Trajectories of Depressive Symptoms and Anxiety during Pregnancy and Associations with Pregnancy Stress

The purposes of this study were to investigate the trajectory groups of depressive symptoms and anxiety in women during pregnancy and to identify the factors associated with those groups. Participants were recruited from the outpatient clinic of a women’s health hospital in Seoul, Korea. Pregnant women (n = 136) completed a survey questionnaire that included questions on depressive symptoms, anxiety, and pregnancy stress; additionally, their saliva was tested for cortisol hormone levels three times during their pregnancies. The group-based trajectory modeling approach was used to identify latent trajectory groups. Ordinal logistic regressions were used to explore the association of latent trajectory groups with sociodemographic factors and pregnancy stress. Three trajectory groups of depressive symptoms were identified: low-stable (70%), moderate-stable (25%), and increased (5%). Four trajectory groups of anxiety were identified: very low-stable (10%), low-stable (67%), moderate-stable (18%), and high-stable (5%). The only factor associated with both the depressive symptoms and anxiety trajectory groups was pregnancy stress (p < 0.001). Most participants showed stable emotional status; however, some participants experienced higher levels of depressive symptoms and anxiety related to higher pregnancy stress. These pregnant women may need additional care from healthcare providers to promote their wellbeing during pregnancy.

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Sociodemographic Factors Associated with Depressive Symptoms among Elderly Persons from Two Communities in Kingston, Jamaica

West Indian Medical Journal ◽

10.7727/wimj.2012.273 ◽

2013 ◽

Vol 62 (7) ◽

pp. 615-619 ◽

Cited By ~ 6

Author(s):

RC Gibson ◽

SM Neita ◽

WD Abel ◽

K James ◽

D Eldemire-Shearer

Keyword(s):

Depressive Symptoms ◽

Sociodemographic Factors ◽

Elderly Persons ◽

Factors Associated

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Investigating the prevalence of and factors associated with depressive symptoms among urban and semi-urban school adolescents in Bangladesh: a pilot study

International Health ◽

10.1093/inthealth/ihz092 ◽

2019 ◽

Cited By ~ 4

Author(s):

Afifa Anjum ◽

Sahadat Hossain ◽

Tajuddin Sikder ◽

Md Elias Uddin ◽

Dewan Abdur Rahim

Keyword(s):

Depressive Symptoms ◽

Pilot Study ◽

Psychological Health ◽

Adolescent Depression ◽

Urban Adolescents ◽

Health Hazard ◽

Sociodemographic Factors ◽

Cross Sectional ◽

Factors Associated ◽

Use Of Social Media

Abstract Background Adolescent depression is an alarming issue for Bangladesh since a large number of Bangladeshi adolescents suffer from depression but cannot get proper treatment. This study aimed to investigate the prevalence of depression and factors associated with this psychological health hazard among urban and semi-urban adolescents of the Dhaka region in Bangladesh. Methods A cross-sectional pilot study was performed among 311 adolescents, grades 8–10, in Dhaka city and Savar Upazila, adjacent to the city, in 2018. Data were collected using a questionnaire consisting of items on sociodemographics, lifestyle information, screen-based sedentary behaviour (SBSB) and mental health. Results A total of 36.6% of the adolescents reported depressive symptoms, with a greater prevalence among females (42.9%) than males (25.7%). Sociodemographic factors including being female, residence and grade in school were significantly associated with depression. Logistic regression analysis showed that SBSBs, such as the use of social media (odds ratio [OR] 2.06 [95% confidence interval {CI} 1.27–3.35]), high screen time (>120 min/day; OR 2.35 [95% CI 1.30–4.25]) and sleep disturbance (OR 3.93 [95% CI 2.37–6.50]) were significantly linked with depressive symptoms. Conclusions Depressive symptoms are prevalent among urban and semi-urban adolescents of Dhaka, Bangladesh. Therefore, urgent initiatives should be taken to curb the spread of depression among Bangladeshi adolescents.

