Chen Mingling, Makama Maureen, Skouteris Helen, Moran Lisa J, Harrison Cheryce L, Lim Siew
Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Shanghai National Clinical Research Center for Metabolic Diseases, Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR China, Shanghai Key Laboratory for Endocrine Tumor, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Nutrients. 2025 Jan 14;17(2):286. doi: 10.3390/nu17020286.
: Understanding ethnic differences in factors influencing healthy lifestyles postpartum is vital for informing effective lifestyle engagement strategies for women from specific ethnic groups. We aimed to explore ethnic differences in facilitators and barriers to lifestyle management among women after childbirth. : In this multi-methods study, women within 5 years of childbirth in Australia were recruited in a cross-sectional survey (n = 478) and semi-structured interviews (n = 17). Ethnicity was categorised as Oceanian, Asian and Other, according to the Australian Bureau of Statistics. Chi-square tests were used to compare the survey responses between groups. Qualitative data were thematically analysed, with identified themes mapped to the Theoretical Domains Framework (TDF) and Capability, Opportunity, Motivation and Behaviour (COM-B) model. : Both Oceanian and Asian women had a range of facilitators and barriers to lifestyle management relating to capability (e.g., knowledge of a healthy lifestyle), opportunity (e.g., time availability) and motivation (e.g., enjoyment in exercise). However, Asian women were more likely to report knowing the importance of a healthy lifestyle ( = 0.026), having better practical skills ( = 0.004), having a flexible work arrangement ( = 0.008) and being able to access a conducive environment ( = 0.040) as important factors to maintain a healthy lifestyle, compared with Oceanian women. In addition, Asian women suggested a need to address cultural barriers around parenting and postpartum practices. : Asian women encountered additional barriers to lifestyle management after childbirth compared with Oceanian women. Future interventions should integrate strategies corresponding to these challenges to improve lifestyle engagement in Asian women.
了解影响产后健康生活方式的因素中的种族差异，对于为特定种族的女性制定有效的生活方式参与策略至关重要。我们旨在探讨产后女性在生活方式管理的促进因素和障碍方面的种族差异。
在这项多方法研究中，通过横断面调查（n = 478）和半结构化访谈（n = 17）招募了澳大利亚分娩后5年内的女性。根据澳大利亚统计局的分类，种族被分为大洋洲、亚洲和其他。使用卡方检验比较各组之间的调查回复。对定性数据进行了主题分析，将确定的主题映射到理论领域框架（TDF）和能力、机会、动机和行为（COM-B）模型。
大洋洲和亚洲女性在生活方式管理方面都有一系列与能力（如健康生活方式的知识）、机会（如时间可用性）和动机（如运动乐趣）相关的促进因素和障碍。然而，与大洋洲女性相比，亚洲女性更有可能报告知道健康生活方式的重要性（P = 0.026）、具有更好的实践技能（P = 0.004）、有灵活的工作安排（P = 0.008）以及能够获得有利环境（P = 0.040）是维持健康生活方式的重要因素。此外，亚洲女性建议需要解决围绕育儿和产后习俗的文化障碍。
与大洋洲女性相比，亚洲女性在分娩后生活方式管理方面遇到了更多障碍。未来的干预措施应整合应对这些挑战的策略，以提高亚洲女性对生活方式的参与度。
