Association of Sleep Duration and Screen Time With Anxiety of Pregnant Women During the COVID-19 Pandemic

Frontiers in Psychology

Yuge Zhang¹  Jingyan Tian²  Baofeng Zhou³  Xue Bai⁴  Zhiheng Jin⁵  Min Chen⁶  Yuan Zhang⁷  Kunming Tian⁸  Rong Cao⁹  Renli Deng^1,10  Shijiu Chen^1,10  Kuntao Chen^1,10 

[1] Department of Epidemiology, School of Public Health, Fudan University, Shanghai, China;Department of Gynecology and Obstetrics, Maternal and Child Hospital of Bijie, Bijie, China;Department of Gynecology and Obstetrics, Maternal and Child Hospital of Shiyan Xiangyang, China;Department of Gynecology and Obstetrics, Maternal and Child Hospital of Yanan, Yan'an, China;Department of Health Education, Maternal and Child Hospital of Jinzhou, Jinzhou, China;Department of Obstetrics and Gynecology, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, China;Institute of Reproductive Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;Institute of Reproductive Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;Department of Preventive Medicine, School of Public Health, Zunyi Medical University, Zunyi, China;School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;The Fifth Affiliated Hospital, Zunyi Medical University, Zhuhai, China;

关键词: COVID-19;    sleep;    screen time;    anxiety;    pregnant women;   

DOI  :  10.3389/fpsyg.2021.646368

来源: Frontiers

【 摘 要 】

The COVID-19 pandemic has dramatically changed the patterns of lifestyle and posed psychological stress on pregnant women. However, the association of sleep duration and screen time with anxiety among pregnant women under the backdrop of the COVID-19 pandemic scenario has been poorly addressed. We conducted one large-scale, multicenter cross-sectional study which recruited 1794 pregnant women across middle and west China. Self-reported demographic characteristics, lifestyle, and mental health status were collected from 6th February to 8th May 2020. We investigated the association of sleep duration and screen time with the risk of anxiety by multivariable logistic regression analysis and linear regression analysis after adjusting potential confounders. The dose-response relationship of sleep duration and screen time with anxiety was visualized using a cubic spline plot. Our data revealed that almost 35% of pregnant women suffered from anxiety during the COVID-19 pandemic. Sleep duration was dose-dependently associated with a lower risk of anxiety among pregnant women (OR = 0.41, 95% CI: 0.27–0.63), while screen time exhibited a conversed effect (OR = 2.01, 95% CI:1.00–4.39). Notably, sleep duration (≥8 h/day) synergistically combined with screen time (3–7 h/day) to diminish the risk of anxiety (OR = 0.70, 95% CI: 0.50–0.99). Taken together, sleep duration and screen time were independently and jointly associated with anxiety (P < 0.05). Therefore, promoting a more active lifestyle and maintaining higher sleep quality could improve the mental health of pregnant women, especially under public health emergency.

【 授权许可】

CC BY