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Clinical characteristics and sociodemographic factors associated with COVID-19 infection in pregnant women in a maternal and children's public hospital

Medwave ◽

10.5867/medwave.2021.07.8442 ◽

2021 ◽

Vol 21 (07) ◽

pp. e8442-e8442

Author(s):

Yda Rodriguez Huaman ◽

Pavel J Contreras ◽

Michelle Lozada-Urbano

Keyword(s):

Body Mass Index ◽

Marital Status ◽

Pregnant Women ◽

Body Mass ◽

Gestational Age ◽

Lower Risk ◽

Clinical Characteristics ◽

Prevalence Ratio ◽

Sociodemographic Factors ◽

Factors Associated

Objective To describe the clinical characteristics and sociodemographic factors associated with COVID-19 among pregnant women in a maternal and children's hospital in Lima, Peru. Methods Quantitative observational study. The population under study consisted of pregnant women who attended an emergency room and had a COVID-19 test. These women were assessed for age, gestational age, place of origin, occupation, education, marital status, number of children, previous body mass index, gestational body mass index, tetanus vaccination, prenatal controls, and hemoglobin. After bivariate analysis, a generalized linear regression model was applied. Results We included 200 women aged between 18 and 34 years (84.5%) with a median gestational age of 36 weeks. More than half were from Lima (52.5%), most were housewives (79%), had high school education (71.9%), and had a cohabiting marital status (60%). The COVID-19 test positivity was 31.5% by rapid tests. Pregestational body mass index assessment showed that 36.7% of normal weight, 38,1% of overweight, and 30.3% of obese pregnant women had COVID-19 infection. 39.7% of patients with hemoglobin levels greater than or equal to 11 g/dL, 21.2% of patients with values between 10 and 10.9 g/dL, and 20% of patients with values between 7 and 9.9 g/dL had COVID-19 infection. The prevalence ratio (with a 95% confidence interval) found that cohabitation was associated with a lower risk of having COVID-19 infection in pregnant women (prevalence ratio: 0.41, p < 0.001). Conclusion Cohabiting pregnant women had a lower risk of COVID-19 infection compared with other marital statuses. Further research is needed to evaluate COVID-19 associated factors in pregnant women and possible sociodemographic or economic factors behind cohabiting marital status association among this population.

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Individual and Neighborhood Factors Associated With Failure to Vaccinate Against Influenza During Pregnancy

American Journal of Epidemiology ◽

10.1093/aje/kwaa165 ◽

2020 ◽

Vol 189 (11) ◽

pp. 1379-1388

Author(s):

Ousseny Zerbo ◽

G Thomas Ray ◽

Lea Zhang ◽

Kristin Goddard ◽

Bruce Fireman ◽

...

Keyword(s):

Black Women ◽

Influenza Vaccine ◽

Pregnant Women ◽

Vaccine Coverage ◽

Sociodemographic Factors ◽

Kaiser Permanente ◽

Factors Associated ◽

High Deprivation ◽

High Prevalence ◽

Fourth Quartile

Abstract Uptake of influenza vaccine among pregnant women remains low. We investigated whether unvaccinated pregnant women were clustered geographically and determined factors associated with failure to vaccinate using spatial and multivariate logistic regression analyses. Pregnant women who were members of Kaiser Permanente Northern California in 2015 or 2016 were included in the study. More than half (53%) of the 77,607 included pregnant women were unvaccinated. Spatial analysis identified 5 clusters with a high prevalence of unvaccinated pregnant women. The proportion of unvaccinated women ranged from 57% to 75% within clusters as compared with 51% outside clusters. In covariate-adjusted analyses, residence in a cluster was associated with a 41% increase in the odds of being unvaccinated (odds ratio (OR) = 1.41, 95% confidence interval (CI): 1.36, 1.46). The odds of being unvaccinated were greater for Black women (OR = 1.58, 95% CI: 1.49, 1.69), Hispanic women (OR = 1.15, 95% CI: 1.05, 1.25), women with subsidized health insurance (OR = 1.18, 95% CI: 1.11, 1.24), women with fewer than 5 prenatal-care visits (OR = 1.85, 95% CI: 1.60, 2.16), and neighborhoods with a high deprivation index (fourth quartile vs. first: OR = 1.14, 95% CI: 1.07, 1.21). In conclusion, unvaccinated pregnant women were clustered geographically and by key sociodemographic factors. These findings suggest that interventions to increase influenza vaccine coverage among pregnant women are needed, particularly in vulnerable populations.

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Anemia prevalence and factors associated among pregnant women in India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20213820 ◽

2021 ◽

Vol 8 (10) ◽

pp. 5084

Author(s):

N. H. Simon ◽

Ajoke Akinola ◽

Neha Dinesh Kumar

Keyword(s):

