End of the use of masks in public spaces during the COVID-19 pandemic: impact on the mental health of pregnant women

e202312109

Authors

  • Francisco Javier Muñoz-Vela Departamento de Enfermería; Universidad de Málaga. Málaga. España.
  • Juan Gómez-Salgado Departamento de Sociología, Trabajo Social y Salud Pública; Universidad de Huelva. Huelva. España. / Universidad Espíritu Santo. Guayaquil. Ecuador.
  • Francisco Javier Fernández-Carrasco Facultad de Ciencias de la Salud; Universidad de Granada. Ceuta. España.
  • Regina Allande Cussó Departamento de Enfermería; Universidad de Sevilla. Sevilla. España.
  • Juana María Vázquez-Lara Facultad de Ciencias de la Salud; Universidad de Granada. Ceuta. España.
  • Juan Jesús García Iglesias Departamento de Sociología, Trabajo Social y Salud Pública; Universidad de Huelva. Huelva. España.
  • Luciano Rodríguez-Díaz Facultad de Ciencias de la Salud; Universidad de Granada. Ceuta. España.

Keywords:

COVID-19, Fear, Anxiety, Pregnancy, Public Health

Abstract

BACKGROUND // COVID-19 has affected the entire population, generating a greater impact on certain vulnerable groups, such as pregnant women. The aim of this study was to evaluate the levels of fear and anxiety regarding the COVID-19 disease in pregnant women, using the AMICO_Pregnant scale, in the final phase of the health crisis caused by the disease, marked by the relaxation of isolation measures in public spaces.
METHODS // A descriptive cross-sectional study using the self-reported questionnaire AMICO_Pregnant was developed between March 24 and April 18, 2022. This was followed by a univariate and bivariate statistical analysis of the data collected.
RESULTS // A total of 479 surveys of pregnant women of different gestational ages were obtained. The bivariate analysis showed statistical significance in the AMICO_Pregnant scale score about several variables over the previous year: contact with the disease (p=0.025); number of previous pregnancies (p=0.019); changes in the birth plan (p=0.001); and vaccination status (p=0.01).
CONCLUSIONS // The COVID-19 pandemic has impacted pregnant women’s mental health, producing a negative effect on emotions. The research carried out shows a statistically significant relationship between the levels of fear and anxiety in pregnant women and factors such as the number of previous pregnancies, contact with the previous disease, vaccination level or expectations regarding the delivery or birth plan.

Downloads

Download data is not yet available.

References

García-Iglesias J, Gómez-Salgado J, Martín-Pereira J, Fagundo-Rivera J, Ayuso-Murillo D, Martínez-Riera J et al. Impacto del SARS-CoV-2 (Covid-19) en la salud mental de los profesionales sanitarios: una revisión sistemática. Rev Esp Salud Publica [Internet]. 2020 [consultado 2022 Oct 3];94(1):e1-20. Disponible en: https://medes.com/publication/152295

Du RH, Liang LR, Yang CQ, Wang W, Cao TZ, Li M, et al. Predictors of mortality for patients with COVID-19 pneumonia caused by SARS-CoV-2: a prospective cohort study. Eur Respir J [Internet]. 2020 May 1 [consultado 2022 Oct 3];55(5). Disponible en: https://pubmed.ncbi.nlm.nih.gov/32269088/

Dashraath P, Wong JLJ, Lim MXK, Lim LM, Li S, Biswas A et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol [Internet]. 2020 Jun 1 [consultado 2022 Oct 3];222(6):521-531. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32217113/

Martinez-Portilla RJ, Sotiriadis A, Chatzakis C, Torres-Torres J, Espino y Sosa S, Sandoval-Mandujano K et al. Pregnant women with SARS-CoV-2 infection are at higher risk of death and pneumonia: propensity score matched analysis of a nationwide prospective cohort (COV19Mx). Ultrasound Obstet Gynecol [Internet]. 2021 Feb 1 [consultado 2022 Oct 3];57(2):224-231. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33320401/

Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry [Internet]. 2020 Jun 1 [consultado 2023 Jun 8];7(6):547. Disponible en: /pmc/articles/PMC7159850/

Gómez-Salgado J, Andrés-Villas M, Domínguez-Salas S, Díaz-Milanés D, Ruiz-Frutos C. Related Health Factors of Psychological Distress During the COVID-19 Pandemic in Spain. Int J Environ Res Public Health [Internet]. 2020 Jun 1 [consultado 2023 Jun 2];17(11). Disponible en: /pmc/articles/PMC7312369/

BOE-A-2023-15552 Orden SND/726/2023, de 4 de julio, por la que se publica el Acuerdo del Consejo de Ministros de 4 de julio de 2023, por el que se declara la finalización de la situación de crisis sanitaria ocasionada por la COVID-19. [Internet]. [consultado 2023 Aug 6]. Disponible en: https://www.boe.es/diario_boe/txt.php?id=BOE-A-2023-15552

Greenhalgh T, Schmid MB, Czypionka T, Bassler D, Gruer L. Face masks for the public during the COVID-19 crisis. The BMJ. 2020 Apr 9;369.

