种族和民族在产后体重滞留方面的差异:对文献进行叙述性综述,将研究与国家少数民族健康和健康差异研究所研究框架联系起来。
Racial and ethnic disparities in postpartum weight retention: A narrative review mapping the literature to the National Institute on Minority Health and Health Disparities Research Framework.
机构信息
College of Nursing, University of Utah, Salt Lake City, UT, USA.
School of Nursing, Oregon Health & Science University, Portland, OR, USA.
出版信息
Womens Health (Lond). 2023 Jan-Dec;19:17455057231166822. doi: 10.1177/17455057231166822.
PLAIN LANGUAGE SUMMARY
A Review of the Literature Using the National Institutes of Health, National Institute on Minority Health and Health Disparities (NIMHD) Research Framework to Create a Roadmap of the Studies Investigating Racial and Ethnic Disparities in Excess Weight Retained After Pregnancy.
WHY WAS THIS STUDY DONE?: Three out of four people who give birth retain excess weight at 1-year post-pregnancy. This is concerning, as weight that is retained following pregnancy is associated with increased risk for the development of disease. People from racial and ethnic minority groups experience weight retention more frequently post-pregnancy. Black and Hispanic/Latina/o/x birthing people are more likely to begin pregnancy overweight or obese. They are also more likely to retain excess weight following pregnancy. Investigating these risks in people from racially/ethnically diverse backgrounds may be an important way to address disparities in excess weight retained post-pregnancy.
WHAT DID THE RESEARCHERS DO?: This review of the literature used a tool called the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework to map the literature to date on racial and ethnic disparities in excess weight retained post-pregnancy.
WHAT DID THE RESEARCHERS FIND?: We used the NIMHD Research Framework as a visual guide of the existing research about excess weight retained following pregnancy. Results illustrate the levels and domains at which research has been investigated. These results reveal that efforts have been focused at the individual level, with most attention given to diet and activity. Mapping the literature to the NIMHD Research Framework sheds light on gaps in the research.
WHAT DO THE FINDINGS MEAN?: Mapping the literature has revealed a need for investigations that make connections between the levels and domains of the Framework, so that we may understand underlying factors that contribute to health disparities.
研究概述
使用美国国立卫生研究院(NIH)、少数民族健康和健康差异研究所(NIMHD)研究框架对文献进行综述,为研究种族和民族差异导致产后体重滞留的研究制定路线图。
为何进行这项研究?:每四个产妇中就有三个在产后 1 年内体重滞留。这令人担忧,因为产后体重滞留与疾病风险增加有关。来自少数族裔群体的人在产后更频繁地出现体重滞留。黑人和西班牙裔/拉丁裔/美洲原住民产妇在开始妊娠时超重或肥胖的可能性更大。她们在产后也更有可能保留多余的体重。在种族和民族背景多样化的人群中研究这些风险可能是解决产后体重滞留差异的重要方法。
研究人员做了什么?:这项文献综述使用了一种名为少数民族健康和健康差异研究所(NIMHD)研究框架的工具,将迄今为止关于种族和民族在产后体重滞留方面差异的文献进行了映射。
研究人员发现了什么?:我们将 NIMHD 研究框架用作现有关于产后体重滞留研究的可视化指南。结果说明了研究的水平和领域。这些结果表明,研究工作一直集中在个体层面,最关注的是饮食和活动。将文献映射到 NIMHD 研究框架揭示了研究中的空白。
这些发现意味着什么?:文献映射揭示了需要进行在框架的水平和领域之间建立联系的研究,以便我们能够理解导致健康差异的潜在因素。