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Predictors of Gestational Weight Gain in a Low-Income Hispanic Population: Sociodemographic Characteristics, Health Behaviors, and Psychosocial Stressors
- Source :
- International Journal of Environmental Research and Public Health, Vol 17, Iss 1, p 352 (2020), International Journal of Environmental Research and Public Health, Volume 17, Issue 1
- Publication Year :
- 2020
- Publisher :
- MDPI AG, 2020.
-
Abstract
- Hispanic women have a higher prevalence of weight associated complications in pregnancy. This ethnic disparity is likely related to behavior patterns, social circumstances, environmental exposures, and access to healthcare, rather than biologic differences. The objective was to determine associations between sociodemographic characteristics, health behaviors, and psychosocial stressors and gestational weight gain (GWG) in low-income Hispanic women. During pregnancy, information on sociodemographic characteristics, health behaviors, and psychosocial stressors were collected. Linear regression estimated mean differences in GWG by selected predictors. Multinomial logistic regression estimated odds of inadequate and excessive GWG by selected predictors. Five-hundred and eight women were included, 38% had inadequate and 28% had excessive GWG<br />57% with a normal pre-pregnancy BMI had inadequate GWG. Compared to women with normal BMI, women with overweight or obesity were more likely to have excessive GWG (aRRR = 1.88, 95% CI: 1.04, 3.40 and aRRR = 1.98, 95% CI: 1.08, 3.62, respectively). Mean total GWG was higher among women who were nulliparous (&szlig<br />= 1.34 kg, 95% CI: 0.38, 2.29) and those who engaged in &ge<br />3 h of screen time daily (&szlig<br />= 0.98 kg, 95% CI: 0.02, 1.94), and lower among women who were physically active during pregnancy (&szlig<br />= &minus<br />1.00 kg, 95% CI: &minus<br />1.99, &minus<br />0.03). Eating breakfast daily was associated with lower risk of inadequate GWG (aRRR = 0.47, 95% CI: 0.26, 0.83). Depressive symptoms and poor adherence to dietary recommendations were prevalent, but none of the psychosocial or dietary variables were associated with GWG. In this cohort of primarily immigrant, low-income, Hispanic women, there were high rates of poor adherence to diet and physical activity recommendations, and a majority of women did not meet GWG guidelines. Modifiable health behaviors were associated with GWG, and their promotion should be included in prenatal care.
- Subjects :
- Adult
hispanic
Health, Toxicology and Mutagenesis
Health Behavior
physical activity
lcsh:Medicine
Prenatal care
Overweight
Article
Cohort Studies
Young Adult
03 medical and health sciences
Screen time
0302 clinical medicine
psychosocial stressors
Humans
Medicine
030212 general & internal medicine
Poverty
Pregnancy
030219 obstetrics & reproductive medicine
business.industry
lcsh:R
Public Health, Environmental and Occupational Health
Hispanic or Latino
medicine.disease
Obesity
United States
Latin America
Socioeconomic Factors
Cohort
gestational weight gain
Female
pregnancy
medicine.symptom
business
diet
Psychosocial
Weight gain
Stress, Psychological
Demography
Subjects
Details
- Language :
- English
- ISSN :
- 16604601
- Volume :
- 17
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....a8f257755a5594436fbe3d2c45e2d482