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Social and behavioral vulnerability, pregnancy, and negative mental health outcomes in the U.S. during the Covid-19 pandemic

  • Received: 09 December 2021 Revised: 28 January 2022 Accepted: 09 February 2022 Published: 21 February 2022
  • The novel coronavirus (Covid-19) pandemic has had a significant impact on the mental health of the general U.S. population. Extant literature has increasingly linked social vulnerabilities, risky behavior, and limited social and psychological resources to the growing mental health crisis during the virus's spread. The purpose of this study was to examine the impact of pertinent social vulnerabilities and subjective risk factors for both men and women on mental health (i.e., depression, anxiety, isolation) with a closer examination of the influence of pregnancy during the pandemic on mental health. The sample included 740,640 respondents participating in the U.S. Covid-19 Trends and Impact Survey that was deployed between February and March 2021. Descriptive statistics and ordinary least squares regression models are presented with a focus on the factors that shape negative mental health outcomes, particularly on the disparities between pregnant and non-pregnant women relative to men, but also subjective/perception factors (e.g., fear/worry) and social vulnerabilities. Results show that pregnant women were at significantly greater risk of negative mental health outcomes at this stage of the pandemic than either men or non-pregnant women. Overall, respondents who were younger, without children in the household, unemployed, worried generally about infection or their finances, or had ever tested positive for Covid were also more likely to report feelings of anxiety, isolation, and depression than their counterparts. Pregnant women may be especially vulnerable to depression, anxiety, and isolation during the pandemic and our findings suggest the importance of developing targeted mental health support for this sub-population.

    Citation: Stephanie A. Godleski, Casey T. Harris, Kevin M. Fitzpatrick, Ammina Kothari. Social and behavioral vulnerability, pregnancy, and negative mental health outcomes in the U.S. during the Covid-19 pandemic[J]. AIMS Public Health, 2022, 9(2): 331-341. doi: 10.3934/publichealth.2022023

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  • The novel coronavirus (Covid-19) pandemic has had a significant impact on the mental health of the general U.S. population. Extant literature has increasingly linked social vulnerabilities, risky behavior, and limited social and psychological resources to the growing mental health crisis during the virus's spread. The purpose of this study was to examine the impact of pertinent social vulnerabilities and subjective risk factors for both men and women on mental health (i.e., depression, anxiety, isolation) with a closer examination of the influence of pregnancy during the pandemic on mental health. The sample included 740,640 respondents participating in the U.S. Covid-19 Trends and Impact Survey that was deployed between February and March 2021. Descriptive statistics and ordinary least squares regression models are presented with a focus on the factors that shape negative mental health outcomes, particularly on the disparities between pregnant and non-pregnant women relative to men, but also subjective/perception factors (e.g., fear/worry) and social vulnerabilities. Results show that pregnant women were at significantly greater risk of negative mental health outcomes at this stage of the pandemic than either men or non-pregnant women. Overall, respondents who were younger, without children in the household, unemployed, worried generally about infection or their finances, or had ever tested positive for Covid were also more likely to report feelings of anxiety, isolation, and depression than their counterparts. Pregnant women may be especially vulnerable to depression, anxiety, and isolation during the pandemic and our findings suggest the importance of developing targeted mental health support for this sub-population.



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    Acknowledgments



    This research is based on survey results from Carnegie Mellon University's Delphi Group. We appreciate their willingness to share this data in order to help scientists develop a more complete understanding of the complexities of the Covid-19 pandemic.

    Conflict of interests



    All authors declare no conflicts of interest in this paper.

