How do perceptions of Covid-19 risk impact pregnancy-related health decisions? A convergent parallel mixed-methods study protocol.

Autor: Vanstone M; Department of Family Medicine, McMaster University, Hamilton, Canada., Correia RH; Health Research Methodology Graduate Program, McMaster University, Hamilton, Canada., Howard M; Department of Family Medicine, McMaster University, Hamilton, Canada., Darling E; Department of Obstetrics and Gynecology, McMaster University, Hamilton, Canada., Bayrampour H; Department of Family Practice, Midwifery Program, University of British Columbia, University Endowment Lands, Canada., Carruthers A; Department of Family Medicine, McMaster University, Hamilton, Canada., Davis A; Department of Family Medicine, McMaster University, Hamilton, Canada., Hadid D; Health Policy PhD Program, McMaster University, Hamilton, Canada., Hetherington E; Department of Epidemiology, Biostatistics & Occupational Health, McGill University, Montreal, Canada., Jones A; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada., Kandasamy S; Department of Child and Youth Health, Brock University, St. Catharines, Canada.; Department of Medicine, McMaster University, Hamilton, Canada., Kuyvenhoven C; Department of Family Medicine, McMaster University, Hamilton, Canada., Liauw J; Department of Obstetrics and Gynecology, University of British Columbia, University Endowment Lands, Canada., McDonald SD; Department of Obstetrics and Gynecology, McMaster University, Hamilton, Canada.; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.; Department of Radiology, McMaster University, Hamilton, Canada.; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, McMaster University, Hamilton, Canada., Mniszak C; School of Population and Public Health, University of British Columbia, University Endowment Lands, Canada., Molinaro ML; Department of Family Medicine, McMaster University, Hamilton, Canada., Pahwa M; Health Policy PhD Program, McMaster University, Hamilton, Canada., Patel T; Department of Family Medicine, McMaster University, Hamilton, Canada., Sadik M; Department of Family Medicine, McMaster University, Hamilton, Canada., Sanya N; Department of Family Medicine, McMaster University, Hamilton, Canada., Shen K; Department of Family Medicine, McMaster University, Hamilton, Canada., Greyson D; School of Population and Public Health, University of British Columbia, University Endowment Lands, Canada.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Aug 10; Vol. 18 (8), pp. e0288952. Date of Electronic Publication: 2023 Aug 10 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0288952
Abstrakt: Introduction: Pregnant people have a higher risk of severe COVID-19 disease. They have been disproportionately impacted by COVID-19 infection control policies, which exacerbated conditions resulting in intimate partner violence, healthcare access, and mental health distress. This project examines the impact of accumulated individual health decisions and describes how perinatal care and health outcomes changed during the COVID-19 pandemic.
Objectives: Quantitative strand: Describe differences between 2019, 2021, and 2022 birth groups related to maternal vaccination, perinatal care, and mental health care. Examine the differential impacts on racialized and low-income pregnant people.Qualitative strand: Understand how pregnant people's perceptions of COVID-19 risk influenced their decision-making about vaccination, perinatal care, social support, and mental health.
Methods and Analysis: This is a Canadian convergent parallel mixed-methods study. The quantitative strand uses a retrospective cohort design to assess birth group differences in rates of Tdap and COVID-19 vaccination, gestational diabetes screening, length of post-partum hospital stay, and onset of depression, anxiety, and adjustment disorder, using administrative data from ICES, formerly the Institute for Clinical Evaluative Sciences (Ontario) and PopulationData BC (PopData) (British Columbia). Differences by socioeconomic and ethnocultural status will also be examined. The qualitative strand employs qualitative description to interview people who gave birth between May 2020- December 2021 about their COVID-19 risk perception and health decision-making process. Data integration will occur during design and interpretation.
Ethics and Dissemination: This study received ethical approval from McMaster University and the University of British Columbia. Findings will be disseminated via manuscripts, presentations, and patient-facing infographics.
Trial Registration: Registration: Clinicaltrials.gov registration number: NCT05663762.
Competing Interests: The authors have no conflicts of interest to declare.
(Copyright: © 2023 Vanstone et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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