James Sharon, Ratcliffe Sarah E, Assifi Anisa Rojanapenkul, Botfield Jessica, Black Kirsten, Hanson Mark, Mazza Danielle
Sexual and Reproductive Health for Women in Primary Care Centre of Research Excellence (SPHERE CRE), Department of General Practice, Monash University Faculty of Medicine Nursing and Health Sciences, Melbourne, Victoria, Australia
School of Psychology, Faculty of Science, The University of Sydney, Sydney, New South Wales, Australia.
BMJ Sex Reprod Health. 2025 Jul 10;51(3):e4. doi: 10.1136/bmjsrh-2024-202518.
Prevention and self-management of lifestyle risks can reduce non-communicable disease risks and improve the health of mothers and their children. We explored Australian women's preferences for lifestyle risk reduction engagement during the interconception period.
We conducted a qualitative descriptive interview study between February and May 2022. Women and people who have been pregnant and intended to have more children were recruited. We asked participants about their preferences for lifestyle risk reduction between pregnancies. Following reflexive thematic analysis, we conceptualised findings using the COM-B system.
Among 17 participants, most had given birth to one child and intended to have another child in 1 to 2 years. Our analysis found that most described lifestyle risk reduction engagement through nutrition and exercise, informed by personal experiences and their health goals for a future pregnancy/child. Key attributes affecting engagement in lifestyle risk reduction activities included their feasibility and practicality, habits and routines, motivation, pregnancy planning, and the source and quality of information. Participants' capacity and capability to engage in lifestyles supportive of interconception health were varied and influenced by juggling the routines of work, finances, health and evolving caring responsibilities. Community-based influences, including the availability of recreational infrastructure, the level of support provided by partners/family/peers and culture, also influenced participants' engagement in lifestyle risk reduction activities.
For lifestyles that encourage interconception health, maximising participants' capability and opportunities required motivation and access to infrastructure supportive of healthy meal options and exercise, health services and community networks.
预防和自我管理生活方式风险可以降低非传染性疾病风险，并改善母亲及其子女的健康状况。我们探讨了澳大利亚女性在孕前期间对降低生活方式风险参与方式的偏好。
我们在2022年2月至5月期间进行了一项定性描述性访谈研究。招募了已怀孕且打算生育更多子女的女性。我们询问了参与者对于两次怀孕之间降低生活方式风险的偏好。经过反思性主题分析后，我们使用COM-B系统对研究结果进行了概念化。
在17名参与者中，大多数人生育了一个孩子，并打算在1至2年内再要一个孩子。我们的分析发现，大多数人描述的降低生活方式风险的参与方式是通过营养和锻炼，这受到个人经历以及她们对未来怀孕/生育子女的健康目标的影响。影响参与降低生活方式风险活动的关键因素包括其可行性和实用性、习惯和日常安排、动机、怀孕计划以及信息来源和质量。参与者参与支持孕前健康生活方式的能力各不相同，并且受到工作、财务、健康等日常事务以及不断变化的照顾责任的影响。基于社区的影响因素，包括娱乐基础设施的可用性、伴侣/家人/同龄人提供的支持水平以及文化，也影响了参与者参与降低生活方式风险活动的程度。
对于鼓励孕前健康的生活方式而言，要最大限度地提高参与者的能力和机会，需要有动机，并能获得支持健康饮食选择和锻炼的基础设施、医疗服务以及社区网络。
