Barriers and Facilitators to Improve Fruit and Vegetable Intake Among WIC-Eligible Pregnant Latinas: An Application of the Health Action Process Approach Framework.
Barriers and Facilitators to Improve Fruit and Vegetable Intake Among WIC-Eligible Pregnant Latinas: An Application of the Health Action Process Approach Framework.
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DOI：
10.1016/j.jneb.2016.04.398
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发表时间：
2016-07
影响因子：
2.6
通讯作者：
Pérez-Escamilla R
中科院分区：
文献类型：
--
作者：
Hromi-Fiedler A;Chapman D;Segura-Pérez S;Damio G;Clark P;Martinez J;Pérez-Escamilla R
确定障碍和促进者，以利用卫生行动进程方法框架改善符合世界卫生大会资格的拉美裔人的产前水果和蔬菜(F&V)摄入量。定性数据是通过录音的深度访谈收集的，作为一项更大规模研究的一部分，该研究旨在设计一项干预措施，以增加产前F&V摄入量。康涅狄格州哈特福德。45名符合WIC标准的拉丁裔完成了这项研究。纳入的女性包括：a)18岁的≥；b)怀孕中期或晚期；c)单胎妊娠；d)超重或肥胖(即孕前体重指数≥25)；e)没有限制饮食；h)非吸烟者。促进和阻碍F&V摄入的产前因素。文本被独立阅读、编码，并就新出现的主题达成共识。影响产前F&V摄入量的10个因素是：i)社会支持，ii)家庭结构，iii)F&V获取，iv)F&V偏好，v)F&V知识，vi)F&V健康结果期望，vii)自我效能，viii)意图，ix)F&V行动/应对计划策略，x)母亲健康状况。来自家人/朋友的社会支持成为推动产前F&V摄入量的主要远端因素。旨在使怀孕的拉丁裔获得消费更多F&V所需的机会、信心、知识和战略的干预措施需要考虑加强支持，以实现预期的结果。
Identify barriers and facilitators to improve prenatal fruit and vegetable (F&V) intake among WIC eligible Latinas using the Health Action Process Approach framework. Qualitative data were collected via audiotaped in-depth interviews as part of a larger study to design an intervention to increase prenatal F&V intake. Hartford, Connecticut. Forty-five WIC eligible Latinas completed the study. Included women were: a) ≥ 18 years old; b) in 2nd or 3rd trimester; c) having a singleton pregnancy; d) overweight or obese (i.e. pregravid BMI ≥ 25); e) not on a restricted diet; h) nonsmokers. Prenatal factors that promote and hinder F&V intake. Transcripts were independently read, coded, and consensus was reached about emerging themes. Ten factors influenced prenatal F&V intake: i) social support, ii) family structure, iii) F&V access, iv) F&V preferences, v) F&V knowledge, vi) F&V health outcome expectations, vii) self-efficacy, viii) intentions, ix) F&V action/coping planning strategies, and x) maternal health status. Social support from family/friends emerged as the primary distal factor driving prenatal F&V intake. Interventions designed to empower pregnant Latinas to gain the access, confidence, knowledge, and strategies necessary to consume more F&Vs need to consider strengthening support to achieve the desired outcome.