Unmet Social Support for Healthy Behaviors Among Overweight and Obese Postpartum Women: Results from the Active Mothers Postpartum Study
Unmet Social Support for Healthy Behaviors Among Overweight and Obese Postpartum Women: Results from the Active Mothers Postpartum Study
复制标题
DOI：
10.1089/jwh.2010.2509
复制
发表时间：
2011-11-01
影响因子：
3.5
通讯作者：
Ostbye, Truls
中科院分区：
文献类型：
--
作者：
Boothe, Allison S.;Brouwer, Rebecca J. N.;Ostbye, Truls
背景：在美国，大约三分之二的育龄妇女超重或肥胖。产后是一个过渡期。在这段时间里，生活的变化会使母亲在人际支持不足的情况下承受很大的压力。本研究旨在探讨未得到满足的社会支持（支持不足）的产后妇女谁是超重或肥胖pregnancy.Methods的健康behaviors的预测因素：未得到满足的社会支持的健康behaviors的潜在预测因素来自基线和产后6个月的数据从积极的母亲产后（AMP）研究。产后支持问卷调查社会支持的三个维度：（1）信息支持，（2）情感支持，（3）工具支持。主要结果，整体未得到满足的社会支持评分（USSS），是感知需要的支持和感知接收的支持在所有三个维度之间的差异的总和。三个支持dimensions.Results：一百九十名妇女完成了6个月的产后支持问卷的子分数进行了定义。抑郁（p = 0.018）、未婚状态（p = 0.049）和产后体重增加（p = 0.003）是总体USSS的粗略预测因素。在控制协变量后，抑郁（p = 0.009）和与配偶生活（p = 0.040）是总体USSS的显著预测因素。在调整后的分析，抑郁症仍然是一个显着的预测未满足的情感（p = 0.035）和工具（p = 0.001）social support.Conclusions：某些心理社会因素预测支持不足的期望在产后妇女。针对与未得到满足的社会支持相关的因素，可能是促进超重产后妇女健康行为的一种有益方式。
Background: In the United States, about two thirds of women of reproductive age are overweight or obese. Postpartum is a transitional period. Life changes during this time can put mothers under high levels of stress when interpersonal support is inadequate. This study sought to explore predictors of unmet social support (support inadequacy) for healthy behaviors among postpartum women who were overweight or obese before pregnancy.Methods: Potential predictors of unmet social support for healthy behaviors were derived from baseline and 6-month postpartum data from the Active Mothers Postpartum (AMP) study. The Postpartum Support Questionnaire queried three dimensions of social support: (1) informational support, (2) emotional support, and (3) instrumental support. The main outcome, the overall Unmet Social Support Score (USSS), was the sum of the differences between the perceived need of support and perceived receipt of support in all three dimensions. Subscores were defined for each of the three support dimensions.Results: One hundred ninety women completed the 6-month Postpartum Support Questionnaire. Depression (p = 0.018), unmarried status (p = 0.049), and postpartum weight gain (p = 0.003) were crude predictors for the overall USSS. After controlling for covariates, depression (p = 0.009) and living with a spouse (p = 0.040) were significant predictors for overall USSS. In adjusted analysis, depression remained a significant predictor for unmet emotional (p = 0.035) and instrumental (p = 0.001) social support.Conclusions: Certain psychosocial factors predict support inadequacy expectations among postpartum women. Targeting the factors related to unmet social support may be a helpful way to promote healthy behaviors among overweight postpartum women.