Fear, anxiety and depression among pregnant women during COVID-19 pandemic: impacts of healthy eating behaviour and health literacy

Luong, Thuc C.; Pham, Thu Trang; Nguyen, Minh H.; Q, Anh; Pham, Linh; Nguyen, Hoang Cong; Nguyen, Huu C.; Ha, Tung H.; Dao, Hung K.; Trinh, Manh V.; Thinh, V.; Nguyen, Hung Q.; Nguyen, Thao Thanh; Tran, Cuong Q.; Tran, Khanh Van; Duong, Trang T.; Pham, Hai X; Thi, Thao; Nguyen, Phuoc B.; Tra, Anh L.; Phan, Dung T.; Binh, N.; Duong, Tuyen Van

doi:10.1080/07853890.2021.2001044

Cited by 35 publications

(34 citation statements)

References 64 publications

(66 reference statements)

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“…The seven-item fear of COVID-19 scale was used to evaluate the level of COVID-19-related fear among nursing students. This scale was validated and widely used on different populations in Vietnam [ 40 , 41 , 42 , 43 ]. The Cronbach’s alpha of this tool in our study is 0.87.…”

Section: Methodsmentioning

confidence: 99%

Predictors of eHealth Literacy and Its Associations with Preventive Behaviors, Fear of COVID-19, Anxiety, and Depression among Undergraduate Nursing Students: A Cross-Sectional Survey

Tran

Nguyen

Pham

et al. 2022

IJERPH

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Background: The infodemic has been co-existing with the COVID-19 pandemic with an influx of misinformation and conspiracy theories. These affect people’s psychological health and adherence to preventive measures. eHealth literacy (eHEALS) may help with alleviating the negative effects of the infodemic. As nursing students are future healthcare professionals, having adequate eHEALS skills is critically important in their clinical practice, safety, and health. This study aimed to (1) explore the eHEALS level and its associated factors, and (2) examine the associations of eHEALS with preventive behaviors, fear of COVID-19 (FCV-19S), anxiety, and depression among nursing students. Methods: We surveyed 1851 nursing students from 7 April to 31 May 2020 from eight universities across Vietnam. Data were collected, including demographic characteristics, eHEALS, adherence to preventive behaviors (handwashing, mask-wearing, physical distancing), FCV-19S, anxiety, and depression. Linear and logistic regression analyses were performed appropriately to examine associations. Results: The mean score of eHEALS was 31.4 ± 4.4. The eHEALS score was significantly higher in males (unstandardized regression coefficient, B, 0.94; 95% confidence interval, 95% CI, 0.15 to 1.73; p = 0.019), and students with a better ability to pay for medication (B, 0.79; 95% CI, 0.39 to 1.19; p < 0.001), as compared to their counterparts. Nursing students with a higher eHEALS score had a higher likelihood of adhering to hand-washing (odds ratio, OR, 1.18; 95% CI, 1.15 to 1.22; p < 0.001), mask-wearing (OR, 1.15; 95% CI, 1.12 to 1.19; p < 0.001), keeping a safe physical distance (OR, 1.20; 95% CI, 1.15 to 1.25; p < 0.001), and had a lower anxiety likelihood (OR, 0.95; 95% CI, 0.92 to 0.99; p = 0.011). Conclusions: Nursing students who were men and with better ability to pay for medication had higher eHEALS scores. Those with higher eHEALS scores had better adherence to preventive measures, and better psychological health. The development of strategies to improve eHEALS of nursing students may contribute to COVID-19 containment and improve their psychological health.

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Section: Methodsmentioning

confidence: 99%

Predictors of eHealth Literacy and Its Associations with Preventive Behaviors, Fear of COVID-19, Anxiety, and Depression among Undergraduate Nursing Students: A Cross-Sectional Survey

Tran

Nguyen

Pham

et al. 2022

IJERPH

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“…Although our results do not show direct correlations with baby weight or NICU admission, other previous studies found a higher risk of having a child with low birth weight [ 83 , 84 ] and other negative pregnancy outcomes like spontaneous abortion [ 85 ], preterm birth or respiratory distress [ 86 ], both associated with NICU admission. The current situation caused by COVID-19 is perceived by pregnant individuals as stressful [ 87 , 88 ] and even though in our study all received information on healthy lifestyle (information on smoking included), the CG maintained their smoking habits. Pregnant individuals who smoked during the pandemic [ 89 ] also had lower frequencies of physical activity [ 90 ] and increased chances of anxiety and depression, as well as showing decreased success in quitting smoking [ 91 , 92 ].…”

Section: Discussionmentioning

confidence: 99%

A Virtual Exercise Program throughout Pregnancy during the COVID-19 Pandemic Modifies Maternal Weight Gain, Smoking Habits and Birth Weight—Randomized Clinical Trial

