Family Resilience During Pandemic Based on the Existence of Pregnant Women and Family Income in Madiun, Indonesia
Abstract
During the COVID-19 pandemic, pregnant women were reported to face a disproportionately high death rate, reaching nearly 25% of the global pregnant population. According to data from POGI (Indonesian Association of Obstetrics and Gynecology) as of April 2021, 536 pregnant women in Indonesia were exposed to COVID-19 resulting in 16 deaths. This implies an estimated mortality rate of 32 per 1000. Family with pregnant women experience more worries about the COVID-19 infection, which reduces resilience capacity. Therefore, this study aimed to examine the impact of certain factors including husband education, profession, family size, and wealth, as well as the presence of pregnant women on the resilience of family in facing the COVID-19 pandemic. A cross-sectional design and analytical observational method were used, while the samples comprised 100 households selected using g-form and accidental sampling. In addition, the data collected were analyzed with the chi-square test. The results showed that family income OR = 2.46 (95% CI = 1.08 - 5.61; p-value = 0.03) and the presence of pregnant women OR = 5.40 (95% CI = 2.25 - 12.96; p-value 0.01) had a significant relationship with family resilience. Specifically, low family resilience was related to lower income and the presence of pregnant women in the household.
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Accortt, E. E., Cheadle, A. C. D., & Dunkel Schetter, C. (2015). Prenatal depression and adverse birth outcomes: an updated systematic review. Maternal and Child Health Journal, 19(6), 1306–1337. https://doi.org/10.1007/s10995-014-1637-2
Aghababaei, S., Bashirian, S., Soltanian, A., Refaei, M., Omidi, T., Ghelichkhani, S., & Soltani, F. (2020). Perceived risk and protective behaviors regarding COVID-19 among Iranian pregnant women. Middle East Fertility Society Journal, 25(1), 1–9. https://doi.org/10.1186/s43043-020-00038-z
Atmuri, K., Sarkar, M., Obudu, E., & Kumar, A. (2022). Perspectives of pregnant women during the COVID-19 pandemic: A qualitative study. Women and Birth, 35(3), 280–288. https://doi.org/10.1016/j.wombi.2021.03.008
Barzilay, R., Moore, T. M., Greenberg, D. M., DiDomenico, G. E., Brown, L. A., White, L. K., Gur, R. C., & Gur, R. E. (2020). Resilience, COVID-19-related stress, anxiety and depression during the pandemic in a large population enriched for healthcare providers. Translational Psychiatry, 10(1), 1–8. https://doi.org/10.1038/s41398-020-00982-4
Boekhorst, M. G. B. M., Muskens, L., Hulsbosch, L. P., Van Deun, K., Bergink, V., Pop, V. J. M., & van den Heuvel, M. I. (2021). The COVID-19 outbreak increases maternal stress during pregnancy, but not the risk for postpartum depression. Archives of Women’s Mental Health, 24(6), 1037–1043. https://doi.org/10.1007/s00737-021-01104-9
Cameron, E. E., Joyce, K. M., Delaquis, C. P., Reynolds, K., Protudjer, J. L. P., & Roos, L. E. (2020). Maternal psychological distress & mental health service use during the COVID-19 pandemic. Journal of Affective Disorders, 276, 765–774. https://doi.org/10.1016/j.jad.2020.07.081
Chen, S., & Bonanno, G. A. (2020). Psychological adjustment during the global outbreak of COVID-19: A resilience perspective. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S51. https://psycnet.apa.org/doi/10.1037/tra0000685
Cherak, S. J., Giesbrecht, G. F., Metcalfe, A., Ronksley, P. E., & Malebranche, M. E. (2018). The effect of gestational period on the association between maternal prenatal salivary cortisol and birth weight: A systematic review and meta-analysis. Psychoneuroendocrinology, 94, 49–62. https://doi.org/10.1016/j.psyneuen.2018.04.023
