2020 Jul;47:1-3
pubmed: 32419765
Curr Opin Psychiatry. 2012 Mar;25(2):141-8
pubmed: 22262028
Transl Psychiatry. 2020 Aug 20;10(1):291
pubmed: 32820171
J Gen Intern Med. 2008 May;23(5):685-91
pubmed: 18196352
Arch Womens Ment Health. 2016 Jun;19(3):463-72
pubmed: 26680447
Ann Fam Med. 2010 Jul-Aug;8(4):348-53
pubmed: 20644190
Ann Clin Psychiatry. 2017 Nov;29(4):227-234A
pubmed: 29069107
Fam Pract. 2004 Oct;21(5):484-91
pubmed: 15367469
J Vocat Behav. 2020 Jun;119:103439
pubmed: 32390658
Aust J Prim Health. 2016;22(3):262-266
pubmed: 26306421
Ann N Y Acad Sci. 2006 Dec;1094:1-12
pubmed: 17347337