School of Health Sciences, College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia.
Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Obes Rev. 2023 Dec;24(12):e13637. doi: 10.1111/obr.13637. Epub 2023 Sep 1.
The link between work and health outcomes for preconception, pregnant, and postpartum (PPP) working women is complex. Further, innovation and enhanced understanding are required to address the work-related determinants of maternal obesity. However, workplace health promotion is not typically systems-based nor attuned to the specific needs and context of individual PPP women. We propose that to improve health outcomes for PPP women, we must understand the pathways between paid work and health for the individual woman by taking a systems-thinking approach. In this paper, we (a) outline the rationale for why the oversimplification or "dilution" of individual context may occur; (b) present a systems-informed pathway model (the "Context-Exposure-Response" Model) and overview of potential work-related impacts on health and wellbeing outcomes for PPP women using maternal obesity to provide context examples; (c) further investigate the role of motivational factors from a systems perspective; and (d) briefly examine the implications for policy, practice, and intervention design. It is anticipated that this research may act as a starting point to assist program developers, researchers, and policymakers to adopt a systems-focused perspective while contributing to the health improvement and obesity prevention of PPP women.
工作与备孕、怀孕和产后（PPP）期间工作女性健康结果之间的联系是复杂的。此外，需要创新和增强理解，以解决与工作相关的导致母亲肥胖的因素。然而，工作场所健康促进通常不是基于系统的，也不适应个别 PPP 女性的具体需求和背景。我们提出，为了改善 PPP 女性的健康结果，我们必须通过系统思维方法来理解个人女性的有偿工作与健康之间的途径。在本文中，我们（a）概述了为什么可能会出现个体背景过于简单化或“淡化”的原因；（b）提出了一个系统启发的途径模型（“背景-暴露-反应”模型），并概述了可能对 PPP 女性健康和幸福结果产生影响的与工作相关的因素，以肥胖症为例；（c）进一步从系统角度研究动机因素的作用；（d）简要探讨了对政策、实践和干预设计的影响。预计这项研究可以作为一个起点，帮助项目开发者、研究人员和政策制定者采用系统为重点的视角，同时促进 PPP 女性的健康改善和肥胖预防。