Corbett, G. A., Milne, S. J., Hehir, M. P., Lindow, S. W., & O’connell, M. P. (2020). Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 249, 96. https://doi.org/10.1016%2Fj.ejogrb.2020.04.022
Coulombe, S., Pacheco, T., Cox, E., Khalil, C., Doucerain, M. M., Auger, E., & Meunier, S. (2020). Risk and resilience factors during the COVID-19 pandemic: a snapshot of the experiences of Canadian workers early on in the crisis. Frontiers in Psychology, 11, 3225. https://doi.org/10.3389/fpsyg.2020.580702
Cusinato, M., Iannattone, S., Spoto, A., Poli, M., Moretti, C., Gatta, M., & Miscioscia, M. (2020). Stress, Resilience, and Well-Being in Italian Children and Their Parents during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 17(22), 8297. https://doi.org/10.3390/ijerph17228297
Dashraath, P., Wong, J. L. J., Lim, M. X. K., Lim, L. M., Li, S., Biswas, A., Choolani, M., Mattar, C., & Su, L. L. (2020). Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. American Journal of Obstetrics and Gynecology, 222(6), 521–531. https://doi.org/10.1016/j.ajog.2020.03.021
Djalante, R., Lassa, J., Setiamarga, D., Sudjatma, A., Indrawan, M., Haryanto, B., Mahfud, C., Sinapoy, M. S., Djalante, S., & Rafliana, I. (2020). Review and analysis of current responses to COVID-19 in Indonesia: Period of January to March 2020. Progress in Disaster Science, 6, 100091. https://doi.org/10.1016/j.pdisas.2020.100091
Eales, L., Ferguson, G. M., Gillespie, S., Smoyer, S., & Carlson, S. M. (2021). Family Resilience and Psychological Distress in the COVID-19 Pandemic: A Mixed Methods Study. Developmental Psychology. https://psycnet.apa.org/doi/10.1037/dev0001221
Fuller, H. R., & Huseth-Zosel, A. (2021). Lessons in resilience: initial coping among older adults during the COVID-19 pandemic. The Gerontologist, 61(1), 114–125. https://doi.org/10.1093/geront/gnaa170
Gayatri, M., & Irawaty, D. K. (2021). Family Resilience during COVID-19 Pandemic: A Literature Review. The Family Journal, 10664807211023876. https://doi.org/10.1177/10664807211023875
Grigoriadis, S., Graves, L., Peer, M., Mamisashvili, L., Tomlinson, G., Vigod, S. N., Dennis, C.-L., Steiner, M., Brown, C., & Cheung, A. (2018). Maternal anxiety during pregnancy and the association with adverse perinatal outcomes: systematic review and meta-analysis. The Journal of Clinical Psychiatry, 79(5), 813. https://doi.org/10.4088/JCP.17r12011
Hessami, K., Romanelli, C., Chiurazzi, M., & Cozzolino, M. (2020). COVID-19 pandemic and maternal mental health: a systematic review and meta-analysis. The Journal of Maternal-Fetal & Neonatal Medicine, 1–8. https://doi.org/10.1080/14767058.2020.1843155
Jago, C. A., Singh, S. S., & Moretti, F. (2020). Coronavirus disease 2019 (COVID-19) and pregnancy: combating isolation to improve outcomes. Obstetrics & Gynecology, 136(1), 33–36. https://doi.org/10.1097/aog.0000000000003946
Jatimprov. (2022). Dashboard COVID-19 Jawa Timur. https://infocovid19.jatimprov.go.id/index.php/data
Kamel, D.-E., & Hentati, Y. (2021). Portrait of resilience among Tunisians locked down in times of COVID-19. Traumatology. https://psycnet.apa.org/doi/10.1037/trm0000300
Khaliq, O. P., & Phoswa, W. N. (2020). Is Pregnancy a Risk Factor of COVID-19? European Journal of Obstetrics & Gynecology and Reproductive Biology. https://doi.org/10.1016/j.ejogrb.2020.06.058
Khoury, J. E., Atkinson, L., Bennett, T., Jack, S. M., & Gonzalez, A. (2021). COVID-19 and mental health during pregnancy: The importance of cognitive appraisal and social support. Journal of Affective Disorders, 282, 1161–1169. https://doi.org/https://doi.org/10.1016/j.jad.2021.01.027
