Objective

To explore early disparate impacts of the COVID-19 pandemic on fertility preferences

Design

Cross-sectional study

Setting

Online survey questionnaire

Patient(s)

A total of 440 female participants who were trying to conceive (TTC) in the past year or currently are TTC.

Intervention(s)

No interventions administered.

Main Outcome Measure(s)

Change in fertility preference

Result(s)

Approximately 1 in 3 participants reported changing their fertility preferences because of the COVID-19 pandemic. Of those that reported changing their fertility preferences, 23.9% reported TTC earlier and 61.6% reported TTC later. Preliminary findings show the odds of changing fertility preferences in black or African American women were 5.45 (95% confidence interval [CI], 1.50–19.90) times that of white women and in nonheterosexual women were 2.76 (95% CI, 1.41–5.42) times that of heterosexual women. Furthermore, every 1 unit increase in state anxiety and depressive symptoms was associated with a 26% (95% CI, 3%–54%) or 17% (95% CI, 5%–31%) increase in odds of pushing back TTC, respectively.

Conclusion(s)

This exploratory study highlights how the fertility preferences of racial and ethnic minorities, sexual minorities, and those experiencing mental health issues may be disparately influenced by the pandemic. Research is needed to examine further the disparate effect of the COVID-19 pandemic on fertility preferences.

中文翻译：

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COVID-19 大流行对美国生育偏好的早期影响：一项探索性研究

客观的

探索 COVID-19 大流行对生育偏好的早期不同影响

设计

横断面研究

环境

网上调查问卷

患者）

过去一年或目前尝试怀孕 (TTC) 的共有 440 名女性参与者是 TTC。

干预措施

未进行任何干预。

主要观察指标）

生育偏好的变化

结果）

大约三分之一的参与者报告说，由于 COVID-19 大流行，他们的生育偏好发生了变化。在那些报告改变了他们的生育偏好的人中，23.9% 的人更早地报告了 TTC，61.6% 的人更晚地报告了 TTC。初步调查结果显示，黑人或非裔美国女性生育偏好改变的几率是白人女性的 5.45（95% 置信区间 [CI]，1.50-19.90）倍，非异性恋女性为 2.76（95% CI，1.41-5.42）是异性恋女性的数倍。此外，状态焦虑和抑郁症状每增加 1 个单位与推迟 TTC 的几率增加 26%（95% CI，3%–54%）或 17%（95% CI，5%–31%）相关。 ， 分别。

结论

这项探索性研究强调了种族和少数民族、性少数群体以及那些经历心理健康问题的人的生育偏好如何可能受到大流行的不同影响。需要进行研究以进一步检验 COVID-19 大流行对生育偏好的不同影响。