Lindsay Ana Cristina, Le Qun, Nogueira Denise Lima, Tavares Machado Márcia M, Greaney Mary L
Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts-Boston, 100 Morrissey Boulevard, Boston, MA, 02125, USA.
Institute for Health, Health Care Policy and Aging Research, Rutgers University, The State University of New Jersey, New Brunswick, NJ, USA.
J Racial Ethn Health Disparities. 2022 Feb;9(1):23-31. doi: 10.1007/s40615-020-00926-0. Epub 2020 Nov 18.
This study sought to quantify healthcare providers' advice about gestational weight gain (GWG), diet, and exercise among first-time pregnant Brazilian women living in the USA. This is a cross-sectional study of first-time pregnant Brazilian women living in selected cities in Massachusetts. The study sample included 86 women, nearly all (97%; n = 83) immigrants. Participants' mean age was 28.3 years and mean gestation was 27.5 weeks. Approximately 25.6% (n = 22) reported being overweight, and 1.2% (n = 1) being underweight. Only about 62% (n = 53) reported receiving advice from their healthcare provider on recommended GWG. In addition, about 83% (n = 71) and 81% (n = 70) reported receiving healthcare providers' advice on exercise and diet, respectively. Women who self-reported being overweight pre-pregnancy (OR 0.15; 95% confidence interval [CI] 0.03-0.73; p = 0.02) and women who were classified low acculturation levels (OR 0.12; 95% CI 0.02-0.08; p = 0.03) were less likely to report receiving healthcare providers' advice on GWG compared to women who self-reported being normal weight pre-pregnancy and those classified having high acculturation level, respectively. Furthermore, women who self-reported being overweight pre-pregnancy were less likely to report receiving diet-related advice (OR 0.32; 95% CI 0.10-1.02; p = 0.05) than women who self-reported being normal weight pre-pregnancy. Findings indicate the need for increased communication and counseling between healthcare providers and Brazilian immigrant women about GWG, in particular for women with low acculturation levels and language barriers suggesting the need for linguistic and culturally relevant interventions designed to improve Brazilian immigrant women's access to evidence-based information about GWG, diet, and exercise.
本研究旨在量化医疗保健提供者针对居住在美国的首次怀孕巴西女性给出的关于孕期体重增加（GWG）、饮食和运动的建议。这是一项针对居住在马萨诸塞州特定城市的首次怀孕巴西女性的横断面研究。研究样本包括86名女性，几乎全部（97%；n = 83）为移民。参与者的平均年龄为28.3岁，平均孕周为27.5周。约25.6%（n = 22）报告超重，1.2%（n = 1）报告体重过轻。只有约62%（n = 53）报告从其医疗保健提供者处获得了关于推荐孕期体重增加的建议。此外，分别约83%（n = 71）和81%（n = 70）报告获得了医疗保健提供者关于运动和饮食的建议。与孕前自我报告体重正常的女性以及文化适应水平高的女性相比，孕前自我报告超重的女性（比值比[OR]0.15；95%置信区间[CI]0.03 - 0.73；p = 0.02）和文化适应水平低的女性（OR 0.12；95% CI 0.02 - 0.08；p = 0.03）报告从医疗保健提供者处获得关于孕期体重增加建议的可能性较小。此外，与孕前自我报告体重正常的女性相比，孕前自我报告超重的女性报告获得饮食相关建议的可能性较小（OR 0.32；95% CI 0.10 - 1.02；p = 0.05）。研究结果表明，医疗保健提供者与巴西移民女性之间需要加强关于孕期体重增加的沟通和咨询，特别是对于文化适应水平低和有语言障碍的女性，这表明需要设计语言和文化相关的干预措施，以改善巴西移民女性获取关于孕期体重增加、饮食和运动的循证信息的机会。