Kimhi, S., Marciano, H., Eshel, Y., & Adini, B. (2020). Resilience and demographic characteristics predicting distress during the COVID-19 crisis. Social Science & Medicine, 265, 113389. https://doi.org/10.1016/j.socscimed.2020.113389
Lebel, C., MacKinnon, A., Bagshawe, M., Tomfohr-Madsen, L., & Giesbrecht, G. (2020). Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. Journal of Affective Disorders, 277, 5–13. https://doi.org/10.1016/j.jad.2020.07.126
Li, R., Zhang, J., Zhou, R., Liu, J., Dai, Z., Liu, D., Wang, Y., Zhang, H., Li, Y., & Zeng, G. (2017). Sleep disturbances during pregnancy are associated with cesarean delivery and preterm birth. The Journal of Maternal-Fetal & Neonatal Medicine, 30(6), 733–738. https://doi.org/10.1080/14767058.2016.1183637
Lian, B., & Yoon, S.-Y. (2020). Burdens, Resilience, and Mutual Support: A Comparative Study of Families in China and South Korea Amid the COVID-19 Pandemic. Journal of Comparative Family Studies, 51(3–4), 337–346. https://doi.org/10.3138/jcfs.51.3-4.009
Liu, M., Neri Mini, F., Torres, C., Kwete, G. M., Boudreau, A. A., Hunter, M. L., Parra, M. Y., Lopez, W., Izen, A., & Price, S. N. (2021). Fostering Resilience in Pregnancy and Early Childhood During the COVID-19 Pandemic: The HUGS/Abrazos Program Design and Implementation. Frontiers in Public Health, 9, 422. https://doi.org/10.3389/fpubh.2021.633285
Mappa, I., Distefano, F. A., & Rizzo, G. (2020). Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study. Journal of Perinatal Medicine, 48(6), 545–550. https://doi.org/10.1515/jpm-2020-0182
Martin, L., Hauret, L., & Fuhrer, C. (2022). Digitally transformed home office impacts on job satisfaction, job stress and job productivity. COVID-19 findings. Plos One, 17(3), e0265131. https://doi.org/10.1371/journal.pone.0265131
Masten, A. S., & Motti-Stefanidi, F. (2020). Multisystem resilience for children and youth in disaster: Reflections in the context of COVID-19. Adversity and Resilience Science, 1(2), 95–106. https://doi.org/10.1007/s42844-020-00010-w
Mei, H., Li, N., Li, J., Zhang, D., Cao, Z., Zhou, Y., & Cao, J. (2020). Impact of the COVID-19 pandemic on mental health in pregnancy women: results from two cohort studies in China. https://doi.org/10.21203/rs.3.rs-42153/v1
Miller, J. J., Niu, C., & Moody, S. (2020). Child welfare workers and peritraumatic distress: The impact of COVID-19. Children and Youth Services Review, 119, 105508. https://doi.org/10.1016/j.childyouth.2020.105508
Montenovo, L., Jiang, X., Lozano-Rojas, F., Schmutte, I., Simon, K., Weinberg, B. A., & Wing, C. (2022). Determinants of disparities in early COVID-19 job losses. Demography, 59(3), 827–855. https://doi.org/10.1215/00703370-9961471
Moyer, C. A., Compton, S. D., Kaselitz, E., & Muzik, M. (2020). Pregnancy-related anxiety during COVID-19: a nationwide survey of 2740 pregnant women. Archives of Women’s Mental Health, 23(6), 757–765. https://doi.org/10.1007/s00737-020-01073-5
Poon, L. C., Yang, H., Kapur, A., Melamed, N., Dao, B., Divakar, H., McIntyre, H. D., Kihara, A. B., Ayres‐de‐Campos, D., & Ferrazzi, E. M. (2020). Global interim guidance on coronavirus disease 2019 (COVID‐19) during pregnancy and puerperium from FIGO and allied partners: Information for healthcare professionals. International Journal of Gynecology & Obstetrics, 149(3), 273–286. https://doi.org/10.1002/ijgo.13156
Preis, H., Mahaffey, B., Heiselman, C., & Lobel, M. (2020). Vulnerability and resilience to pandemic-related stress among US women pregnant at the start of the COVID-19 pandemic. Social Science & Medicine, 266, 113348. https://doi.org/10.1016/j.socscimed.2020.113348
