Document Detail


Perceptions of low-income African-American mothers about excessive gestational weight gain.
MedLine Citation:
PMID:  22160656     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A rising number of low-income African-American mothers gain more weight in pregnancy than is recommended, placing them at risk for poor maternal and fetal health outcomes. Little is known about the perceptions of mothers in this population that may influence excessive gestational weight gain. In 2010-2011, we conducted 4 focus groups with 31 low-income, pregnant African-Americans in Philadelphia. Two readers independently coded the focus group transcripts to identify recurrent themes. We identified 9 themes around perceptions that encouraged or discouraged high gestational weight gain. Mothers attributed high weight gain to eating more in pregnancy, which was the result of being hungrier and the belief that consuming more calories while pregnant was essential for babies' health. Family members, especially participants own mothers, strongly reinforced the need to "eat for two" to make a healthy baby. Mothers and their families recognized the link between poor fetal outcomes and low weight gains but not higher gains, and thus, most had a greater pre-occupation with too little food intake and weight gain rather than too much. Having physical symptoms from overeating and weight retention after previous pregnancies were factors that discouraged higher gains. Overall, low-income African-American mothers had more perceptions encouraging high gestational weight gain than discouraging it. Interventions to prevent excessive weight gain need to be sensitive to these perceptions. Messages that link guideline recommended weight gain to optimal infant outcomes and mothers' physical symptoms may be most effective for weight control.
Authors:
Sharon J Herring; Tasmia Q Henry; Alicia A Klotz; Gary D Foster; Robert C Whitaker
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Maternal and child health journal     Volume:  16     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-05     Completed Date:  2013-02-27     Revised Date:  2013-12-09    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1837-43     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / psychology*
Body Mass Index
Female
Focus Groups
Gestational Age
Humans
Interviews as Topic
Medicaid
Mothers / psychology*,  statistics & numerical data
Obesity / ethnology,  prevention & control*
Perception*
Philadelphia
Poverty*
Pregnancy
Pregnancy Outcome
Qualitative Research
Regression Analysis
Risk Factors
Socioeconomic Factors
United States
Urban Population
Weight Gain / ethnology*,  physiology
Young Adult
Grant Support
ID/Acronym/Agency:
K23 HL106231/HL/NHLBI NIH HHS; K23 HL106231/HL/NHLBI NIH HHS; L30 HL104554/HL/NHLBI NIH HHS
Comments/Corrections

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