Silva-José

Sánchez-Polán

Barakat

et al. 2022

JCM

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The intrauterine environment is key to health from a short- and long-term perspective. Birth weight is an important indicator that may influence the fetal environment due to epigenetics. Considering physical inactivity, in parallel with higher levels of stress, affecting smoking patterns and the physical and emotional health of the pregnant population, maintaining the health of future generations is crucial. A randomized clinical trial (NCT04563065) was conducted. One-hundred and ninety-two healthy pregnant individuals were assigned to the intervention (IG) or control (CG) group. Overall, significant differences were found between groups when stratified by birth weight (χ2 (1) = 6.610; p = 0.037) with low birth weight and macrosomia found more often in the CG (4% vs. 14% and 3% vs. 9%, respectively) and higher admissions to the neonatal intensive care unit (χ2 (1) = 5.075; p = 0.024) in the CG (20/28.6%) compared to the IG (9/13.0). Smoking during pregnancy was also found more often in the CG (12/17.1%) compared to the IG (3/4.4%) (p = 0.016). A virtual program of supervised exercise throughout pregnancy during the ongoing pandemic could help to maintain adequate birth weights, modify maternal smoking habits, and lower admissions to the neonatal intensive care unit.

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“…Further, the prevalence of depressive symptoms was greater in our study than in other studies conducted after the start of the pandemic. Porter et al (2021) reported that the prevalence of mild-to-severe depression as measured using the PHQ-8 was 9.5% among the young population, while Luong et al (2021) reported a prevalence rate of 8.7% for moderate-to-severe depression (PHQ-9 scores) among pregnant women in Vietnam. However, a previous study using the Depression, Anxiety, and Stress Scale-21 reported moderate-to-severe symptoms of depression in 90.1% of Chinese immigrants in Japan after the first wave of COVID-19 (Hu and Umeda, 2021).…”

Section: Discussionmentioning

confidence: 99%

Symptoms of depression and anxiety among Vietnamese immigrants in Japan during the COVID-19 pandemic: a cross-sectional web-based study

Yamashita

Quy

Nogami

et al. 2022

Preprint

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We aimed to examine mental health status and related factors among Vietnamese immigrants in Japan during the coronavirus disease 2019 (COVID-19) pandemic using data from an online cross-sectional survey administered from September 21 to October 21, 2021. Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder 7-item (GAD-7) scores were considered the main outcome measures. Multivariable logistic regression was used to identify factors related to symptoms of depression and anxiety, and the chosen variables were entered simultaneously in the survey. Among 621 participants (age: 26.0±4.8 years; male: 347 [55.9%]) who completed the questionnaire, 73.7% reported a decrease in income when compared with the period before the COVID-19 pandemic, and 60.4% reported being recently affected by poor socioeconomic status. Moderate-to-severe symptoms of depression (PHQ-9 score ≥10 points) and mild-to-severe symptoms of anxiety (GAD-7 ≥5 points) were observed in 247 (39.8%) and 285 (45.9%) individuals, respectively. Factors related to depressive symptoms were being single (odds ratio [OR]=1.76, p=0.042), medical or psychiatric co-morbidity (OR=2.15, p<0.001), and low socioeconomic status (OR=2.06, p<0.001). Factors related to anxiety symptoms were being single (OR=1.72, p=0.044), medical or psychiatric co-morbidity (OR=2.52, p<0.001), low socioeconomic status (OR=2.72, p<0.001), and absence of a partner with whom to discuss one′s health (OR=1.66, p=0.013). The current findings demonstrate that, when compared with Japanese citizens, Vietnamese immigrants experienced a decrease in income, worsening working conditions, and poor mental health status during the COVID-19 pandemic. These findings highlight the potential contribution of low socioeconomic status and social isolation to poor mental health status.

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Fear, anxiety and depression among pregnant women during COVID-19 pandemic: impacts of healthy eating behaviour and health literacy

Cited by 35 publications

References 64 publications

Predictors of eHealth Literacy and Its Associations with Preventive Behaviors, Fear of COVID-19, Anxiety, and Depression among Undergraduate Nursing Students: A Cross-Sectional Survey

Predictors of eHealth Literacy and Its Associations with Preventive Behaviors, Fear of COVID-19, Anxiety, and Depression among Undergraduate Nursing Students: A Cross-Sectional Survey

A Virtual Exercise Program throughout Pregnancy during the COVID-19 Pandemic Modifies Maternal Weight Gain, Smoking Habits and Birth Weight—Randomized Clinical Trial

Symptoms of depression and anxiety among Vietnamese immigrants in Japan during the COVID-19 pandemic: a cross-sectional web-based study

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