Weight, Diet, and Physical Activity-Related Beliefs and Practices Among Pregnant and Postpartum Latino Women: The Role of Social Support
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Objectives: Eating and physical activity patterns may contribute to excessive pregnancy weight gain and postpartum retention that increase the risks of obesity and diabetes for both Latino mothers and their children. Social support is an important health determinant and may affect health-related beliefs and behaviors. The objective of this study was to investigate the influence of social support on weight, diet, and physical activity-related beliefs and behaviors among pregnant and postpartum Latinas. Methods: A community-based participatory project, Promoting Healthy Lifestyles among Women, was conducted in southwest Detroit to plan interventions aimed at reducing risks of obesity and type 2 diabetes. Qualitative analyses of in-depth semistructured interviews with dyads of 10 pregnant and postpartum Latinas, and 10 people who influenced them were conducted. Results: Husbands and some female relatives were primary sources of emotional, instrumental, and informational support for weight, diet, and physical activity-related beliefs and behaviors for Latina participants. Holistic health beliefs and the opinions of others consistently influenced Latinas' motivation and beliefs about the need to remain healthy and the links between behavior and health. Absence of mothers, other female relatives, and friends to provide childcare, companionship for exercise, and advice about food were prominent barriers that limited women's ability to maintain healthy practices during and after pregnancy. Conclusion: The findings support evidence that low-income, recently immigrated pregnant and postpartum Latinas could benefit from community-based, family-oriented interventions that provide social support necessary to promote and sustain healthy lifestyles.
KEY WORDS:Social support pregnancy Latinas diet and weight physical activity.
This study was based on research conducted by Promoting Healthy Lifestyles Among Women, a community-based research project conducted in affiliation with the Detroit Community – Academic Urban Research Center with funding and other support provided by the Centers for Disease Control and Prevention, Division of Nutrition and Physical Activity, Grant No. U48/CCU515775/SIP10 and the W.K. Kellogg Foundation Community Health Scholars Program. Support for this analysis was provided by the W.K. Kellogg Foundation Health Disparities Scholars Program, and the National Institute of Mental Health Psychosocial Factors in Mental Health and Mental Illness Training Program. The authors wish to thank the project Steering Committee organizations, representations and community residents, and graduate research assistants for their participation in all phases of the project.
- 2.Flegal KM, Carroll MD, Ogden CL, Johnson DL. Prevalence and trends in obesity among US adults 1999–2000. J Am Med Womens Assoc 2002;288:1723–7.Google Scholar
- 3.Kieffer E, Carman W, Gillespie B, Nolan G, Worley S, Guzman R. Obesity and gestational diabetes among African American and Latino women: Implications for disparities in women's health. J Am Med Womens Assoc 2001;56:181–7.Google Scholar
- 10.Kieffer E, Salabarría-Peña Y, Odoms-Young A, Willis S, Baber K, Guzman R. Promoting Healthy Lifestyles among Women/Promoviendo Estilos de Vida Saludables entre Mujeres: A Community-Based Participatory Resarch Project Affiliated with the Detroit Urban Research Center. Annual Meeting of the American Public Health Association, Atlanta, GA, October, 2001. (Abstract: Conference Proceedings).Google Scholar
- 11.Dunkel-Schetter C, Sagrestano LM, Feldman P, Killingsworth C. Social support and pregnancy: A comprehensive review focusing on ethnicity and culture. In: Pierce GR, Sarason BR, Sarason IG, editors. Handbook of social support and the family. New York: Plenum, 1986:375–412.Google Scholar
- 13.Cohen S, Syme S. Issues in the study and application of social support. In: Cohen S, Syme S, editors, Social Support and Health. Orlando, FL: Academic, 1985:3–20.Google Scholar
- 14.Sarason BR, Sarason RG, Pierce GR. Traditional views of social support and their impact on assessment. In: Sarason B, Sarason I, Pierce G, editors, Social Support: An Interactional View. New York: Wiley, 1990:1–26.Google Scholar
- 20.Keefe SE, Padilla AM, Carlos ML. The Mexican American extended family as an emotional support system. Hum Organ 1979;38:144–52.Google Scholar
- 26.Kieffer E, Willis S, Odoms-Young A, Guzman R, Allen A, Two Feathers J, Loveluck J. Reducing disparities in diabetes among African American and Latino residents of Detroit: The essential role of community planning focus groups. Ethn Dis 2004;14(3, Suppl 1):S127–S137.Google Scholar
- 29.Israel BA, Lichtenstein R, Lantz P, McGranaghan R, Guzman AA, Softley JR, Maciak B. The Detroit community – academic urban research center: Development, implementation, and evaluation. J Public Health Manage Pract 2001;7(5):1–19.Google Scholar
- 30.Kieffer E, Salabarría-Peña Y, Odoms-Young A, Willis S, Baber K, Guzman R. The application of Focus Group Methodologies to community-based participatory research. In: Israel B, Eng E, Schulz A, Parker E, editors. Methods for conducting community-based participatory research in public health. Jossey-Bass, in press, Spring.Google Scholar
- 31.U.S. Census Bureau; 2000 Census of Population and Housing; Summary File 3; generated by Michigan Metropolitan Information Center, Wayne State University, April 2002.Google Scholar
- 32.Muhr T. Atlas.ti, Version 4.1. Berlin: Scientific Software Development, 2000.Google Scholar
- 33.Strauss A, Corbin J. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Newbury Park, CA: Sage, 1990.Google Scholar
- 35.Pearce CW. Seeking a healthy baby: Hispanic women's views of pregnancy and prenatal care. Clin Excell Nurs Pract 1998;2(6):352–61.Google Scholar
- 38.Clark M. Health in the Mexican American culture. Berkeley: University of California Press, 1959.Google Scholar
- 39.Kay MA. Mexican, Mexican American, and Chicana childbirth. In: Melville M, editor, Twice a Minority: Mexican American Women. St. Louis, MO: Mosby, 1980:52–65.Google Scholar
- 40.U.S. Census Bureau. 2000 Census of Population and Housing: Summary File 3, PCT.20, generated by Government Documents Library, University of Michigan, Ann Arbor, MI USA: using American FactFinder http://factfinder.census.gov (August 2004).