{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T03:46:05Z","timestamp":1775447165100,"version":"3.50.1"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background\/Objectives<\/jats:title>\n                    <jats:p>Maternal anxiety represents a substantial public health concern, particularly among women who are attending Maternal and Child Health (MCH) hospitals. This study investigated anxiety prevalence and risk factors among MCH hospital female attenders in Henan Province, a region demographically representative of national trends, during the peak winter medical demand of December 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional study using convenience sampling was implemented to recruit 745 maternal participants from 5 MCH hospitals (comprising three Grade A tertiary hospitals and two other hospitals) in Henan Province of China during December 2024. Maternal anxiety was assessed using the Generalized Anxiety Disorder 7-item scale (GAD-7). Knowledge regarding maternal and child healthcare and self-efficacy in accessing healthcare services were evaluated using the self-developed Maternal and Child Health Knowledge Scale (Cronbach\u2019s\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u202f=\u202f0.932) and the Self-Efficacy in Healthcare Access Scale (SEHAS) (Cronbach\u2019s\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u202f=\u202f0.964). Statistical analyses were performed using univariate and multivariate logistic regression models to determine the association between sociodemographic\/clinical factors and anxiety symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The overall prevalence of anxiety was 30.5% (95% CI: 26.8\u201334.1%). Anxiety was significantly associated with hospital level, departmental affiliation, and participants\u2019 knowledge regarding healthcare. Specifically, higher anxiety levels were found among females attending Grade A tertiary MCH hospitals versus other hospitals (Reference: Other hospital; Grade A tertiary hospital, AOR\u202f=\u202f2.318, 95% CI\u202f=\u202f1.580\u20133.402), and being in the Pediatric Department was a stronger risk factor than being in the Maternity Department (AOR\u202f=\u202f0.501) or reproductive services (AOR\u202f=\u202f0.584). Additionally, lower scores in maternal healthcare knowledge (AOR\u202f=\u202f0.967, 95% CI\u202f=\u202f0.940\u20130.995) and self-efficacy in healthcare access (AOR\u202f=\u202f0.954, 95% CI\u202f=\u202f0.913\u20130.997) were significantly correlated with increased anxiety symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings highlight a critical need for the integration of mental health screening and tailored interventions within maternal healthcare frameworks. Enhancing maternal health literacy, improving accessibility to psychological support, and developing specific interventions based on healthcare settings and departments are crucial for addressing anxiety and improving maternal health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1699059","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T06:51:24Z","timestamp":1770706284000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence of anxiety and associated risk factors among maternal and child health hospital female attenders: a cross-sectional multicenter study"],"prefix":"10.3389","volume":"17","author":[{"given":"Cheng","family":"Song","sequence":"first","affiliation":[{"name":"School of Population and Health, Renmin University of China","place":["Beijing, China"]},{"name":"Center for Population and Development Studies, Renmin University of China","place":["Beijing, China"]},{"name":"Bigdata and Responsible Artificial Intelligence for National Governance, Renmin University of China","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia","family":"Tang","sequence":"additional","affiliation":[{"name":"School of Population and Health, Renmin University of China","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhixin","family":"Shi","sequence":"additional","affiliation":[{"name":"School of Population and Health, Renmin University of China","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiru","family":"Tang","sequence":"additional","affiliation":[{"name":"School of Population and Health, Renmin University of China","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zirui","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Population and Health, Renmin University of China","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guanlin","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Population and Health, Renmin University of China","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siyuan","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Population and Health, Renmin University of China","place":["Beijing, China"]},{"name":"Center for Population and Development Studies, Renmin University of China","place":["Beijing, China"]},{"name":"Bigdata and Responsible Artificial Intelligence for National Governance, Renmin University of China","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Chen","sequence":"additional","affiliation":[{"name":"Institute of Clinical Pharmacology, Peking University First Hospital","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yueping","family":"Song","sequence":"additional","affiliation":[{"name":"School of Population and Health, Renmin University of China","place":["Beijing, China"]},{"name":"Center for Population and Development Studies, Renmin University of China","place":["Beijing, China"]},{"name":"Bigdata and Responsible Artificial Intelligence for National Governance, Renmin University of China","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1007\/s11469-020-00340-x","article-title":"Associations between fear of COVID-19, mental health, and preventive behaviours across pregnant women and husbands: an actor-partner interdependence modelling","volume":"20","author":"Ahorsu","year":"2022","journal-title":"Int. J. Ment. Heal. Addict."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e2200513","DOI":"10.9745\/ghsp-d-22-00513","article-title":"Promoting supportive and respectful maternity care in public health facilities in Sindh, Pakistan: a theory-informed health system intervention","volume":"11","author":"Avan","year":"2023","journal-title":"Glob. Health Sci. Pract."