Impact of health literacy on anxiety and depressive symptoms in pregnant women in Japan during the COVID-19 pandemic
Abstract To investigate the relationships between communicative and critical health literacy (CCHL) and anxiety and depressive symptoms (ADs) in pregnant women during the coronavirus disease 2019 (COVID-19) pandemic. A cross-sectional study was conducted and 5466 pregnant women responded in Japan in...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-08-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-18405-3 |
| _version_ | 1828150470330286080 |
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| author | Yasuo Haruyama Etsuko Miyagi Gen Kobashi Soichiro Obata Takeshi Umazume Asuka Yoshimi Akitoyo Hishimoto Kentaro Kurasawa Yukio Suzuki Tomoaki Ikeda Tadashi Kimura Hideto Yamada |
| author_facet | Yasuo Haruyama Etsuko Miyagi Gen Kobashi Soichiro Obata Takeshi Umazume Asuka Yoshimi Akitoyo Hishimoto Kentaro Kurasawa Yukio Suzuki Tomoaki Ikeda Tadashi Kimura Hideto Yamada |
| author_sort | Yasuo Haruyama |
| collection | DOAJ |
| description | Abstract To investigate the relationships between communicative and critical health literacy (CCHL) and anxiety and depressive symptoms (ADs) in pregnant women during the coronavirus disease 2019 (COVID-19) pandemic. A cross-sectional study was conducted and 5466 pregnant women responded in Japan in September 2020. A Kessler 6 scale (K6) score ≥ 10, an Edinburgh Postnatal Depression Scale (EPDS) score ≥ 13, and four CCHL groups were analyzed using a logistic regression model and trend test. The proportions of pregnant women with a K6 score ≥ 10 and EPDS score ≥ 13 were 13.5 and 15.4%, respectively. In comparisons with the low CCHL group, the adjusted odds ratio (95% CI) for anxiety symptoms was 0.770 (0.604–0.982) in the high CCHL group, while those for depressive symptoms were 0.777 (0.639–0.946), 0.665 (0.537–0.824), and 0.666 (0.529–0.838) in the lower, higher, and high CCHL groups (all p < 0.05), respectively, after adjustments for potential confounding factors, such as age, weeks of gestation, complications, history, number of children, marital status, education, employment, and income. Higher CCHL was associated with significantly lower adjusted odds ratios for anxiety (p for trend = 0.019) and depressive symptoms (p for trend < 0.001). These results suggest a relationship between CCHL and ADs in pregnant women during the COVID-19 pandemic. |
| first_indexed | 2024-04-11T21:45:00Z |
| format | Article |
| id | doaj.art-85f955416481408d8fed00571c0899ac |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-11T21:45:00Z |
| publishDate | 2022-08-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-85f955416481408d8fed00571c0899ac2022-12-22T04:01:26ZengNature PortfolioScientific Reports2045-23222022-08-0112111010.1038/s41598-022-18405-3Impact of health literacy on anxiety and depressive symptoms in pregnant women in Japan during the COVID-19 pandemicYasuo Haruyama0Etsuko Miyagi1Gen Kobashi2Soichiro Obata3Takeshi Umazume4Asuka Yoshimi5Akitoyo Hishimoto6Kentaro Kurasawa7Yukio Suzuki8Tomoaki Ikeda9Tadashi Kimura10Hideto Yamada11Integrated Research Faculty for Advanced Medical Sciences, Dokkyo Medical UniversityDepartment of Obstetrics and Gynecology, Yokohama City University Hospital, Yokohama City University Graduate School of MedicineIntegrated Research Faculty for Advanced Medical Sciences, Dokkyo Medical UniversityPerinatal Center for Maternity and Neonates, Yokohama City University Medical CenterDepartment of Obstetrics and Gynecology, Hokkaido University Graduate School of MedicineDepartment of Psychiatry, Yokohama City University HospitalDepartment of Psychiatry, Yokohama City University HospitalDepartment of Obstetrics and Gynecology, Yokohama City University Hospital, Yokohama City University Graduate School of MedicineDepartment of Obstetrics and Gynecology, Yokohama City University Hospital, Yokohama City University Graduate School of MedicineObstetrics and Gynecology, Mie University Graduate School of MedicineDepartment of Obstetrics and Gynecology, Osaka University Graduate School of MedicineDepartment of Obstetrics and Gynecology, Kobe University Graduate School of MedicineAbstract To investigate the relationships between communicative and critical health literacy (CCHL) and anxiety and depressive symptoms (ADs) in pregnant women during the coronavirus disease 2019 (COVID-19) pandemic. A cross-sectional study was conducted and 5466 pregnant women responded in Japan in September 2020. A Kessler 6 scale (K6) score ≥ 10, an Edinburgh Postnatal Depression Scale (EPDS) score ≥ 13, and four CCHL groups were analyzed using a logistic regression model and trend test. The proportions of pregnant women with a K6 score ≥ 10 and EPDS score ≥ 13 were 13.5 and 15.4%, respectively. In comparisons with the low CCHL group, the adjusted odds ratio (95% CI) for anxiety symptoms was 0.770 (0.604–0.982) in the high CCHL group, while those for depressive symptoms were 0.777 (0.639–0.946), 0.665 (0.537–0.824), and 0.666 (0.529–0.838) in the lower, higher, and high CCHL groups (all p < 0.05), respectively, after adjustments for potential confounding factors, such as age, weeks of gestation, complications, history, number of children, marital status, education, employment, and income. Higher CCHL was associated with significantly lower adjusted odds ratios for anxiety (p for trend = 0.019) and depressive symptoms (p for trend < 0.001). These results suggest a relationship between CCHL and ADs in pregnant women during the COVID-19 pandemic.https://doi.org/10.1038/s41598-022-18405-3 |
| spellingShingle | Yasuo Haruyama Etsuko Miyagi Gen Kobashi Soichiro Obata Takeshi Umazume Asuka Yoshimi Akitoyo Hishimoto Kentaro Kurasawa Yukio Suzuki Tomoaki Ikeda Tadashi Kimura Hideto Yamada Impact of health literacy on anxiety and depressive symptoms in pregnant women in Japan during the COVID-19 pandemic Scientific Reports |
| title | Impact of health literacy on anxiety and depressive symptoms in pregnant women in Japan during the COVID-19 pandemic |
| title_full | Impact of health literacy on anxiety and depressive symptoms in pregnant women in Japan during the COVID-19 pandemic |
| title_fullStr | Impact of health literacy on anxiety and depressive symptoms in pregnant women in Japan during the COVID-19 pandemic |
| title_full_unstemmed | Impact of health literacy on anxiety and depressive symptoms in pregnant women in Japan during the COVID-19 pandemic |
| title_short | Impact of health literacy on anxiety and depressive symptoms in pregnant women in Japan during the COVID-19 pandemic |
| title_sort | impact of health literacy on anxiety and depressive symptoms in pregnant women in japan during the covid 19 pandemic |
| url | https://doi.org/10.1038/s41598-022-18405-3 |
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