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：
8025937
负责人：
JEANNE L ALHUSEN
金额：
$ 1.01万
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 2011-06-02
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8025937
关键词：
Achievement Affect African American Area Behavior Birth Birth Weight Body mass index Characteristics Child Child Care Commit Competence Data Development Discipline of Nursing Distal Emotional Ethnic group Event Fetus Fostering Foundations Gestational Age Gestational Diabetes Goals Growth Health Health Professional Health Status Healthcare Healthy People 2010 High Risk Woman Incidence Individual Infant Infant Health Infant Mortality Interview Life Life Style Link Low Birth Weight Infant Maternal Behavior Maternal Health Mediating Mental Depression Mental Health Methods Minority Groups Mother-Child Relations Mothers Newborn Infant Obesity Outcome Perception Personal Satisfaction Personality Phase Population Post-Traumatic Stress Disorders Pre-Eclampsia Pregnancy Pregnancy Complications Pregnancy Outcome Pregnant Women Premature Birth Process Race Research Research Personnel Review Literature Risk Risk Assessment Risk Factors Role Smoking Social support Solid Staging Substance abuse problem 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 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）：许多因素影响孕妇及其胎儿的健康，并最终可能影响婴儿的结局。积极的健康习惯是指女性在怀孕期间为优化孕产妇和胎儿健康而采取的行为；然而，是什么影响女性在怀孕期间保持这些做法尚不完全清楚。拟议的描述性纵向混合方法研究旨在加深我们对母婴依恋（MFA）以及母亲的身体和情感健康等因素如何影响健康状况不佳风险较高的人群怀孕期间的健康实践的理解。早产、低出生体重和其他不良结局的许多健康差异与那些社会、经济和健康条件较差的种族和族裔群体有关。此外，这些弱势群体在怀孕期间和产后期间身体健康状况不佳（肥胖、妊娠糖尿病和先兆子痫）和心理健康状况不佳（抑郁症、创伤后应激障碍 [PTSD]）的风险增加。将利用妊娠 24-28 周期间收集的定量数据进行描述性纵向混合方法研究，并且非裔美国女性亚组将参与同时进行的定性访谈，这将增强我们对少数族裔的影响因素的了解。妇女在怀孕期间采取积极健康做法的倾向。增加 MFA 已表明可以改善怀孕期间的健康习惯；然而，有限的研究主要集中在已婚白人女性身上。了解 MFA 水平对母婴和婴儿结局不良风险较高的女性的影响以及女性的健康状况如何影响 MFA 至关重要。具体目标是： 1：考察 MFA 对孕期健康实践和婴儿健康结局的影响，2：分析孕产妇特征和孕产妇身心健康对 MFA 的影响，3：分析孕产妇特征的影响，孕产妇的身体和情感健康，以及关于怀孕期间健康实践和婴儿结局的 MFA，以及 4：探讨妇女对 MFA 的看法，包括促进或阻碍依恋的因素以及怀孕期间的健康实践。作为致力于为公众服务的医疗保健专业人员，我们必须关注并致力于消除种族和族裔群体之间存在的有据可查的妊娠结局差异。为了实现这一目标，关键是要确定存在差异的地方，护理方面的改进可以在哪些方面最有效地改善妊娠结局，以及个人生活方式的改变在哪些方面可以与改善的医疗保健最好地相互作用，以优化妊娠和婴儿的结局。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Impact of intimate partner violence on pregnant women's mental health: mental distress and mental strength.

亲密伴侣暴力对孕妇心理健康的影响：精神困扰和精神力量。

DOI：
发表时间：
2010-02
期刊：
影响因子：
0
作者：
Rose, Linda;Alhusen, Jeanne;Bhandari, Shreya;Soeken, Karen;Marcantonio, Kristen;Bullock, Linda;Sharps, Phyllis
通讯作者：
Sharps, Phyllis