Non-pharmaceutical public health measures for mitigating the risk and impact of epidemic and pandemic influenza G L O B A L I N F L U E N Z A P R O G R A M M E non-pharmaceutical public health measures for mitigating the risk and impact of epidemic and pandemic influenza ii. 2019 [consultado 2023 Aug 14]; Disponible en: http://apps.who.int/bookorders

Howard J, Huang A, Li Z, Tufekci Z, Zdimal V, van der Westhuizen HM et al. An evidence review of face masks against COVID-19. Proc Natl Acad Sci U S A. 2021 Jan 26;118(4).

Offeddu V, Yung CF, Low MSF, Tam CC. Effectiveness of Masks and Respirators Against Respiratory Infections in Healthcare Workers: A Systematic Review and Meta-Analysis. Clinical Infectious Diseases. 2017 Dec 1;65(11):1934-1942.

Puertas-Gonzalez JA, Mariño-Narvaez C, Peralta-Ramirez MI, Romero-Gonzalez B. The psychological impact of the COVID-19 pandemic on pregnant women. Psychiatry Res. 2021 Jul 1;301.

Munoz-Vela FJ, Gómez-Salgado J, Rodriguez-Diaz L, Allande-Cussó R, Vazquez-Lara JM, Fagundo-Rivera J. Adaptación y estudio psicométrico de la escala para la medición del miedo y la ansiedad a la enfermedad COVID-19 en la mujer gestante. Front Public Health. [PREPRINT]

Grau A, Comas P, Suñer R, Peláez E, Sala L, Planas M. Evolución de la ansiedad y de la depresión detectada durante la hospitalización en un servicio de Medicina Interna. Anales de Medicina Interna [Internet]. 2007 [consultado 2023 Mar 6];24(5):212–6. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-71992007000500002&lng=es&nrm=iso&tlng=en

Sylvers P, Lilienfeld SO, LaPrairie JL. Differences between trait fear and trait anxiety: implications for psychopathology. Clin Psychol Rev [Internet]. 2011 Feb [consultado 2023 Mar 4];31(1):122-137. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20817337/

Schaller M. The behavioural immune system and the psychology of human sociality. Philosophical Transactions of the Royal Society B: Biological Sciences [Internet]. 2011 Dec 12 [consultado 2023 Aug 6];366(1583):3418. Disponible en: /pmc/articles/PMC3189350/

Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM. Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. J Anxiety Disord [Internet]. 2020 Aug 1 [consultado 2023 Feb 28];74. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32569905/

Quadros S, Garg S, Ranjan R, Vijayasarathi G, Mamun MA. Fear of COVID 19 Infection Across Different Cohorts: A Scoping Review. Vol. 12, Frontiers in Psychiatry. Frontiers Media S.A.; 2021.

Rajabimajd N, Alimoradi Z, Griffiths M. Impact of COVID-19-related fear and anxiety on job attributes: A systematic review. Asian Journal of Social Health and Behavior [Internet]. 2021 Apr 1 [consultado 2023 Feb 28];4(2):51. Disponible en: http://www.healthandbehavior.com/article.asp?issn=2772-4204;year=2021;volume=4;issue=2;spage=51;epage=55;aulast=Rajabimajd

Ravaldi C, Wilson A, Ricca V, Homer C, Vannacci A. Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy. Women and Birth [Internet]. 2021 Jul 1 [consultado 2023 Jun 2];34(4):335-343. Disponible en: /pmc/articles/PMC7357495/

Ministerio De Sanidad del Gobierno de España. Disposición 6449 del BOE núm. 94 de 2022. 2022 [consultado 2023 Aug 6]; Disponible en: https://www.boe.es

Gómez-Salgado J, Allande-Cussó R, Domínguez-Salas S, García-Iglesias JJ, Coronado-Vázquez V, Ruiz-Frutos C. Design of fear and anxiety of covid-19 assessment tool in spanish adult population. Brain Sci. 2021 Mar 1;11(3):1-9.

IBM Corporation. IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corporation; 2019.

