ABSTRACT

The aim of the study was to determine the rate and related factors of prenatal general anxiety disorder in the second peak of the COVID-19 pandemic in Iran. A cross-sectional descriptive study was conducted on 2336 pregnant women who referred to health centers of Zanjan province in Iran from June to September 2020. The samples were selected using a multi-stage sampling method. Data were collected by telephone using a General Anxiety Disorder questionnaire (GAD) and analyzed with descriptive statistics and the logistic regression model at a 95% confidence level. Results show that, during the pandemic of COVID-19 more than 78% of Iranian pregnant women had severe anxiety. The odds of having general anxiety disorder in urban residency was 1.80 times more than the rural residence and getting information about preventive and self-care guidelines of COVID-19 were 1.24 times more than the other information (P < 0.05). Our findings show a higher level of anxiety disorder in pregnant women during the COVID-19 pandemic, and also the place of residence and type of information received about COVID-19 are the main predictors of anxiety level. Therefore, the continuous monitoring of pregnant women for evaluating anxiety disorder during the outbreaks is recommended as a routine schedule.

摘要

该研究的目的是确定伊朗 COVID-19 大流行第二高峰期产前广泛性焦虑症的发病率和相关因素。对 2020 年 6 月至 2020 年 9 月在伊朗赞詹省卫生中心转诊的 2336 名孕妇进行了横断面描述性研究。样本采用多阶段抽样方法进行选择。使用一般焦虑症问卷 (GAD) 通过电话收集数据，并使用描述性统计和逻辑回归模型以 95% 的置信水平进行分析。结果表明，在 COVID-19 大流行期间，超过 78% 的伊朗孕妇有严重的焦虑。城市居民患有广泛性焦虑症的几率为 1。比农村居民多 80 倍，获取 COVID-19 预防和自我保健指南的信息是其他信息的 1.24 倍（P < 0.05）。我们的研究结果显示，在 COVID-19 大流行期间孕妇的焦虑症水平较高，而且居住地和收到的有关 COVID-19 的信息类型是焦虑水平的主要预测因素。因此，建议将持续监测孕妇以评估暴发期间的焦虑症作为常规计划。