"We Know but We Don't Really Know": Diet, Physical Activity and Cardiovascular Disease Prevention Knowledge and Beliefs Among Underserved Pregnant Women

被引:11
作者
Beckham, A. Jenna [1 ,2 ]
Urrutia, Rachel Peragallo [1 ,3 ]
Sahadeo, Latoya [4 ]
Corbie-Smith, Giselle [5 ,6 ]
Nicholson, Wanda [1 ,4 ]
机构
[1] Univ N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27599 USA
[2] Univ N Carolina, Dept Maternal & Child Hlth, Chapel Hill, NC 27599 USA
[3] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC 27599 USA
[4] Univ N Carolina, Ctr Womens Hlth Res, Chapel Hill, NC 27599 USA
[5] Univ N Carolina, Dept Med, Chapel Hill, NC 27599 USA
[6] Univ N Carolina, Dept Social Med, Chapel Hill, NC 27599 USA
基金
美国国家卫生研究院;
关键词
Cardiovascular disease; Health knowledge; Health attitudes; Health practice; Pregnancy; Risk reduction behavior; Diet; Exercise; GESTATIONAL WEIGHT-GAIN; CORONARY-HEART-DISEASE; LOW-INCOME; GENDER DISPARITIES; QUALITY; ADVICE; CARE; INTERVENTIONS; INFORMATION; PREDICTORS;
D O I
10.1007/s10995-015-1693-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
To describe the knowledge of underserved pregnant women related to diet, physical activity, and cardiovascular disease (CVD). Underserved pregnant women from the University of North Carolina and Pitt County, North Carolina participated in 9 focus group interviews. Focus group questions focused on knowledge of CVD risk factors, lifestyle prevention strategies such as diet and physical activity, and the sources of such knowledge. Data were analyzed with the constant comparative method. Prior to the focus group, each woman was invited to complete a telephone survey to collect demographic information and responses to a 13-item CVD knowledge questionnaire. Means and frequency procedures were used to analyze demographic information. Fifty women participated in nine focus group interviews. Participants possessed basic knowledge of CVD risk factors and preventive strategies, such as basic guidelines and recommendations for healthy diet and physical activity in pregnancy. However, women often receive incomplete guidance from obstetric providers, and women, therefore, desired more information on these topics. Some gaps were filled by nurses and nutritionists. Women also sought information from female friends and relatives. Incorrect knowledge was demonstrated in all groups and led to less healthful behaviors in some cases. Underserved pregnant women have basic knowledge about healthy lifestyle and CVD prevention behaviors; however important gaps and misinformation exist.
引用
收藏
页码:1791 / 1801
页数:11
相关论文
共 43 条
[1]  
ACOG Committee Obstetric Practice, 2002, Obstet Gynecol, V99, P171
[2]  
American College of Obstetricians and Gynecologists, 2005, Obstet Gynecol, V106, P665
[3]  
American College of Obstetricians and Gynecologists, 2013, Obstet Gynecol, V121, P210, DOI http://10.1097/01.AOG.0000425668.87506.4c
[4]  
American College of Obstetricians and Gynecologists, 2012, FAQ001
[5]  
[Anonymous], 2011, 2011 AHA GUIDELINES
[6]  
[Anonymous], 2013, State County Quick Facts
[7]  
Bandura A., 1986, Social Foundations of Thought and Action: A Social Cognitive Theory, DOI DOI 10.5465/AMR.1987.4306538
[8]   Barriers to timely prenatal care among women with insurance: The importance of prepregnancy factors [J].
Braveman, P ;
Marchi, K ;
Egerter, S ;
Pearl, M ;
Neuhaus, J .
OBSTETRICS AND GYNECOLOGY, 2000, 95 (06) :874-880
[9]   Healthy weight management during pregnancy: what advice and information is being provided [J].
Brown, A. ;
Avery, A. .
JOURNAL OF HUMAN NUTRITION AND DIETETICS, 2012, 25 (04) :378-387
[10]   Behavioural interventions for weight management in pregnancy: A systematic review of quantitative and qualitative data [J].
Campbell, Fiona ;
Johnson, Maxine ;
Messina, Josie ;
Guillaume, Louise ;
Goyder, Elizabeth .
BMC PUBLIC HEALTH, 2011, 11