Pregnant Women ◽

Dietary Habits ◽

Sociodemographic Factors ◽

Factors Associated ◽

Mild Anemia ◽

Moderate Anemia ◽

Child Spacing ◽

Education Status ◽

Women In India ◽

Prevalence Of Anemia

The objective of this review is to evaluate the prevalence of anemia and factors associated with Anemia among pregnant women in India. A search was conducted through electronic databases PubMed, google scholar and l Medline, non-electronic databases were also search for articles published between 2017 to 2021. PRISMA guided the reporting of items. All articles were included in qualitative analysis. A total of nine (9) studies (N=7,29,485) conducted among pregnant women in India were included in this review. The overall prevalence of anemia ranged from 23.16% to 81.8%, mild anemia reported in three studies ranged from 35.0% to 60.6%, moderate anemia from 8.0% to 49.5% and severe anemia ranged from 1.4% to 6.9% only. Education status of both wife and husband, maternal age, occupation, income, residence, dietary habits, parity, child spacing, attendance of ANC services and interventions nutrition programs were the main factors associated with the hemoglobin status of the pregnant women. The prevalence of anemia was high among the study participants. Sociodemographic factors were associated with Hb levels of the women. Efforts should be made to encourage women to attend antenatal services (ANC) and nutritional programs should also cover pregnant women.

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Racial/ethnic and sociodemographic factors associated with micronutrient intakes and inadequacies among pregnant women in an urban US population

Public Health Nutrition ◽

10.1017/s1368980013003224 ◽

2013 ◽

Vol 17 (9) ◽

pp. 1960-1970 ◽

Cited By ~ 31

Author(s):

Kelly J Brunst ◽

Robert O Wright ◽

Kimberly DiGioia ◽

Michelle Bosquet Enlow ◽

Harriet Fernandez ◽

...

Keyword(s):

Food Insecurity ◽

Pregnant Women ◽

Respiratory Health ◽

Smoking Status ◽

Sociodemographic Factors ◽

Dietary Interventions ◽

Cross Sectional ◽

Factors Associated ◽

The Usa ◽

Racial Ethnic

AbstractObjectiveTo assess sociodemographic correlates of micronutrient intakes from food and dietary supplements in an urban, ethnically diverse sample of pregnant women in the USA.DesignCross-sectional analyses of data collected using a validated semi-quantitative FFQ. Associations between racial, ethnic and sociodemographic factors and micronutrient intakes were examined using logistic regression controlling for pre-pregnancy BMI, maternal age and smoking status.SettingPrenatal clinics, Boston, MA, USA.SubjectsAnalyses included pregnant women (n 274) in the PRogramming of Intergenerational Stress Mechanisms (PRISM) study, an urban longitudinal cohort designed to examine how stress influences respiratory health in children when controlling for other environmental exposures (chemical stressors, nutrition).ResultsHigh frequencies of vitamin E (52 %), Mg (38 %), Fe (57 %) and vitamin D (77 %) inadequacies as well as suboptimal intakes of choline (95 %) and K (99 %) were observed. Factors associated with multiple antioxidant inadequacies included being Hispanic or African American, lower education and self-reported economic-related food insecurity. Hispanics had a higher prevalence of multiple methyl-nutrient inadequacies compared with African Americans; both had suboptimal betaine intakes and higher odds for vitamin B6 and Fe inadequacies compared with Caucasians. Nearly all women (98 %) reported Na intakes above the tolerable upper limit; excessive intakes of Mg (35 %), folate (37 %) and niacin (38 %) were also observed. Women reporting excessive intakes of these nutrients were more likely Caucasian or Hispanic, more highly educated, US-born and did not report food insecurity.ConclusionsRacial/ethnic and other sociodemographic factors should be considered when tailoring periconceptional dietary interventions for urban ethnic women in the USA.

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Adoption of Telehealth Among Older Adults During the COVID-19 Pandemic

Innovation in Aging ◽

10.1093/geroni/igab046.1649 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 427-427

Author(s):

Weidi Qin

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Healthcare Providers ◽

Healthcare Services ◽

Medicare Beneficiaries ◽

Health Issues ◽

Remote Communication ◽

Technology Learning ◽

Online Technology ◽

Logistic Regressions

Abstract The COVID-19 pandemic has disrupted older adults’ in-person healthcare services. Many individuals rely on remote communication with their healthcare providers for non-urgent health or mental health issues. The present study investigated the effects of technology learning and depressive symptoms on new adoption of telehealth (e.g. online messaging, video call) to communicate with healthcare providers during the COVID-19 pandemic. A sample of 1,500 Medicare beneficiaries aged 65 or older was selected from the National Health and Aging Trend Study. A series of logistic regressions were performed. Results showed that older adults who learned a new online technology during the COVID-19 outbreak were more likely to adopt telehealth. Also, older adults with a higher level of depressive symptoms were more likely to start using telehealth. The findings highlight the importance of technology training to help older adults go online. Telehealth can be an important coping tool for depressive symptoms during the pandemic.

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