The Impact of Covid-19 on Maternal Mental Health during Pregnancy

A Comparison Between Canada and China Within the Conception Cohort

Datos Bibliográficos

ID15510605
AutoresNicolas Pagès (0000-0003-0086-467X, Lyon 1 Université, autor de correspondencia), Jessica Gorgui (Centre Hospitalier Universitaire Sainte-Justine, autor de correspondencia), Chongjian Wang (0000-0001-5091-6621, Zhengzhou University), Xian Wang (0000-0003-1023-636X, Zhengzhou University), Jin‐Ping Zhao (0000-0002-4307-2499, Centre Hospitalier Universitaire Sainte-Justine), Vanina Tchuente (Centre Hospitalier Universitaire Sainte-Justine), Anaïs Lacasse (0000-0002-3992-5145, Université du Québec en Abitibi-Témiscamingue), Sylvana M Côté (0000-0001-7944-0647, Centre Hospitalier Universitaire Sainte-Justine), Suzanne King (0000-0003-3055-6846, McGill University), Flory T Muanda (0000-0003-4682-6564, Western University), Yves Mufike (Université Protestante au Congo), Isabelle Boucoiran (0000-0001-9545-6024, Centre Hospitalier Universitaire Sainte-Justine), Anne Monique Nuyt (0000-0003-3791-006X, Centre Hospitalier Universitaire Sainte-Justine), Caroline Quach (0000-0002-1170-9475, Centre Hospitalier Universitaire Sainte-Justine), Ema Ferreira (0000-0002-8199-999X, Centre Hospitalier Universitaire Sainte-Justine), Padma Kaul (0000-0003-2239-3944, University of Alberta), Brandace Winquist (0000-0002-9848-7819, University of Saskatchewan), Kieran J O’Donnell (0000-0002-3935-1014, Yale University), Sherif Eltonsy (0000-0002-0520-5406, University of Manitoba), Dan Chateau (0000-0002-2215-820X, Manitoba Health), Grace E Hanley (0000-0001-9594-0545, University of British Columbia), Tim F Oberlander (0000-0003-4781-6579, University of British Columbia), Behrouz Kassaï (0000-0002-1712-120X, Lyon 1 Université), Sabine Mainbourg (0000-0003-4564-2931, Lyon 1 Université), Sasha Bernatsky (0000-0002-9515-2802, McGill University Health Centre), Évelyne Vinet (0000-0001-7727-5879, McGill University Health Centre), Annie Brodeur-Doucet, Jackie Demers, Philippe Richebé (0000-0003-2808-9660, Hôpital Maisonneuve-Rosemont), Valérie Zaphiratos (0000-0003-3152-1928, Hôpital Maisonneuve-Rosemont), Anick Berard (0000-0001-7535-5517, Lyon 1 Université, autor de correspondencia)
Año2022
Volumen19
Número19
Páginas12386-12386
Fecha de publicación2022-09-28
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph191912386
PMID36231687
OpenAlexW4297477513
IdiomaEN
Citas recibidas4
Referencias citadas27

The effect of the COVID-19 pandemic on maternal mental health has been described in Canada and China but no study has compared the two countries using the same standardized and validated instruments. In this study, we aimed to evaluate and compare the impact of COVID-19 public health policies on maternal mental health between Canada and China, as we hypothesize that geographical factors and different COVID-19 policies are likely to influence maternal mental health. Pregnant persons >18 years old were recruited in Canada and China using a web-based strategy. All participants recruited between 26 June 2020 and 16 February 2021 were analyzed. Self-reported data included sociodemographic variables, COVID-19 experience and maternal mental health assessments (Edinburgh Perinatal Depression Scale (EPDS), Generalized Anxiety Disorders (GAD-7) scale, stress and satisfaction with life). Analyses were stratified by recruitment cohort, namely: Canada 1 (26 June 2020-10 October 2020), Canada 2 and China (11 October 2020-16 February 2021). Overall, 2423 participants were recruited, with 1804 participants within Canada 1, 135 within Canada 2 and 484 in China. The mean EDPS scores were 8.1 (SD, 5.1) in Canada 1, 8.1 (SD, 5.2) in Canada 2 and 7.7 (SD, 4.9) in China ( p -value Canada 2/China: p = 0.005). The mean GAD-7 scores were 2.6 (SD, 2.9) in China, 4.3 (SD, 3.8) in Canada 1 ( p p < 0.001). When adjusting for stress and anxiety, being part of the Chinese cohort significantly increased the chances of having maternal depression by over threefold (adjusted OR 3.20, 95%CI 1.77-5.78). Canadian and Chinese participants reported depressive scores nearly double those of other crises and non-pandemic periods. Lockdowns and reopening periods have an important impact on levels of depression and anxiety among pregnant persons

Anxiety · China · Cohort · Cohort study · Coronavirus disease 2019 (COVID-19 · Depression (economics · Depressive symptoms · Disease · Edinburgh Postnatal Depression Scale · Geography · Mental health · Pandemic · Psychiatry · Public health · COVID-19 Impact on Reproduction · Demography · Health disparities and outcomes · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Internal Medicine