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关于在美国生活的巴西移民女性的妊娠增重、饮食和运动信息来源:一项横断面研究。

Sources of information about gestational weight gain, diet and exercise among Brazilian immigrant women living in the USA: a cross-sectional study.

机构信息

Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts, 100 Morrissey Boulevard, Boston, MA02125, USA.

Rutgers University, The State University of New Jersey, New Brunswick, NJ, USA.

出版信息

Public Health Nutr. 2021 Dec;24(17):5720-5729. doi: 10.1017/S1368980021001798. Epub 2021 Apr 27.

Abstract

OBJECTIVE

The objective of this study was to assess sources of information about gestational weight gain (GWG), diet and exercise among first-time pregnant Brazilian women in the USA.

DESIGN

Cross-sectional survey.

SETTING

Massachusetts, USA.

PARTICIPANTS

First-time pregnant Brazilian women.

RESULTS

Eighty-six women, the majority of whom were immigrants (96·5 %) classified as having low acculturation levels (68 %), participated in the study. Approximately two-thirds of respondents had sought information about GWG (72·1 %), diet (79·1 %) and exercise (74·4 %) via the internet. Women classified as having low acculturation levels were more likely to seek information about GWG via the internet (OR = 7·55; 95 % CI 1·41, 40·26) than those with high acculturation levels after adjusting for age and receiving information about GWG from healthcare provider (doctor or midwife). Moreover, many respondents reported seeking information about GWG (67 %), diet (71 %) and exercise (52 %) from family and friends. Women who self-identified as being overweight pre-pregnancy were less likely to seek information about diet (OR = 0·32; 95 % CI 0·11, 0·93) and exercise (OR = 0·33; 95 % CI 0·11, 0·96) from family and friends than those who self-identified being normal-weight pre-pregnancy.

CONCLUSIONS

This is the first study to assess sources of information about GWG, diet and exercise among pregnant Brazilian immigrants in the USA. Findings have implications for the design of interventions and suggest the potential of mHealth intervention as low-cost, easy access option for delivering culturally and linguistically tailored evidence-based information about GWG incorporating behavioural change practices to this growing immigrant group.

摘要

目的

本研究旨在评估美国首次怀孕的巴西裔女性获取有关妊娠增重(GWG)、饮食和运动信息的来源。

设计

横断面调查。

地点

美国马萨诸塞州。

参与者

首次怀孕的巴西裔女性。

结果

86 名女性参与了研究,其中大多数为移民(96.5%),被归类为低度文化融合水平(68%)。大约三分之二的受访者通过互联网获取有关 GWG(72.1%)、饮食(79.1%)和运动(74.4%)的信息。与高度文化融合水平的女性相比,低度文化融合水平的女性更有可能通过互联网获取 GWG 信息(OR=7.55;95%CI 1.41,40.26),调整年龄和接受医疗保健提供者(医生或助产士)提供的 GWG 信息后。此外,许多受访者表示从家人和朋友那里获取有关 GWG(67%)、饮食(71%)和运动(52%)的信息。与自我认同为孕前超重的女性相比,自我认同为孕前正常体重的女性更不可能从家人和朋友那里获取有关饮食(OR=0.32;95%CI 0.11,0.93)和运动(OR=0.33;95%CI 0.11,0.96)的信息。

结论

这是第一项评估美国妊娠巴西裔移民获取 GWG、饮食和运动信息来源的研究。研究结果对干预措施的设计具有启示意义,并表明移动健康干预措施具有潜力,可作为一种低成本、易于获取的选择,为这一不断增长的移民群体提供有关 GWG 的基于行为改变实践的文化和语言适宜的循证信息。

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