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Knowledge, Attitudes and Provider Advice by Pre-Pregnancy Weight Status: A Qualitative Study of Pregnant Latinas With Excessive Gestational Weight Gain
UMass Chan Affiliations
Prevention Research CenterDepartment of Medicine, Division of Preventive and Behavioral Medicine
Document Type
Journal ArticlePublication Date
2015-05-27Keywords
AdolescentAdult
Body Mass Index
*Counseling
Female
*Health Knowledge, Attitudes, Practice
*Hispanic Americans
Humans
Interviews as Topic
Obesity
*Physician-Patient Relations
Pregnancy
Pregnancy Complications
Pregnancy Trimester, Third
Pregnant Women
Prenatal Care
Qualitative Research
Socioeconomic Factors
*Weight Gain
Young Adult
Latina
gestational weight gain
obesity
qualitative
Behavior and Behavior Mechanisms
Community Health and Preventive Medicine
Obstetrics and Gynecology
Women's Health
Metadata
Show full item recordAbstract
Latina women are at high risk of excessive gestational weight gain (GWG) during pregnancy; yet little is known about whether factors related to GWG differ by pre-pregnancy body mass index (BMI) within this population. We conducted in-depth interviews with 62 pregnant Latina women with pre-pregnancy BMIs in the healthy, overweight, and obese ranges, gestational age > /=22 weeks, and GWG for gestational age above Institute of Medicine (IOM) guidelines. Compared to healthy weight and obese women, overweight women least often reported viewing weight as important, making efforts to control their GWG, being aware of the role of diet on GWG, and receiving GWG advice from health-care providers. Among those who received GWG advice, overweight women more often recalled a target GWG above IOM guidelines. Obese women more often reported low acceptance of their GWG, concern about GWG, having received GWG advice from providers, difficulty following providers' dietary advice, and emotional eating as a challenge for controlling GWG. Participants welcomed practical advice to manage GWG. Future interventions to prevent excessive GWG among Latina women should consider differences among women of varying pre-pregnancy BMIs and include multi-level strategies to address psychosocial as well as provider factors.Source
Women Health. 2015;55(7):805-28. doi: 10.1080/03630242.2015.1050542. Epub 2015 May 27. Link to article on publisher's siteDOI
10.1080/03630242.2015.1050542Permanent Link to this Item
http://hdl.handle.net/20.500.14038/30643PubMed ID
26016948Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1080/03630242.2015.1050542