Rees S, Channon S, Waters CS. The impact of maternal prenatal and postnatal anxiety on children’s emotional problems: a systematic review. Eur Child Adolesc Psychiatry [Internet]. 2019 Feb 4 [consultado 2023 Jul 27];28(2):257-280. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29948234/

Nachman KE, Lam J, Schinasi LH, Smith TC, Feingold BJ, Casey JA, O’Connor et al. systematic review regarding animal feeding operations and public health: Critical flaws may compromise conclusions. Syst Rev [Internet]. 2017 Aug 31 [consultado 2023 Jul 27];6(1). Disponible en: https://www.researchgate.net/publication/319413671_O’Connor_et_al_systematic_review_regarding_animal_feeding_operations_and_public_health_Critical_flaws_may_compromise_conclusions

Huizink AC, Menting B, Oosterman M, Verhage ML, Kunseler FC, Schuengel C. The interrelationship between pregnancy-specific anxiety and general anxiety across pregnancy: a longitudinal study. https://dx.doi.org/103109/0167482X2014944498 [Internet]. 2014 [consultado 2023 Jul 27];35(3):92-100. Disponible en: https://www.tandfonline.com/doi/abs/10.3109/0167482X.2014.944498

Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry [Internet]. 2012 Mar [consultado 2023 Jul 27];25(2):141. Disponible en: /pmc/articles/PMC4447112/

Wang C, Pan R, Wan X, Tan Y, Xu L, McIntyre RS et al. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain Behav Immun [Internet]. 2020 Jul 1 [consultado 2023 Jul 27];87:40. Disponible en: /pmc/articles/PMC7153528/

Smith L, Jacob L, Yakkundi A, McDermott D, Armstrong NC, Barnett Y et al. Correlates of symptoms of anxiety and depression and mental wellbeing associated with COVID-19: a cross-sectional study of UK-based respondents. Psychiatry Res [Internet]. 2020 Sep 1 [consultado 2023 Jul 27];291. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32562931/

Lee DT, Sahota D, Leung TN, Yip AS, Lee FF, Chung TK. Psychological responses of pregnant women to an infectious outbreak: a case-control study of the 2003 SARS outbreak in Hong Kong. J Psychosom Res. 2006 Nov;61(5):707-713. doi: https://dx.doi.org/10.1016/j.jpsychores.2006.08.005

Marbán-Castro E, Villén-Gonzalvo A, Enguita-Fernàndez C, Marín-Cos A, Menéndez C, Maixenchs M et al. Uncertainties, Fear and Stigma: Perceptions of Zika Virus among Pregnant Women in Spain. International Journal of Environmental Research and Public Health [Internet]. 2020 Sep 11;17(18):6643. Disponible en: https://dx.doi.org/10.3390/ijerph17186643

Asai K, Wakashima K, Toda S, Koiwa K. Fear of novel coronavirus disease (COVID-19) among pregnant and infertile women in Japan. J Affect Disord Rep. 2021;4:100104. doi: https://dx.doi.org/10.1016/j.jadr.2021.100104

Tandon P, O’Connor K, Nguyen G, Maxwell C, Huang V. The COVID-19 Pandemic Significantly Impacts Pregnancy Planning and Mental Health of Women With Inflammatory Bowel Disease. J Clin Gastroenterol [Internet]. 2023 Feb 26 [consultado 2023 Jul 27];57(2):178-184. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35081079/

Han L, Bai H, Lun B, Li Y, Wang Y, Ni Q. The Prevalence of Fear of Childbirth and Its Association With Intolerance of Uncertainty and Coping Styles Among Pregnant Chinese Women During the COVID-19 Pandemic. Front Psychiatry [Internet]. 2022 Jun 27 [consultado 2023 Jul 27];13. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35832593/

Uzun A, Öztürk GZ, Bozkurt Z, Çavuşoğlu M. Investigating of fear of COVID-19 after pregnancy and association with breastfeeding. jidhealth [Internet]. 2021 Mar. 22 [consultado 2023 Nov. 23];4(1):327-333. Disponible en: https://www.jidhealth.com/index.php/jidhealth/article/view/98

Folch Ayora A, Salas-Medina P, Collado-Boira E, Ropero-Padilla C, Rodriguez-Arrastia M, Bernat-Adell MD. Pregnancy during the COVID-19 pandemic: A cross-sectional observational descriptive study. Nurs Open. 2021;8(6):3016-3023. doi: https://dx.doi.org/10.1002/nop2.1014

Published

2023-12-12

How to Cite

1.
Muñoz-Vela FJ, Gómez-Salgado J, Fernández-Carrasco FJ, Allande Cussó R, Vázquez-Lara JM, García Iglesias JJ, et al. End of the use of masks in public spaces during the COVID-19 pandemic: impact on the mental health of pregnant women: e202312109. Rev Esp Salud Pública [Internet]. 2023 Dec. 12 [cited 2024 Nov. 21];97:11 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/191

Most read articles by the same author(s)

1 2 > >>