    [1] Fitzpatrick KM, Harris C, Drawve G (2020) Fear of COVID-19 and the mental health consequences in America. Psychol Trauma 12: S17-S21. https://doi.org/10.1037/tra0000924
    [2] Fitzpatrick KM, Drawve G, Harris C (2020) Facing a new set of fears during the COVID-19 pandemic: The state of America's mental health. J Anxiety Disord 75: 102291. https://doi.org/10.1016/j.janxdis.2020.102291
    [3] Salari N, Hosseinian-Far A, Jalali R, et al. (2020) Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Glob Health 16: 1-11. https://doi.org/10.1186/s12992-020-00589-w
    [4] Holingue C, Badillo-Goicoechea E, Riehm KE, et al. (2020) Mental distress during the COVID-19 pandemic among US adults without a pre-existing mental health condition: findings from American trend panel survey. Prev Med 139: 106231. https://doi.org/10.1016/j.ypmed.2020.106231
    [5] Panchal N, Kamal R, Cox C, et al. (2021) The implications of COVID-19 for mental health and substance use. Kaiser Family Foundation Issue Brief . Available from: https://www.kff.org/coronavirus-covid-19/issue-brief/the-implications-of-covid-19-for-mental-health-and-substance-use/
    [6] Ammerman BA, Burke TA, Jacobucci R, et al. (2021) Preliminary investigation of the association between COVID-19 and suicidal thoughts and behaviors in the US. J Psychiatr Res 134: 32-38. https://doi.org/10.1016/j.jpsychires.2020.12.037
    [7] Fitzpatrick KM, Harris C, Drawve G (2020) How bad is it? Suicidality in the middle of the COVID-19 pandemic. Suicide Life Threat Behav 50: 1241-1249. https://doi.org/10.1111/sltb.12655
    [8] Kowal M, Martín T, Ikizer G, et al. (2020) Who is the most stressed during the COVID-19 pandemic? Data from 26 countries and areas. Appl Psychol Health Well Being 12: 946-966. https://doi.org/10.1111/aphw.12234
    [9] Luo M, Guo L, Yu M, et al. (2020) The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public–A systematic review and meta-analysis. Psychiatry Res 291: 113190. https://doi.org/10.1016/j.psychres.2020.113190
    [10] Holmes EA, O'Connor RC, Perry VH, et al. (2020) Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiat 7: 547-560. https://doi.org/10.1016/S2215-0366(20)30168-1
    [11] Hossain MM, Sultana A, Purohit N (2020) Mental health outcomes of quarantine and isolation for infection prevention: A systematic umbrella review of the global evidence. Epidemiol Health 42: e2020038. https://doi.org/10.4178/epih.e2020038
    [12] Alsan M, Chandra A, Simon K (2021) The great unequalizer: Initial health effects of COVID-19 in the United States. J Econ Perspect 35: 25-46. https://doi.org/10.1257/jep.35.3.25
    [13] Hubbard G, den Daas C, Johnston M, et al. (2021) Sociodemographic and psychological risk factors for anxiety and depression: Findings from the Covid-19 health and adherence research in Scotland on mental health (CHARIS-MH) cross-sectional survey. Int J Behav Med 28: 788-800. https://doi.org/10.1007/s12529-021-09967-z
    [14] Grasselli G, Zangrillo A, Zanella A, et al. (2020) Baseline characteristics and outcomes of 1591 patients infected with SARS-CoV-2 admitted to ICUs of the Lombardy Region, Italy. Jama 323: 1574-1581. https://doi.org/10.1001/jama.2020.5394
    [15] Nino M, Harris C, Drawve G, et al. (2021) Race and ethnicity, gender, and age on perceived threats and fear of COVID-19: Evidence from two national data sources. SSM-Population Health 13: 100717. https://doi.org/10.1016/j.ssmph.2020.100717
    [16] Spinelli M, Lionetti F, Setti A, et al. (2021) Parenting stress during the COVID-19 outbreak: Socioeconomic and environmental risk factors and implications for children emotion regulation. Fam Process 60: 639-653. https://doi.org/10.1111/famp.12601
    [17] Feinberg ME, Mogle J, Lee JK, et al. (2021) Impact of the COVID-19 Pandemic on Parent, Child, and Family Functioning. Fam Process . https:////doi.org/10.1111/famp.12649
    [18] Iyengar U, Jaiprakash B, Haitsuka H, et al. (2021) One year into the pandemic: A systematic review of perinatal mental health outcomes during COVID-19. Front Psychiatry 12: 845. https://doi.org/10.3389/fpsyt.2021.674194
    [19] Moyer CA, Compton SD, Kaselitz E, et al. (2020) Pregnancy-related anxiety during COVID-19: a nationwide survey of 2740 pregnant women. Arch Womens Ment Health 23: 757-765. https://doi.org/10.1007/s00737-020-01073-5
    [20] Kreuter F, Barkay N, Bilinski A, et al. (2020) Partnering with a global platform to inform research and public policy making. Surv Res Methods 14: 159-163. https://doi.org/10.18148/SRM/2020.V14I2.7761
    [21] Fridman A, Gershon R, Gneezy A (2021) COVID-19 and vaccine hesitancy: A longitudinal study. Plos One 16: e0250123. https://doi.org/10.1371/journal.pone.0250123
