Perceptions of low-income African-American mothers about excessive gestational weight gain.
Perceptions of low-income African-American mothers about excessive gestational weight gain.
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DOI：
10.1007/s10995-011-0930-6
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发表时间：
2012-12
影响因子：
2.3
通讯作者：
Whitaker RC
中科院分区：
文献类型：
--
作者：
Herring SJ;Henry TQ;Klotz AA;Foster GD;Whitaker RC
越来越多的低收入非洲裔美国母亲在怀孕期间增加的体重超过了建议的体重，使她们面临孕产妇和胎儿健康状况不佳的风险。很少有人知道的看法，母亲在这一人群中，可能会影响过度妊娠体重增加。在2010-2011年，我们进行了4个焦点小组与31低收入，怀孕的非洲裔美国人在费城。两个读者独立编码的焦点小组成绩单，以确定反复出现的主题。我们确定了9个主题的看法，鼓励或劝阻高妊娠期体重增加。母亲们将体重增加归因于怀孕期间吃得更多，这是饥饿的结果，并且认为怀孕期间摄入更多的卡路里对婴儿的健康至关重要。家庭成员，特别是参与者自己的母亲，强烈强调了“两个人吃”的必要性，以使一个健康的婴儿。母亲和她们的家人认识到胎儿结局不佳和体重增加少之间的联系，但不是更高的增加，因此，大多数人更关注食物摄入量过少和体重增加，而不是过多。有身体症状，从暴饮暴食和体重保留后，以前怀孕的因素，劝阻更高的收益。低收入的非裔美国母亲有更多的看法鼓励高妊娠期体重增加比劝阻它。干预措施，以防止过度体重增加需要敏感的这些看法。将指南推荐的体重增加与最佳婴儿结局和母亲的身体症状联系起来的信息可能对体重控制最有效。
A rising number of low-income African-American mothers gain more weight in pregnancy than is recommended, placing them at risk for poor maternal and fetal health outcomes. Little is known about the perceptions of mothers in this population that may influence excessive gestational weight gain. In 2010–2011, we conducted 4 focus groups with 31 low-income, pregnant African-Americans in Philadelphia. Two readers independently coded the focus group transcripts to identify recurrent themes. We identified 9 themes around perceptions that encouraged or discouraged high gestational weight gain. Mothers attributed high weight gain to eating more in pregnancy, which was the result of being hungrier and the belief that consuming more calories while pregnant was essential for babies’ health. Family members, especially participants own mothers, strongly reinforced the need to “eat for two” to make a healthy baby. Mothers and their families recognized the link between poor fetal outcomes and low weight gains but not higher gains, and thus, most had a greater pre-occupation with too little food intake and weight gain rather than too much. Having physical symptoms from overeating and weight retention after previous pregnancies were factors that discouraged higher gains. Low-income African American mothers had more perceptions encouraging high gestational weight gain than discouraging it. Interventions to prevent excessive weight gain need to be sensitive to these perceptions. Messages that link guideline recommended weight gain to optimal infant outcomes and mothers’ physical symptoms may be most effective for weight control.
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