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: 10627864
• 负责人: Jacqueline Marie Kent-Marvick
• 金额: $ 4万
• 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/10627864
• 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; Foundational Skills; Funding; Future; Goals; Growth; Gynecology; Health; Health behavior; Healthy Eating; Hyperlipidemia; Hypertension; Individual; Insulin Resistance; Internet; Interruption; Intervention; Interview; Investigation; Knowledge; Latinx; 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; behavior change; cardiometabolism; caregiving research; college; density; design; ethnic disparity; 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 disparity; racial diversity; 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.

项目概要/摘要 产后体重滞留 (PPWR)，或产后 1 年内未能恢复到孕前体重 (PP)，影响大约 75% 的女性。 PPWR 可导致严重的发病率，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% 的女性中被放大 怀孕期间超重或肥胖的人。此外，与 PPWR 有关的种族/族裔差异也存在，其中女性 肤色的人更有可能在怀孕时超重或肥胖，并且更有可能经历 PPWR。 PP 这一年的特点是独特的挑战和不断变化的社交网络，影响了女性确定优先顺序的能力 健康的饮食和活动。对于有色人种母亲来说，这些社交网络动态可能会更加复杂。 网络影响力和规范尤其突出。了解这些动态对于 制定与文化相关的 PPWR 干预措施。该提案如果获得资助，将探讨 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 时的饮食、活动和 PPWR 如何与结构和功能相关 种族/族裔多元化女性样本中社交网络的特征，2）定性 探索母亲对其社交网络对体重相关健康影响的看法 行为和 PPWR 以及 3) 使用解释性三角测量定性和定量数据 顺序混合方法设计。跨部门的混合方法将利用定量方法 调查和社交网络数据来创建网络可视化，用于促进半结构化 与母亲的访谈。定性数据的有针对性的后续行动将与定量数据进行三角测量，以 提供对产后社交网络如何与饮食、活动和 PPWR 相关的丰富理解。 培训计划： 奖励期内拟议培训的目标是： 1) 制定方法论 混合方法和社交网络分析的道德行为的分析技能； 2）先进的知识 对来自种族/族裔不同背景的女性及其社会影响的理解 文学; 3) 开发并实施安全高效的数据库、在线调查和社交网络访谈 协议; 4) 获得为博士后职位做准备的专业发展经验 将获得 R1 终身教授职位，并为独立科学家的成长做出贡献。 环境：犹他大学护理学院拥有强大的博士课程，以 他们的国家卫生研究院资助以及妇女健康和护理研究。此外，大学还提供众多 培训、专业发展和研究的跨学科合作机会，包括 妇产科研究网络。

项目成果

Barriers to and facilitators of hormonal and long-acting reversible contraception access and use in the US among reproductive-aged women who use opioids: A scoping review.

• DOI: 10.1016/j.pmedr.2023.102111
• 发表时间: 2023-04
• 期刊: PREVENTIVE MEDICINE REPORTS
• 影响因子: 2.8
• 作者: Charron, Elizabeth;Kent-Marvick, Jacqueline;Gibson, Tyler;Taylor, Eliza;Bouwman, Kelsey;Sani, Gelina M.;Simonsen, Sara E.;Stone, Rebecca H.;Kaiser, Jennifer E.;McFarland, Mary M.
• 通讯作者: McFarland, Mary M.

Perceptions about future health trajectories among women at risk for developing cardiometabolic disease: A qualitative study.

对有患心脏代谢疾病风险的女性未来健康轨迹的看法：一项定性研究。

• DOI: 10.21203/rs.3.rs-3386180/v1
• 发表时间: 2023
• 期刊: Research square
• 作者: Kent-Marvick,Jacqueline;StClair,StephanieLynn;Bristol,AlyciaA;Gibson,Bryan;Simonsen,SaraE
• 通讯作者: Simonsen,SaraE

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.

• DOI: 10.1177/17455057231166822
• 发表时间: 2023-01
• 期刊: WOMENS HEALTH
• 影响因子: 2.4
• 作者: Kent-Marvick, Jacqueline;Cloyes, Kristin G.;Meek, Paula;Simonsen, Sara
• 通讯作者: Simonsen, Sara