    [22] Tucker Edmonds BM, Coleman J, Armstrong K, et al. (2011) Risk perceptions, worry, or distrust: what drives pregnant women's decisions to accept the H1N1 vaccine?. Matern Child Health J 15: 1203-1209. https://doi.org/10.1007/s10995-010-0693-5
    [23] Salomon JA, Reinhart A, Bilinski A, et al. (2021) The US COVID-19 Trends and Impact Survey: Continuous real-time measurement of COVID-19 symptoms, risks, protective behaviors, testing, and vaccination. Proc Natl Acad Sci USA 118: e2111454118. https://doi.org/10.1073/pnas.2111454118
    [24] Delphi GroupCOVID-19 Trends and Impact Survey (2021). Available from: https://cmu-delphi.github.io/delphi-epidata/symptom-survey/
    [25] Centers for Disease Control and PreventionEstimated COVID-19 Infections, Symptomatic Illnesses, Hospitalizations, and Deaths in the United States (2021). Available from: https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/burden.html#:~:text=The%20cumulative%20burden%20of%20COVID,in%20the%20United%20States
    [26] Centers for Disease Control and PreventionPregnant and Recently Pregnant People: At Increased Risk for Severe Illness from COVID-19 (2021). Available from: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnant-people.html
    [27] Collins NL, Dunkel-Schetter C, Lobel M, et al. (1993) Social support in pregnancy: psychosocial correlates of birth outcomes and postpartum depression. J Pers Soc Psychol 65: 1243-1258. https://doi.org/10.1037//0022-3514.65.6.1243
    [28] Perzow SE, Hennessey EMP, Hoffman MC, et al. (2021) Mental health of pregnant and postpartum women in response to the COVID-19 pandemic. J Affect Disord Rep 4: 100123. https://doi.org/10.1016/j.jadr.2021.100123
    [29] Razzaghi H, Meghani M, Pingali C, et al. (2021) COVID-19 vaccination coverage among pregnant women during pregnancy—eight integrated health care organizations, United States, December 14, 2020–May 8, 2021. MMWR 70: 895-899. http://dx.doi.org/10.15585/mmwr.mm7024e2
    [30] Diesel J, Sterrett N, Dasgupta S, et al. (2021) COVID-19 vaccination coverage among adults—United States, December 14, 2020–May 22, 2021. MMWR 70: 922-927. http://dx.doi.org/10.15585/mmwr.mm7025e1
    [31] Painter EM, Ussery EN, Patel A, et al. (2021) Demographic characteristics of persons vaccinated during the first month of the COVID-19 vaccination program—United States, December 14, 2020–January 14, 2021. MMWR 70: 174-177. http://dx.doi.org/10.15585/mmwr.mm7005e1
    [32] Cuadrado E, Arenas A, Moyano M, et al. (2021) Differential impact of stay-at-home orders on mental health in adults who are homeschooling or “childless at home” in time of COVID-19. Fam Process . https://doi.org/10.1111/famp.12698
    [33] Carnevale JB, Hatak I (2020) Employee adjustment and well-being in the era of COVID-19: Implications for human resource management. J Bus Res 116: 183-187. https://doi.org/10.1016/j.jbusres.2020.05.037
    [34] González ÁAO, García JFC, Sandoval LCP, et al. (2022) Depressive symptomatology in adults during the COVID-19 pandemic. J Invest Med 70: 436-445. https://doi.org/10.1136/jim-2021-001992
    [35] Orsolini L, Latini R, Pompili M, et al. (2020) Understanding the complex of suicide in depression: From research to clinics. Psychiatry Investig 17: 207-221. https://doi.org/10.30773/pi.2019.0171
    [36] Tourangeau R, Yan T (2007) Sensitive questions in surveys. Psych Bull 133: 859-883. https://doi.org/10.1037/0033-2909.133.5.859
    [37] Lindberg LD, Mueller J, Kirstein M, et al. The Continuing Impacts of the COVID-19 Pandemic in the United States: Findings from the 2021 Guttmacher Survey of Reproductive Health Experiences (2021). https://doi.org/10.1363/2021.33301
    [38] Hamilton BE, Martin JA, Osterman MJK Births: Provisional data for 2020 (2021). https://doi.org/10.15620/cdc:104993
    [39] Martin JA, Hamilton BE, Osterman MJK Births in the United States, 2020 (2021). https://doi.org/10.15620/cdc:109213
    [40] Lee H, Singh GK (2021) Monthly trends in self-reported health status and depression by race/ethnicity and socioeconomic status during the COVID-19 Pandemic, United States, April 2020–May 2021. Ann Epidemiol 63: 52-62. https://doi.org/10.1016/j.annepidem.2021.07.014
    [41] McKnight-Eily LR, Okoro CA, Strine TW, et al. (2021) Racial and ethnic disparities in the prevalence of stress and worry, mental health conditions, and increased substance use among adults during the COVID-19 pandemic—United States, April and May 2020. MMWR 70: 162-166. https://doi.org/10.15585/mmwr.mm7005a3
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