Examining associations between social network characteristics, obesity-related health behaviors, and weight retention among racially/ethnically diverse postpartum women

检查不同种族/民族产后女性的社交网络特征、肥胖相关健康行为和体重保持之间的关联

• 批准号: 10464179
• 负责人: Jacqueline Marie Kent-Marvick
• 金额: $ 3.93万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10464179
• 关键词: Address; Affect; Award; Behavior; Belief; Birth; Body Weight decreased; Body mass index; Cardiovascular Diseases; Characteristics; Color; Cross-Sectional Studies; Data; Data Collection; Databases; Development; Diet; Discipline of Nursing; Discipline of obstetrics; Doctor of Philosophy; Eating; Effectiveness; Emotional; Environment; Ethics; Faculty; Failure; Family; Food; Foundations; Funding; Future; Goals; Growth; Gynecology; Health; Health behavior; Healthy Eating; Hyperlipidemia; Hypertension; Individual; Insulin Resistance; Internet; Interruption; Intervention; Interview; Investigation; Knowledge; Latinx; Lead; Learning; Life; Literature; Longevity; Maps; Measures; Methodology; Methods; Mexican; Mission; Morbidity - disease rate; Mothers; Motivation; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Overweight; Participant; Pathway Analysis; Perception; Persons; Phase; Physical activity; Positioning Attribute; Postdoctoral Fellow; Postpartum Period; Postpartum Women; Pregnancy; Prevention; Process; Protocols documentation; Research; Risk; Role; Sampling; Scientist; Secure; Social Change; Social Environment; Social Network; Social support; Strategic Planning; Structure; Surveys; Syndrome; Time; Training; United States National Institutes of Health; Universities; Utah; Visualization; Weight; Weight Gain; Woman; Women' s Health; cardiometabolism; caregiving research; college; density; design; ethnic diversity; experience; family influence; follow-up; fruits and vegetables; good diet; health disparity; health equity; healthy weight; improved; innovation; interdisciplinary collaboration; member; postpartum weight; prepregnancy; prepregnancy obesity; programs; racial and ethnic; racial and ethnic disparities; racial diversity; research and development; skills; social influence; social structure; tenure track; visual map; women of color

PROJECT SUMMARY/ABSTRACT Postpartum weight retention (PPWR), or the failure to return to pre-pregnancy weight by 1-year postpartum (PP), impacts approximately 75% of women. PPWR can lead to serious morbidity including insulin resistance, hypertension, cardiovascular disease, and type 2 diabetes. These risks are magnified among the 25% of women who enter pregnancy overweight or obese. Moreover, racial/ethnic disparities exist related to PPWR, with women of color being more likely to begin pregnancy overweight or obese and more likely to experience PPWR. The PP year is characterized by unique challenges and changing social networks, impacting women’s ability to prioritize healthy diet and activity. These social network dynamics may be compounded for mothers of color for whom network influence and norms can be particularly salient. Understanding these dynamics is essential for the development of culturally-relevant PPWR interventions. This proposal, if funded, will explore the associations between postpartum social networks and diet, activity, and PPWR by 1) Quantitatively investigating how diet, activity, and PPWR at 1-year PP are associated with structural and functional features of social networks among a sample of racially/ethnically diverse women, 2) Qualitatively exploring mothers’ perceptions about the influence of their social networks on weight-related health behaviors and PPWR and 3) Triangulating qualitative and quantitative data using an explanatory sequential mixed methods design. A cross-sectional, mixed-methods approach will leverage quantitative survey and social-network data to create network visualizations that will be used to facilitate semi-structured interviews with mothers. Targeted follow-up of qualitative data will be triangulated with quantitative data to provide a rich understanding of how postpartum social networks are associated with diet, activity and PPWR. Training Plan: The aims of the proposed training during the award period are: 1) Develop methodological and analytical skills in the ethical conduct of mixed methods and social network analysis; 2) Advance knowledge and understanding of women from racially/ethnically diverse backgrounds, and about the social influence literature; 3) Develop and implement a secure and efficient database, online survey, and social-network interview protocol; and 4) Acquire experience in professional development preparatory to a post-doctoral position which will lead to an R1 tenure-track faculty position and contribute to growth as an independent scientist. Environment: The College of Nursing at the University of Utah has a strong PhD program, well known for their NIH funding and women’s health and caregiving research. Further, the University provides numerous opportunities for interdisciplinary collaboration for training, professional development, and research, including the Obstetrics and Gynecology Research Network.

项目摘要/摘要 产后体重保留（PPWR）或未能通过1年产后重新怀孕的重量 （pp）影响约75％的女性。 PPWR可以导致严重的发病率，包括胰岛素抵抗， 高血压，心血管疾病和2型糖尿病。这些风险在25％的妇女中被大大放大 谁超重或肥胖。而且，与女性有关的种族/种族差异与PPWR有关 颜色更有可能开始怀孕超重或肥胖，并且更有可能体验PPWR。 PP 一年的特征是独特的挑战和不断变化的社交网络，影响了妇女优先级的能力 健康的饮食和活动。这些社交网络动态可能会使有色母亲更加复杂 网络影响和规范可能特别突出。了解这些动态对于 与文化相关的PPWR干预措施的发展。该提案（如果资助）将探索 产后社交网络与饮食，活动和PPWR之间的关联1）定量 研究1年PP的饮食，活动和PPWR如何与结构和功能有关 社交网络在大致/种族多元化女性样本中的特征，2）定性 探索母亲对社交网络对体重相关健康的影响的看法 行为和PPWR以及3）使用解释性的三角剖分定性和定量数据 顺序混合方法设计。横截面的混合方法方法将利用定量 调查和社交网络数据以创建网络可视化，以促进半结构化 与母亲的采访。针对性数据的有针对性随访将以定量数据进行三角剖分 对产后社交网络如何与饮食，活动和PPWR相关联。 培训计划：奖励期间拟议培训的目的是：1）发展方法论 以及混合方法和社交网络分析的道德行为方面的分析技能； 2）提前知识 以及对大致/种族多元化背景以及社会影响的妇女的理解 文学; 3）开发和实施安全有效的数据库，在线调查和社交网络访谈 协议; 4）获得专业发展准备的经验 将导致R1终身教师职位，并成为独立科学家的成长。 环境：犹他大学护理学院有一个强大的博士学位课程，以 他们的NIH资金以及妇女的健康和照料研究。此外，大学提供了许多 进行培训，专业发展和研究的跨学科合作的机会，包括 妇产科研究网络。