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拓展对生态系统理论模型在预防孕产妇肥胖中的理解和应用:一个新的社会生态学框架。

Expanding our understanding and use of the ecological systems theory model for the prevention of maternal obesity: A new socioecological framework.

机构信息

Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia.

出版信息

Obes Rev. 2021 Mar;22(3):e13147. doi: 10.1111/obr.13147. Epub 2020 Sep 30.

Abstract

The reproductive life phase, most notably the preconception, pregnancy and postpartum periods, is a key driver of weight gain in women and therefore substantially increases the risk of noncommunicable diseases for mothers and their offspring. The ecological systems theory (EST) model for maternal obesity prevention positions the woman and her behaviour as interacting with surrounding layers of influences, including proximal interpersonal relationships embedded within social, environmental, and policy contexts. However, current thinking and use of the EST model for maternal obesity prevention are limited by a focus on women as being responsible for lifestyle change, with the associated blame and weight stigma, and by a lack of understanding of the interactions between EST layers. This paper presents a new socioecological framework for maternal obesity prevention, which aims to address these issues and offer potential strategies to assist researchers to generate new knowledge and understanding of the myriad ways we can approach maternal obesity prevention.

摘要

生殖生命阶段,尤其是受孕前、怀孕和产后阶段,是女性体重增加的主要驱动因素,因此大大增加了母亲及其后代罹患非传染性疾病的风险。孕产妇肥胖预防的生态系统理论(EST)模型将女性及其行为定位为与周围的影响层相互作用,包括嵌入社会、环境和政策背景中的近端人际关系。然而,目前对 EST 模型在孕产妇肥胖预防中的应用和应用受到限制,因为它侧重于女性对生活方式改变的责任,以及随之而来的指责和体重耻辱,并且对 EST 层之间的相互作用缺乏了解。本文提出了一个新的孕产妇肥胖预防社会生态框架,旨在解决这些问题,并提供潜在的策略,以帮助研究人员生成新的知识和理解,探讨我们可以采取的多种方法来预防孕产妇肥胖。

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