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“我们知道但并非真的了解”:弱势群体中孕妇的饮食、身体活动与心血管疾病预防知识及信念

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

作者信息

Beckham A Jenna, Urrutia Rachel Peragallo, Sahadeo Latoya, Corbie-Smith Giselle, Nicholson Wanda

机构信息

Department of Obstetrics and Gynecology, University of North Carolina, CB #7570, Chapel Hill, NC, 27599-7570, USA,

出版信息

Matern Child Health J. 2015 Aug;19(8):1791-801. doi: 10.1007/s10995-015-1693-2.

DOI:10.1007/s10995-015-1693-2
PMID:25656718
Abstract

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.

摘要

描述未得到充分医疗服务的孕妇在饮食、身体活动和心血管疾病(CVD)方面的知识情况。来自北卡罗来纳大学和北卡罗来纳州皮特县的未得到充分医疗服务的孕妇参与了9次焦点小组访谈。焦点小组问题聚焦于心血管疾病风险因素的知识、饮食和身体活动等生活方式预防策略以及此类知识的来源。采用持续比较法对数据进行分析。在焦点小组访谈之前,邀请每位女性完成一项电话调查,以收集人口统计学信息以及对一份包含13个项目的心血管疾病知识问卷的回答。使用均值和频率程序来分析人口统计学信息。50名女性参与了9次焦点小组访谈。参与者具备心血管疾病风险因素和预防策略的基本知识,例如孕期健康饮食和身体活动的基本指南及建议。然而,女性通常从产科医护人员那里得到的指导并不完整,因此,女性希望获得更多关于这些主题的信息。护士和营养师填补了一些知识空白。女性也会从女性朋友和亲戚那里寻求信息。所有小组中都存在错误知识,在某些情况下还导致了不健康的行为。未得到充分医疗服务的孕妇对健康生活方式和心血管疾病预防行为有基本知识;然而,重要的知识空白和错误信息仍然存在。

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