Impact of sedentary behavior and emotional support on prenatal psychological distress and birth outcomes during the COVID-19 pandemic.

Abstract. BACKGROUND: Studies have reported mixed findings regarding the impact of the coronavirus disease 2019 (COVID-19) pandemic on pregnant women and birth outcomes. This study used a quasi-experimental design to account for potential confounding by sociodemographic characteristics. METHODS: Data were drawn from 16 prenatal cohorts participating in the Environmental influences on Child Health Outcomes (ECHO) program. Women exposed to the pandemic (delivered between 12 March 2020 and 30 May 2021) (n = 501) were propensity-score matched on maternal age, race and ethnicity, and child assigned sex at birth with 501 women who delivered before 11 March 2020. Participants reported on perceived stress, depressive symptoms, sedentary behavior, and emotional support during pregnancy. Infant gestational age (GA) at birth and birthweight were gathered from medical record abstraction or maternal report. RESULTS: After adjusting for propensity matching and covariates (maternal education, public assistance, employment status, prepregnancy body mass index), results showed a small effect of pandemic exposure on shorter GA at birth, but no effect on birthweight adjusted for GA. Women who were pregnant during the pandemic reported higher levels of prenatal stress and depressive symptoms, but neither mediated the association between pandemic exposure and GA. Sedentary behavior and emotional support were each associated with prenatal stress and depressive symptoms in opposite directions, but no moderation effects were revealed. CONCLUSIONS: There was no strong evidence for an association between pandemic exposure and adverse birth outcomes. Furthermore, results highlight the importance of reducing maternal sedentary behavior and encouraging emotional support for optimizing maternal health regardless of pandemic conditions.

Urban rhythms in a small home: COVID-19 as a mechanism of exception.

The amount of living space we have access to is one manifestation of the unequal distribution of housing resources within societies. The COVID-19 pandemic has required most households to spend more time at home, unmasking inequalities and reigniting longstanding debates about the functionality and experience of smaller homes. Drawing on interviews across three UK cities, this article attends to the changing household routines of individuals living in different types of small home, exploring daily life before and during 'lockdown'. Using the concept of urban rhythms, the data show that the lockdown has intensified existing pressures of living in a smaller home - lack of space for different functions and household members - whilst constraining coping strategies, like spending time outside the home. Lockdown restrictions governing mobility and contact acted as a mechanism of exception, disrupting habitual patterns of life and sociability, and forcing people to spend more time in smaller homes that struggled to accommodate different functions, affecting home atmospheres. For some, the loss of normal strategies was so significant that they sought to challenge the new rules governing daily life to protect their wellbeing.