title: Knowledge, Attitudes and Provider Advice by Pre-Pregnancy Weight Status: A Qualitative Study of Pregnant Latinas With Excessive Gestational Weight Gain.
abstract: Latina women are at high risk of excessive gestational weight gain (GWG) during pregnancy; yet little is known about whether factors related to GWG differ by pre-pregnancy body mass index (BMI) within this population. We conducted in-depth interviews with 62 pregnant Latina women with pre-pregnancy BMIs in the healthy, overweight, and obese ranges, gestational age ≥22 weeks, and GWG for gestational age above Institute of Medicine (IOM) guidelines. Compared to healthy weight and obese women, overweight women least often reported viewing weight as important, making efforts to control their GWG, being aware of the role of diet on GWG, and receiving GWG advice from health-care providers. Among those who received GWG advice, overweight women more often recalled a target GWG above IOM guidelines. Obese women more often reported low acceptance of their GWG, concern about GWG, having received GWG advice from providers, difficulty following providers' dietary advice, and emotional eating as a challenge for controlling GWG. Participants welcomed practical advice to manage GWG. Future interventions to prevent excessive GWG among Latina women should consider differences among women of varying pre-pregnancy BMIs and include multi-level strategies to address psychosocial as well as provider factors.
authors.affiliation: a Department of Community Health Sciences , Boston University School of Public Health , Boston , Massachusetts , USA.|b Department of Social and Behavioral Sciences , Harvard School of Public Health , Boston , Massachusetts , USA.
authors.forename: Monica L
authors.initials: ML
authors.lastname: Wang
authors.affiliation: c Massachusetts Rehabilitation Commission , Malden , Massachusetts , USA.
authors.forename: Julie
authors.initials: J
authors.lastname: Arroyo
authors.affiliation: d Division of Preventive and Behavioral Medicine , University of Massachusetts Medical School , Worcester , Massachusetts , USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Druker
authors.affiliation: e Baystate Medical Center , Springfield , Massachusetts , USA.
authors.forename: Heather Z
authors.initials: HZ
authors.lastname: Sankey
authors.affiliation: d Division of Preventive and Behavioral Medicine , University of Massachusetts Medical School , Worcester , Massachusetts , USA.
authors.forename: Milagros C
authors.initials: MC
authors.lastname: Rosal
mesh_terms: D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D003376:Counseling; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino; D006801:Humans; D007407:Interviews as Topic; D009765:Obesity / Q000208:ethnology / Q000209:etiology* / Q000523:psychology; D010817:Physician-Patient Relations; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology; D011263:Pregnancy Trimester, Third; D037841:Pregnant People / Q000208:ethnology* / Q000523:psychology; D011295:Prenatal Care / Q000379:methods*; D036301:Qualitative Research; D012959:Socioeconomic Factors; D015430:Weight Gain; D055815:Young Adult
keywords: Latina; gestational weight gain; obesity; qualitative