Knowledge, Attitudes and Provider Advice by Pre-Pregnancy Weight Status: A Qualitative Study of Pregnant Latinas With Excessive Gestational Weight Gain
Department of Medicine, Division of Preventive and Behavioral Medicine; UMass Worcester Prevention Research Center
Adolescent; Adult; 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
Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Obstetrics and Gynecology | Women's Health
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.
Latina, gestational weight gain, obesity, qualitative
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Citation: Women Health. 2015;55(7):805-28. doi: 10.1080/03630242.2015.1050542. Epub 2015 May 27. Link to article on publisher's site
Women and health
Wang, Monica L.; Arroyo, Julie; Druker, Susan; Sankey, Heather Z.; and Rosal, Milagros C., "Knowledge, Attitudes and Provider Advice by Pre-Pregnancy Weight Status: A Qualitative Study of Pregnant Latinas With Excessive Gestational Weight Gain" (2015). University of Massachusetts Medical School Faculty Publications. 919.