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1064","DOI":"10.1111\/j.1469-7610.2004.t01-1-00299.x","article-title":"Postpartum maternal moods and infant size predict performance on a national high school entrance examination","volume":"45","author":"Galler","year":"2004","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1661","DOI":"10.1017\/s0033291723003550","article-title":"Maternal social support during and after pregnancy and child cognitive ability: examining timing effects in two cohorts","volume":"54","author":"L\u00e4hdepuro","year":"2024","journal-title":"Psychol. Med."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1186\/s12978-020-00913-y","article-title":"Psychosocial interventions targeting mental health in pregnant adolescents and adolescent parents: a systematic review","volume":"17","author":"Laurenzi","year":"2020","journal-title":"Reprod. Health"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"834","DOI":"10.1016\/j.jad.2022.12.036","article-title":"Suicidal ideation in the general population in China after the COVID-19 pandemic was initially controlled","volume":"323","author":"Li","year":"2022","journal-title":"J. Affect. Disord."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1106","DOI":"10.1111\/nicc.12786","article-title":"Impact of educational videos on maternal anxiety caused by children's heart surgery","volume":"28","author":"Liu","year":"2023","journal-title":"Nurs. Crit. Care"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"705657","DOI":"10.3389\/fpsyt.2021.705657","article-title":"The prevalence of post-traumatic stress disorder symptoms, sleep problems, and psychological distress among COVID-19 frontline healthcare Workers in Taiwan","volume":"12","author":"Lu","year":"2021","journal-title":"Front. Psych."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"102148","DOI":"10.1016\/j.janxdis.2019.102148","article-title":"The association between prenatal maternal anxiety disorders and postpartum perceived and observed mother-infant relationship quality","volume":"68","author":"Nath","year":"2019","journal-title":"J. Anxiety Disord."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1475430","DOI":"10.3389\/fgwh.2024.1475430","article-title":"Integrating WHO thinking healthy programme for maternal mental health into routine antenatal care in China: a randomized-controlled pilot trial","volume":"5","author":"Nisar","year":"2025","journal-title":"Front. Glob. Womens Health"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1016\/j.jad.2019.07.055","article-title":"Trajectories of maternal pre- and postnatal anxiety and depressive symptoms and infant fear: moderation by infant sex","volume":"257","author":"Nolvi","year":"2019","journal-title":"J. Affect. Disord."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"884","DOI":"10.5209\/rev_sjop.2011.v14.n2.35","article-title":"Perceptions of breastfeeding in mothers of babies born preterm in comparison to mothers of full-term babies","volume":"14","author":"Padovani","year":"2011","journal-title":"Span. J. Psychol."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1016\/j.bpsc.2019.05.009","article-title":"Effects of maternal psychopathology and education level on neurocognitive development in infants of adolescent mothers living in poverty in Brazil","volume":"4","author":"Shephard","year":"2019","journal-title":"Biol. Psychiatry Cognitive Neurosci. Neuroimag."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"2324","DOI":"10.1016\/j.jfma.2022.04.018","article-title":"Reliability and validity of the traditional Chinese version of the GAD-7 in Taiwanese patients with epilepsy","volume":"121","author":"Shih","year":"2022","journal-title":"J. Formos. Med. Assoc."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1019","DOI":"10.1016\/j.ctim.2014.09.004","article-title":"Effectiveness of aromatherapy in decreasing maternal anxiety for a sick child undergoing infusion in a paediatric clinic","volume":"22","author":"Ueki","year":"2014","journal-title":"Complement. Ther. Med."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"2383","DOI":"10.1111\/jocn.12788","article-title":"Predictors of maternal state anxiety on arrival at a Japanese hospital outpatient clinic: a cross-sectional study","volume":"24","author":"Ueki","year":"2015","journal-title":"J. Clin. Nurs."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1186\/s12889-024-21213-1","article-title":"Factor structure and longitudinal measurement invariance of Edinburgh postnatal depression scale during the whole perinatal period: a multicenter cohort study in China","volume":"25","author":"Yang","year":"2025","journal-title":"BMC Public Health"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1186\/s12884-023-05434-7","article-title":"Disparities and determinants of maternal health services utilization among women in poverty-stricken rural areas of China: a cross-sectional study","volume":"23","author":"Yang","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"e210837","DOI":"10.1001\/jamanetworkopen.2021.0837","article-title":"Assessment of cesarean delivery and neurodevelopmental and psychiatric disorders in the children of a population-based Swedish birth cohort","volume":"4","author":"Zhang","year":"2021","journal-title":"JAMA Netw. 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Disord."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1186\/s12888-025-06670-1","article-title":"Psychometric testing of Chinese version of screening tools (PASS) and GAD among perinatal population: hospital based evidence 2023","volume":"25","author":"Zhong","year":"2025","journal-title":"BMC Psychiatry"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1942","DOI":"10.1186\/s12889-025-23132-1","article-title":"Mental health service utilization among pregnant and postpartum women: status, determinants, and insights from a mixed-methods study","volume":"25","author":"Zhu","year":"2025","journal-title":"BMC Public Health"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/j.jad.2021.07.042","article-title":"The changes of suicidal ideation status among young people in Hong Kong during COVID-19: a longitudinal survey","volume":"294","author":"Zhu","year":"2021","journal-title":"J. Affect. 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