Abstract

Objectives: This study aimed to assess the impact of work from home (WFH) during the COVID-19 pandemic on the mental health and reproductive health of women in Indonesia. To the best of our knowledge, this is the first study evaluating the impact of WFH policy on said health aspects in Indonesia.

Methods: We conducted an observational study with a cross-sectional approach using an online survey among premenopausal married women in Indonesia. The survey included the General Health Questionnaire (GHQ-12) for psychological distress, average sexual intercourse frequency (SIF) per week, contraception use, change of menstrual pattern, and desire for having children. To analyze the effect of WFH, the participants were divided into groups based on their WFH compliance: (1) Both couples (her and her spouse) work from home, (2) Only the wife works from home, (3) Only the husband works from home, and (4) Neither works from home.

Results: 348 women were included in this study. Psychological distress occurred in 48.0% (n = 167) participants. No significant difference was found between the WFH groups (χ²[3, N = 348] = 2.077, p = .56)). The average weekly SIF was found to be significantly fewer during WFH (T = 5014, z = −5.598, p < .001). However, only 22.7% (n = 79) participants reported the use of contraception and 52.9% (n = 196) participants still wanted to have children. Change of menstrual pattern occurred in 31.6% (n = 110) participants and were significantly correlated to psychological distress (r_s= .126, p = .018).

Conclusions: WFH does not aggravate the effect of the pandemic on women's mental and reproductive health in Indonesia. A significant number of them still desire to have children and contraceptive prevalence is low.

 抽象的

目标：本研究旨在评估 COVID-19 大流行期间在家工作 (WFH) 对印度尼西亚妇女心理健康和生殖健康的影响。据我们所知，这是第一项评估在家办公政策对印度尼西亚上述健康方面影响的研究。

方法：我们通过对印度尼西亚绝经前已婚妇女的在线调查，采用横断面方法进行了一项观察性研究。该调查包括一般健康问卷（GHQ-12），内容包括心理困扰、每周平均性交频率（SIF）、避孕措施的使用、月经模式的变化以及生育意愿。为了分析在家办公的影响，参与者根据在家办公的遵守情况分为几组：（1）夫妻双方（她和她的配偶）在家工作，（2）只有妻子在家工作，（3）只有丈夫在家工作在家工作，并且 (4) 两者都不在家工作。

结果：本研究纳入了 348 名女性。 48.0% ( n = 167) 的参与者出现心理困扰。 WFH 组之间没有发现显着差异 ( χ ² [3, N = 348] = 2.077, p = .56))。 WFH 期间平均每周 SIF 显着减少 ( T = 5014, z = -5.598, p < .001)。然而，只有 22.7%（ n = 79）的参与者报告使用了避孕措施，52.9%（ n = 196）的参与者仍然想要孩子。 31.6% ( n = 110) 的参与者发生了月经模式的变化，并且与心理困扰显着相关 ( r _s = .126， p = .018)。

结论：在家办公并不会加剧疫情对印度尼西亚妇女心理和生殖健康的影响。其中相当多的人仍然希望生孩子，而且避孕普及率很低。