title: African American and White women׳s perceptions of weight gain, physical activity, and nutrition during pregnancy.
abstract: OBJECTIVE
  To describe African American and White women's perceptions of weight gain, physical activity, and nutrition during pregnancy and to explore differences in perceptions by race.
  
  
  METHODS
  Qualitative interview study.
  
  
  METHODS
  Two Ob/Gyn clinics in South Carolina, USA.
  
  
  METHODS
  Thirty pregnant women (15 African American, 15 White) between 20 and 30 weeks gestation, equally represented across pre-pregnancy BMI categories (10 normal weight, 10 overweight, and 10 obese).
  
  
  RESULTS
  White women more frequently described intentions to meet weight gain, physical activity, and dietary guidelines in pregnancy than African American women. African American women were more concerned with inadequate weight gain while White women more commonly expressed concerns about excessive weight gain. More White women discussed the importance of physical activity for weight management. Regardless of race, few women described risks of excessive weight gain or benefits of physical activity as it relates to the baby's health. The primary cited barrier of healthy eating was the high cost of fresh produce.
  
  
  CONCLUSIONS
  Several knowledge gaps as well as race differences were identified in women's perceptions and intentions toward weight gain, physical activity, and nutrition during pregnancy. Future interventions should seek to educate women about common misperceptions. It may be necessary to culturally tailor gestational weight gain interventions to optimise health outcomes.
authors.affiliation: Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA. Electronic address: whitaker@umn.edu.
authors.forename: Kara M
authors.initials: KM
authors.lastname: Whitaker
authors.affiliation: Department of Exercise Science, University of South Carolina, Columbia, SC, USA; Prevention Research Center, University of South Carolina, Columbia, SC, USA. Electronic address: swilcox@mailbox.sc.edu.
authors.forename: Sara
authors.initials: S
authors.lastname: Wilcox
authors.affiliation: Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA. Electronic address: jliu@mailbox.sc.edu.
authors.forename: Jihong
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Exercise Science, University of South Carolina, Columbia, SC, USA; Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA. Electronic address: sblair@mailbox.sc.edu.
authors.forename: Steven N
authors.initials: SN
authors.lastname: Blair
authors.affiliation: Department of Exercise Science, University of South Carolina, Columbia, SC, USA. Electronic address: rpate@mailbox.sc.edu.
authors.forename: Russell R
authors.initials: RR
authors.lastname: Pate
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D015444:Exercise; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D039382:Maternal Nutritional Physiological Phenomena; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D011247:Pregnancy; D011295:Prenatal Care; D013022:South Carolina / Q000453:epidemiology; D015430:Weight Gain / Q000208:ethnology*; D044465:White People; D055815:Young Adult
keywords: Nutrition; Physical activity; Pregnancy; Weight gain