Giving offspring a healthy start: parents' experiences of health promotion and lifestyle change during pregnancy and early parenthood
Giving offspring a healthy start: parents' experiences of health promotion and lifestyle change during pregnancy and early parenthood
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DOI：
10.1186/1471-2458-11-936
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发表时间：
2011-12-15
影响因子：
4.5
通讯作者：
Mogren, Ingrid
中科院分区：
文献类型：
--
作者：
Edvardsson, Kristina;Ivarsson, Anneli;Mogren, Ingrid
背景：瑞典有很好的健康促进机会，目标是准父母和年幼儿童的父母，因为几乎所有人都是通过产前和儿童保健服务接触到的。2005年，启动了一项多部门儿童健康促进方案(萨鲁特方案)，以进一步加强这方面的努力。方法：2010年6月至12月，分别对第一次当孩子满18个月的母亲和父亲进行了24次深入访谈。目的是探索她们在孕期和为人早期的健康促进和生活方式改变方面的经验。结果：父母报告在孕期改变生活方式以确保胎儿的健康，并在为人父母的早期为孩子创造促进健康的环境。女性和男性都表示，他们非常愿意接受关于他们的生活方式对胎儿健康的影响的健康信息，他们经常提到与烟草和酒精有关的风险，以及特定食物中的毒素和传染病病原体。然而，孕期和育儿早期的健康促进策略似乎并没有影响父母改变生活方式，主要是为了促进自己的健康；健康的生活方式被简单地视为“常识”。尽管对医疗保健的信任度普遍很高，但女性和男性都表示，他们对他们认为的说教或关于健康生活的非常直接的咨询，以及医疗保健提供者缺乏整体方法存在一些抵制。他们还报告说，在产前护理和儿童健康护理方面，与父亲的接触不足。结论：对子女健康风险的看法似乎是怀孕期间和为人父母早期改变生活方式的主要驱动力。然而，由于父母在这段时间内将自身健康放在首位的动机似乎很低，未来的健康促进计划需要考虑到这一点。为父母提供更加性别平等的健康促进可能会增加男性参与改变生活方式的程度。此外，父母对胎儿主要生活方式风险的排名可能不能充分反映那些构成最大公共卫生问题的风险，这是一个需要进一步研究的领域。
Background: There are good opportunities in Sweden for health promotion targeting expectant parents and parents of young children, as almost all are reached by antenatal and child health care. In 2005, a multisectoral child health promotion programme (the Salut Programme) was launched to further strengthen such efforts.Methods: Between June and December 2010 twenty-four in-depth interviews were conducted separately with first-time mothers and fathers when their child had reached 18 months of age. The aim was to explore their experiences of health promotion and lifestyle change during pregnancy and early parenthood. Qualitative manifest and latent content analysis was applied.Results: Parents reported undertaking lifestyle changes to secure the health of the fetus during pregnancy, and in early parenthood to create a health-promoting environment for the child. Both women and men portrayed themselves as highly receptive to health messages regarding the effect of their lifestyle on fetal health, and they frequently mentioned risks related to tobacco and alcohol, as well as toxins and infectious agents in specific foods. However, health promotion strategies in pregnancy and early parenthood did not seem to influence parents to make lifestyle change primarily to promote their own health; a healthy lifestyle was simply perceived as 'common knowledge'. Although trust in health care was generally high, both women and men described some resistance to what they saw as preaching, or very directive counselling about healthy living and the lack of a holistic approach from health care providers. They also reported insufficient engagement with fathers in antenatal care and child health care.Conclusion: Perceptions about risks to the offspring's health appear to be the primary driving force for lifestyle change during pregnancy and early parenthood. However, as parents' motivation to prioritise their own health per se seems to be low during this period, future health promoting programmes need to take this into account. A more gender equal provision of health promotion to parents might increase men's involvement in lifestyle change. Furthermore, parents' ranking of major lifestyle risks to the fetus may not sufficiently reflect those that constitute greatest public health concern, an area for further study.