Racial and ethnic disparities in postpartum weight retention: A narrative review mapping the literature to the National Institute on Minority Health and Health Disparities Research Framework.
Racial and ethnic disparities in postpartum weight retention: A narrative review mapping the literature to the National Institute on Minority Health and Health Disparities Research Framework.
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DOI：
10.1177/17455057231166822
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发表时间：
2023-01
期刊：
影响因子：
2.4
通讯作者：
Simonsen, Sara
中科院分区：
文献类型：
--
作者：
Kent-Marvick, Jacqueline;Cloyes, Kristin G.;Meek, Paula;Simonsen, Sara
四分之三的分娩者在产后一年保持超重。这是令人担忧的，因为产后体重保持与发病风险增加有关。来自种族和少数民族群体的人不成比例地受到产后体重保持的影响; 80%的黑人和69.5%的西班牙裔/拉丁裔/o/x分娩的人开始怀孕时超重或肥胖，而白色非西班牙裔分娩的人则为55%。黑人和西班牙裔/拉丁裔/o/x分娩的人也更有可能经历产后体重保持。调查来自不同种族/民族背景的人的这些风险可能是解决发病率和死亡率差异的重要途径。这种叙述性的审查使用交叉的方法来调查美国-基于种族和民族差异的产后体重保持，同时应用生殖正义框架和国家少数民族健康和健康差异研究框架研究所。结果说明了在这一领域的研究水平和领域的调查，揭示了努力一直集中在个人的水平（即饮食，活动）。将文献映射到国家少数民族健康和健康差异研究框架研究所揭示，在被认为是健康和健康差异的关键驱动因素的领域存在研究差距（例如，发现没有研究调查了医疗保健系统领域内的产后体重保持）。此外，参与者对产后体重保持的见解阐明了分娩者遇到的健康行为障碍。这些见解之一是需要产后体重保持努力解决参与者的现实生活环境和社会环境，这样我们就可以解决影响产后体重保持的结构性因素。最后，利益相关者的参与和进一步阐明健康环境的社会决定因素对于制定高质量干预措施至关重要。研究人员必须考虑国家少数民族健康和健康差异研究框架的水平和领域的交叉点如何帮助提供一条途径，以了解与少数民族健康和健康差异人群产后体重保持相关的复杂性。使用国立卫生研究院，国立少数民族健康和健康差异研究所（NIMHD）研究框架的文献综述，以创建调查怀孕后保留超重的种族和民族差异的研究路线图四分之三的人在怀孕后一年保留超重。这是令人担忧的，因为怀孕后保留的体重与疾病发展的风险增加有关。来自种族和少数民族群体的人在怀孕后更频繁地经历体重保持。黑人和西班牙裔/拉丁裔/o/x生育的人更有可能开始怀孕超重或肥胖。她们也更有可能在怀孕后保持多余的体重。调查来自不同种族/民族背景的人的这些风险可能是解决怀孕后保留的超重差异的重要方法。这项文献综述使用了一种名为国家少数民族健康和健康差异研究所（NIMHD）研究框架的工具，以绘制迄今为止关于怀孕后保留的超重的种族和民族差异的文献。我们使用NIMHD研究框架作为现有关于怀孕后保留的超重研究的视觉指南。结果说明了研究的水平和领域。这些结果表明，努力集中在个人层面，最关注的是饮食和活动。将文献映射到NIMHD研究框架揭示了研究中的差距。对文献的分析表明，需要进行调查，将框架的各个层面和领域联系起来，以便我们了解造成健康差距的根本因素。
Three out of four people who give birth retain excess weight at 1-year postpartum. This is concerning, as postpartum weight retention is associated with increased morbidity risk. People from racial and ethnic minority groups are disproportionately affected by postpartum weight retention; 80% of Black and 69.5% of Hispanic/Latina/o/x birthing people begin pregnancy overweight or obese compared to 55% of white, non-Hispanic birthing people. Black and Hispanic/Latina/o/x birthing people also may be more likely to experience postpartum weight retention. Investigating these risks in people from racially/ethnically diverse backgrounds may be an important way to address disparities in morbidity and mortality. This narrative review uses an intersectional approach to the investigation of U.S.-based racial and ethnic disparities in postpartum weight retention, applying both the framework of Reproductive Justice and the National Institute on Minority Health and Health Disparities Research Framework. The results illustrate the Levels and Domains of research in this field of investigation, revealing that efforts have been focused at the Level of the Individual (i.e. diet, activity). Mapping the literature to the National Institute on Minority Health and Health Disparities Research Framework reveals that gaps in research exist in areas recognized as key drivers of health and health disparities (e.g. the finding that no studies have investigated postpartum weight retention within the Healthcare System Domain). Furthermore, participant-driven insights into postpartum weight retention illuminated barriers to health behaviors encountered by birthing people. Among these insights is the need for postpartum weight retention efforts to address participants’ real-life circumstances and social settings so we may address structural factors that impact postpartum weight retention. Last, stakeholder engagement and further elucidation of the social-determinants-of-health contexts will be essential to the development of high-quality interventions. Researchers must consider how the intersections of the National Institute on Minority Health and Health Disparities Research Framework’s Levels and Domains can help to provide a route for understanding the complexities related to postpartum weight retention among minority-health and health-disparity populations. A Review of the Literature Using the National Institutes of Health, National Institute on Minority Health and Health Disparities (NIMHD) Research Framework to Create a Roadmap of the Studies Investigating Racial and Ethnic Disparities in Excess Weight Retained After Pregnancy Three out of four people who give birth retain excess weight at 1-year post-pregnancy. This is concerning, as weight that is retained following pregnancy is associated with increased risk for the development of disease. People from racial and ethnic minority groups experience weight retention more frequently post-pregnancy. Black and Hispanic/Latina/o/x birthing people are more likely to begin pregnancy overweight or obese. They are also more likely to retain excess weight following pregnancy. Investigating these risks in people from racially/ethnically diverse backgrounds may be an important way to address disparities in excess weight retained post-pregnancy. This review of the literature used a tool called the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework to map the literature to date on racial and ethnic disparities in excess weight retained post-pregnancy. We used the NIMHD Research Framework as a visual guide of the existing research about excess weight retained following pregnancy. Results illustrate the levels and domains at which research has been investigated. These results reveal that efforts have been focused at the individual level, with most attention given to diet and activity. Mapping the literature to the NIMHD Research Framework sheds light on gaps in the research. Mapping the literature has revealed a need for investigations that make connections between the levels and domains of the Framework, so that we may understand underlying factors that contribute to health disparities.
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影响因子：
158.5
作者：
Calle, EE;Thun, MJ;Heath, CW
通讯作者：
Heath, CW
影响因子：
3.5
作者：
Martin, Chantel L.;Tate, Deborah F.;Phelan, Suzanne
通讯作者：
Phelan, Suzanne
影响因子：
4.9
作者：
Gunderson, EP;Murtaugh, MA;Sidney, S
通讯作者：
Sidney, S
影响因子：
5.4
作者：
Abraído-Lanza, AF;Chao, MT;Flórez, KR
通讯作者：
Flórez, KR
DOI：
10.1038/oby.2012.41
发表时间：
2012-07
期刊：
Obesity (Silver Spring, Md.)
影响因子：
--
作者：
Lipsky LM;Strawderman MS;Olson CM
通讯作者：
Olson CM