Prime, H., Wade, M., & Browne, D. T. (2020). Risk and resilience in family well-being during the COVID-19 pandemic. American Psychologist. https://psycnet.apa.org/doi/10.1037/amp0000660
Rahmadania, S. R. (2022). Jabar Terbanyak, Ini Sebaran 1.297 Kasus COVID-19 Baru RI 20 Desember. Detik Health. https://health.detik.com/berita-detikhealth/d-6471844/jabar-terbanyak-ini-sebaran-1297-kasus-covid-19-baru-ri-20-desember
Saccone, G., Florio, A., Aiello, F., Venturella, R., De Angelis, M. C., Locci, M., Bifulco, G., Zullo, F., & Di Spiezio Sardo, A. (2020). Psychological impact of coronavirus disease 2019 in pregnant women. American Journal of Obstetrics and Gynecology, 223(2), 293–295. https://doi.org/10.1016/j.ajog.2020.05.003
Seiz, M. (2021). Equality in confinement: Nonnormative divisions of labor in Spanish dual-earner families during the COVID-19 lockdown. Feminist Economics, 27(1–2), 345–361. https://psycnet.apa.org/doi/10.1037/amp0000660
Sixbey, M. T. (2005). Development of the family resilience assessment scale to identify family resilience constructs. Dissertation Abstracts International, (UMI No.3204501).
Sunarti, E., Prayitno, S. W., & Ramadhan, D. A. (2020). Family Resilience in the First Month of COVID-19 Pandemic in Indonesia. Department of Family and Consumer Sciences, Faculty of Human Ecology, IPB University, 1.
Utami, C. T. (2017). Self-efficacy dan resiliensi: Sebuah tinjauan meta-analisis. Buletin Psikologi, 25(1), 54–65. https://doi.org/10.22146/buletinpsikologi.18419
Verger, N. B., Urbanowicz, A., Shankland, R., & McAloney-Kocaman, K. (2021). Coping in isolation: predictors of individual and household risks and resilience against the COVID-19 pandemic. Social Sciences & Humanities Open, 3(1), 100123. https://doi.org/10.1016/j.ssaho.2021.100123
Walsh, F. (2020). Loss and resilience in the time of COVID‐19: Meaning making, hope, and transcendence. Family Process, 59(3), 898–911. https://doi.org/10.1111/famp.12588
Wang, Y., Di, Y., Ye, J., & Wei, W. (2021). Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. Psychology, Health & Medicine, 26(1), 13–22. https://doi.org/10.1080/13548506.2020.1746817
WHO. (2022). COVID-19 Situation in the WHO South-East Asia Region; Reported COVID-19 Cases by Country and Date. https://who.maps.arcgis.com/apps/dashboards/73d1d3251de3435cbc0bc586230cc3ef
Wu, Y., Zhang, C., Liu, H., Duan, C., Li, C., Fan, J., Li, H., Chen, L., Xu, H., & Li, X. (2020). Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China. American Journal of Obstetrics and Gynecology, 223(2), 240-e1. https://doi.org/10.1016/j.ajog.2020.05.009
Yerkes, M. A., André, S. C. H., Besamusca, J. W., Kruyen, P. M., Remery, C. L. H. S., van der Zwan, R., Beckers, D. G. J., & Geurts, S. A. E. (2020). ‘Intelligent’lockdown, intelligent effects? Results from a survey on gender (in) equality in paid work, the division of childcare and household work, and quality of life among parents in the Netherlands during the Covid-19 lockdown. PloS One, 15(11), e0242249. https://doi.org/10.1371/journal.pone.0242249
Zhao, X., Jiang, Y., Zhao, Y., Xi, H., Liu, C., Qu, F., & Feng, X. (2020). Analysis of the susceptibility to COVID-19 in pregnancy and recommendations on potential drug screening. European Journal of Clinical Microbiology & Infectious Diseases, 39(7), 1209–1220. https://doi.org/10.1007/s10096-020-03897-6
Zou, H., Tao, Z., Zhou, Y., Zhang, Z., Zhang, C., Li, L., Yang, J., Wang, Y., Huang, W., & Wang, J. (2022). Perceived Stress Positively Relates to Insomnia Symptoms: The Moderation of Resilience in Chinese Pregnant Women During COVID-19. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.856627
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