| Autor: |
Serwaa S Omowale, Andrea Casas, Yu-Hsuan Lai, Sarah A Sanders, Ashley V Hill, Meredith L Wallace, Stephen L Rathbun, Tiffany L Gary-Webb, Lora E Burke, Esa M Davis, Dara D Mendez |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
JMIR Mental Health, Vol 8, Iss 9, p e30422 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2368-7959 |
| DOI: |
10.2196/30422 |
| Popis: |
BackgroundStress is associated with adverse birth and postpartum health outcomes. Few studies have longitudinally explored racial differences in maternal stress in a birthing population in the United States during the ongoing COVID-19 pandemic. ObjectiveThis study aimed to do the following: (1) assess changes in reported stress before, during, and after initial emergency declarations (eg, stay-at-home orders) were in place due to the COVID-19 pandemic, and (2) assess Black-White differences in reported stress in a pregnant and postpartum population from Southwestern Pennsylvania. MethodsWe leveraged data from the ongoing Postpartum Mothers Mobile Study (PMOMS), which surveys participants in real time throughout the pregnancy and postpartum periods via ecological momentary assessment (EMA) and smartphone technology. We analyzed data from a subset of PMOMS participants (n=85) who were either Black or White, and who submitted EMA responses regarding stress between November 1, 2019, and August 31, 2020, the time frame of this study. We divided data into four phases based on significant events during the COVID-19 pandemic: “pre” phase (baseline), “early” phase (first case of COVID-19 reported in United States), “during” phase (stay-at-home orders), and “post” phase (stay-at-home orders eased). We assessed mean stress levels at each phase using linear mixed-effects models and post hoc contrasts based on the models. ResultsOverall mean stress (0=not at all to 4=a lot) during the pre phase was 0.8 for Black and White participants (range for Black participants: 0-3.9; range for White participants: 0-2.8). There was an increase of 0.3 points (t5649=5.2, P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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