Exploring Factors Associated with Pregnant Womxn’s Experiences of Material Hardship during COVID-19

Background: The COVID-19 pandemic has exacerbated the financial insecurity of women and their families globally. Some studies have explored the impact of financial strain among pregnant women, in particular, during the pandemic. However, less is known about the factors associated with pregnant women’s experiences of material hardship. Methods: : This study examined the factors associated with pregnant women’s experiences of material hardship during the COVID-19 pandemic using data collected from 183 pregnant womxn who participated in an online Qualtrics panel survey during January 2021. In addition to socio-demographic characteristics, individuals were asked about their finances and predictors of financial well-being, mental health symptoms, and intimate partner violence experiences. Ordinary least squares regression was used to calculate unadjusted and adjusted estimates. Study findings showed that the majority of womxn in the sample experienced at least one form of material hardship in the past year. Results: : Economic self-sufficiency, financial strain, posttraumatic stress disorder, and economic abuse were all significantly associated with material hardship. Conclusions: : Overall , findings are consistent with other studies that have documented the association between financial hardship and mental health symptoms among pregnant womxn during the COVID-19 pandemic. However, a unique contribution of this study is that it highlights the significant, positive association between economic abuse, a unique form of intimate partner violence, and material hardship among pregnant womxn during the pandemic. These findings suggest the need for policy and practice interventions that help to ameliorate the financial insecurity experienced by some pregnant womxn, as well as respond to associated bidirectional vulnerabilities (e.g., mental health symptoms, experiences of intimate partner violence).