A qualitative study of factors affecting pregnancy weight gain in African American women.
A qualitative study of factors affecting pregnancy weight gain in African American women.
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DOI：
10.1007/s10995-012-1011-1
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发表时间：
2013-04
影响因子：
2.3
通讯作者：
Liu J
中科院分区：
文献类型：
--
作者：
Goodrich K;Cregger M;Wilcox S;Liu J
非裔美国人和超重或肥胖妇女妊娠期体重过度增加（GWG）和产后体重潴留的风险增加。需要采取干预措施，促进这一人群的健康GWG；然而，关于非裔美国妇女怀孕期间运动和营养障碍的研究是有限的。本定性研究的目的是通过对超重或肥胖非裔美国妇女怀孕期间体重适当增加的认知、运动和健康饮食的障碍和促进因素以及对健康体重增加的其他影响等方面的信息，更好地告知干预信息。对33名来自南卡罗来纳哥伦比亚市的超重或肥胖的非裔美国妇女进行了深度访谈。妇女被招募在妊娠早期到中期（8 - 23周，n = 10），妊娠中期到晚期（24-36周，n = 15）和产后早期（产后6-12周，n = 8）。访谈问题和数据分析采用社会生态框架。超过50%的女性认为她们的增重应该超过医学研究所建议的范围。参与者被激励为个人健康利益而锻炼；然而，他们也提到了锻炼的许多障碍，包括对胎儿安全的担忧。健康饮食对母亲和胎儿的好处的认识很高。通常提到的健康饮食障碍包括对不健康食品的渴望和可获得性。大多数妇女在怀孕期间都积极参与健康的行为。然而，访谈也揭示了一些误解和障碍，可以作为未来的干预信息和策略。
African Americans and overweight or obese women are at increased risk for excessive gestational weight gain (GWG) and postpartum weight retention. Interventions are needed to promote healthy GWG in this population; however, research on exercise and nutritional barriers during pregnancy in African American women is limited. The objective of this qualitative study is to better inform intervention messages by eliciting information on perceptions of appropriate weight gain, barriers to and enablers of exercise and healthy eating, and other influences on healthy weight gain during pregnancy in overweight or obese African American women. In-depth interviews were conducted with 33 overweight or obese African American women in Columbia, South Carolina. Women were recruited in early to mid-pregnancy (8–23 weeks gestation, n = 10), mid to late pregnancy (24–36 weeks, n = 15), and early postpartum (6–12 weeks postpartum, n = 8). Interview questions and data analysis were informed using a social ecological framework. Over 50 % of women thought they should gain weight in excess of the range recommended by the Institute of Medicine. Participants were motivated to exercise for personal health benefits; however they also cited many barriers to exercise, including safety concerns for the fetus. Awareness of the maternal and fetal benefits of healthy eating was high. Commonly cited barriers to healthy eating include cravings and availability of unhealthy foods. The majority of women were motivated to engage in healthy behaviors during pregnancy. However, the interviews also uncovered a number of misconceptions and barriers that can serve as future intervention messages and strategies.
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影响因子：
120.7
作者：
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通讯作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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