Facilitators and Barriers to Health Promoting Practices During Pregnancy

怀孕期间健康促进实践的促进因素和障碍

基本信息

批准号：
7784495
负责人：
JEANNE L ALHUSEN
金额：
$ 4.14万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-03-03 至 2012-12-02
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7784495
关键词：
Achievement Affect African American Area Behavior Birth Birth Weight Body mass index Characteristics Child Child Care Commit Competence Data Development Distal Emotional Ethnic group Event Fetus Fibrinogen Fostering Foundations Gestational Age Gestational Diabetes Goals Growth and Development function Health Health Professional Health Status Healthcare Healthy People 2010 High Risk Woman Incidence Individual Infant Infant Health Infant Mortality Interview Life Life Style Link Literature Low Birth Weight Infant Maternal Behavior Maternal Health Mediating Mental Depression Mental Health Methods Minority Groups Mother-Child Relations Mothers Newborn Infant Nurses Obesity Outcome Perception Personal Satisfaction Personality Phase Population Post-Traumatic Stress Disorders Pre-Eclampsia Pregnancy Pregnancy Complications Pregnancy Outcome Pregnant Women Premature Birth Process Research Research Personnel Review Literature Risk Risk Assessment Risk Factors Role Smoking Social support Solid Staging Substance abuse problem Time Trauma Unwanted pregnancy Vulnerable Populations Woman Women&apos s Health Work base ethnic minority population experience fetal health disparity health economics high risk improved infant outcome innovation motherhood nutrition physical conditioning population health pregnant premature prenatal racial and ethnic self esteem social theories unborn child

项目摘要

Description (provided by applicant): Many factors influence the health of pregnant women and their fetuses and, ultimately, may affect infant outcomes. Positive health practices are those behaviors a woman engages in while pregnant to optimize maternal and fetal health; however, what influences a woman to maintain these practices during pregnancy is not fully understood. The proposed descriptive, longitudinal mixed methods study seeks to enhance our understanding of how factors including maternal-fetal attachment (MFA), and maternal physical and emotional health impact health practices in pregnancy in a population at higher risk for poor health outcomes. Many of the health disparities in preterm delivery, low birth weight and other poor outcomes are associated with those racial and ethnic groups exposed to poor social, economic and health conditions. Furthermore, these vulnerable populations are at increased risk of poor physical health (obesity, gestational diabetes, and preeclampsia) and poor mental health (depression, post-traumatic stress disorder [PTSD]) during pregnancy, and in the post-partum period. A descriptive, longitudinal mixed methods study will be conducted with quantitative data collected between 24-28 weeks gestation and a sub-group of African-American women will participate in concurrent qualitative interviews which will enhance our understanding, in ethnic minorities, of what influences a woman's inclination to engage in positive health practices during pregnancy. Increased MFA has shown to increase health practices during pregnancy; however, the limited research has largely focused on married White women. It is critical to understand the implications of MFA levels in those women at higher risk for poor maternal-fetal and infant outcomes, and how a woman's health status influences MFA. Specific aims are: 1: to examine the impact of MFA on health practices during pregnancy and infant health outcomes, 2: to analyze the influence of maternal characteristics and maternal physical and emotional health on MFA, 3: to analyze the influence of maternal characteristics, maternal physical and emotional health, and MFA on health practices during pregnancy and infant outcomes, and 4: to explore women's perceptions of MFA including factors which foster or discourage attachment as well as health practices during pregnancy. As health care professionals committed to serving the public, we must be concerned and devoted to eliminating the well-documented disparities in pregnancy outcomes which exist between racial and ethnic groups. To achieve this, it is critical to identify where the disparities exist, where improvements in nursing can most improve pregnancy outcomes, and where individual life style changes can best interact with improved health care to optimize both pregnancy and infant outcomes.

描述（由申请人提供）：许多因素会影响孕妇及其胎儿的健康，最终可能影响婴儿预后。积极的健康实践是女性在怀孕期间从事的行为，以优化孕产妇和胎儿健康。但是，影响妇女在怀孕期间维持这些做法的原因尚未完全理解。拟议的描述性，纵向混合方法研究旨在增强我们对包括母亲依恋（MFA）在内的因素以及孕产妇的身体和情感健康影响健康状况的理解，而对健康状况不佳的风险较高的人群怀孕的健康实践。早产，低出生体重和其他差的较差的健康差异与暴露于社会，经济和健康状况不佳的种族和族裔有关。此外，这些脆弱的人群在怀孕期间和后期期间的身体健康状况不佳（肥胖，妊娠糖尿病和先兆子痫）的风险增加，心理健康（抑郁症，创伤后应激障碍[PTSD]）的风险不佳。描述性的纵向混合方法研究将以24-28周妊娠之间收集的定量数据进行，而一组非裔美国妇女将参加并发的定性访谈，这将增强我们对少数民族的理解，从而影响什么影响A的影响。妇女倾向于在怀孕期间从事积极的健康实践。 MFA的增加已显示在怀孕期间增加健康习惯；但是，有限的研究主要集中在已婚白人妇女上。重要的是要了解MFA水平在那些对较差的孕产妇和婴儿结果的风险较高的女性中的含义，以及女性的健康状况如何影响MFA。具体目的是：1：检查MFA对怀孕和婴儿健康成果期间健康实践的影响，2：分析母体特征以及孕产妇的身体和情感健康对MFA的影响，3：分析母体特征，孕妇特征的影响，孕产妇的身体和情感健康，以及关于怀孕和婴儿结局期间健康实践的MFA，以及4：探索妇女对MFA的看法，包括促进或劝阻依恋依恋以及怀孕期间的健康实践的因素。作为致力于公众服务的卫生保健专业人员，我们必须关心并致力于消除种族和种族之间存在的怀孕成果中有据可查的差异。为了实现这一目标，至关重要的是要确定差异的存在，护理的改善可以改善妊娠结局，并且个人生活方式的变化何处可以最好地与改善的医疗保健相互作用，以优化怀孕和婴儿结果。