Hyer Suzanne, Vaughan Sarah, Davis Jean W, Xie Rui, Misra Dawn, Giurgescu Carmen
College of Nursing, University of Central Florida, Orlando, FL, USA.
Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, USA.
West J Nurs Res. 2023 Mar;45(3):226-233. doi: 10.1177/01939459221127800. Epub 2022 Oct 4.
Gestational weight gain (GWG) outside recommended parameters can lead to pregnancy or birth complications. Avoidance coping may influence GWG. We examined the association of avoidance coping with GWG among a sample of 112 pregnant Black women in the Midwest. Participants completed avoidance coping questionnaires at three time points throughout pregnancy. Data were abstracted from medical records for BMI and GWG. Overall, 23.2% gained inadequate weight, 30.4% adequate weight, and 46.4% excess weight. Multinomial logistic regression models indicated associations between avoidance coping and GWG adjusted for covariates. Participants with higher avoidance coping scores at 22-29 weeks' gestation were more likely to experience excess weight gain (odds ratio [] = 1.19, 95% CI [1.02, 1.37]). Participants with higher avoidance coping scores at 30-36 weeks' gestation were less likely to experience excess weight gain, ( = 0.82, 95% CI [0.72, 0.93]). The impact of higher avoidance coping on excess weight gain depends on the time period in pregnancy.
孕期体重增加（GWG）超出推荐参数可能会导致妊娠或分娩并发症。回避应对方式可能会影响孕期体重增加。我们在中西部地区112名怀孕黑人女性样本中研究了回避应对与孕期体重增加之间的关联。参与者在整个孕期的三个时间点完成了回避应对问卷。从医疗记录中提取了体重指数（BMI）和孕期体重增加的数据。总体而言，23.2%的人体重增加不足，30.4%的人体重增加适当，46.4%的人体重增加过多。多项逻辑回归模型表明，在对协变量进行调整后，回避应对与孕期体重增加之间存在关联。在妊娠22 - 29周时回避应对得分较高的参与者更有可能体重增加过多（优势比[] = 1.19，95%置信区间[1.02, 1.37]）。在妊娠30 - 36周时回避应对得分较高的参与者体重增加过多的可能性较小（= 0.82，95%置信区间[0.72, 0.93]）。较高的回避应对方式对体重增加过多的影响取决于孕期的时间段。
