Healthcare Providers’ Advice About Gestational Weight Gain, Diet, and Exercise: a Cross-Sectional Study with Brazilian Immigrant Women in the USA
This study sought to quantify healthcare providers’ advice about gestational weight gain (GWG), diet, and exercise among first-time pregnant Brazilian women living in the USA. This is a cross-sectional study of first-time pregnant Brazilian women living in selected cities in Massachusetts. The study...
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| Veröffentlicht in: | Journal of racial and ethnic health disparities 2022-02, Vol.9 (1), p.23-31 |
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| creator | Lindsay, Ana Cristina Le, Qun Nogueira, Denise Lima Tavares Machado, Márcia M. Greaney, Mary L. |
| description | This study sought to quantify healthcare providers’ advice about gestational weight gain (GWG), diet, and exercise among first-time pregnant Brazilian women living in the USA. This is a cross-sectional study of first-time pregnant Brazilian women living in selected cities in Massachusetts. The study sample included 86 women, nearly all (97%;
n
= 83) immigrants. Participants’ mean age was 28.3 years and mean gestation was 27.5 weeks. Approximately 25.6% (
n
= 22) reported being overweight, and 1.2% (
n
= 1) being underweight. Only about 62% (
n
= 53) reported receiving advice from their healthcare provider on recommended GWG. In addition, about 83% (
n
= 71) and 81% (
n
= 70) reported receiving healthcare providers’ advice on exercise and diet, respectively. Women who self-reported being overweight pre-pregnancy (OR 0.15; 95% confidence interval [CI] 0.03–0.73;
p
= 0.02) and women who were classified low acculturation levels (OR 0.12; 95% CI 0.02–0.08;
p
= 0.03) were less likely to report receiving healthcare providers’ advice on GWG compared to women who self-reported being normal weight pre-pregnancy and those classified having high acculturation level, respectively. Furthermore, women who self-reported being overweight pre-pregnancy were less likely to report receiving diet-related advice (OR 0.32; 95% CI 0.10–1.02;
p
= 0.05) than women who self-reported being normal weight pre-pregnancy. Findings indicate the need for increased communication and counseling between healthcare providers and Brazilian immigrant women about GWG, in particular for women with low acculturation levels and language barriers suggesting the need for linguistic and culturally relevant interventions designed to improve Brazilian immigrant women’s access to evidence-based information about GWG, diet, and exercise. |
| doi_str_mv | 10.1007/s40615-020-00926-0 |
| format | Article |
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n
= 83) immigrants. Participants’ mean age was 28.3 years and mean gestation was 27.5 weeks. Approximately 25.6% (
n
= 22) reported being overweight, and 1.2% (
n
= 1) being underweight. Only about 62% (
n
= 53) reported receiving advice from their healthcare provider on recommended GWG. In addition, about 83% (
n
= 71) and 81% (
n
= 70) reported receiving healthcare providers’ advice on exercise and diet, respectively. Women who self-reported being overweight pre-pregnancy (OR 0.15; 95% confidence interval [CI] 0.03–0.73;
p
= 0.02) and women who were classified low acculturation levels (OR 0.12; 95% CI 0.02–0.08;
p
= 0.03) were less likely to report receiving healthcare providers’ advice on GWG compared to women who self-reported being normal weight pre-pregnancy and those classified having high acculturation level, respectively. Furthermore, women who self-reported being overweight pre-pregnancy were less likely to report receiving diet-related advice (OR 0.32; 95% CI 0.10–1.02;
p
= 0.05) than women who self-reported being normal weight pre-pregnancy. Findings indicate the need for increased communication and counseling between healthcare providers and Brazilian immigrant women about GWG, in particular for women with low acculturation levels and language barriers suggesting the need for linguistic and culturally relevant interventions designed to improve Brazilian immigrant women’s access to evidence-based information about GWG, diet, and exercise.</description><identifier>ISSN: 2197-3792</identifier><identifier>ISSN: 2196-8837</identifier><identifier>EISSN: 2196-8837</identifier><identifier>DOI: 10.1007/s40615-020-00926-0</identifier><identifier>PMID: 33206356</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Acculturation ; Adult ; Body Mass Index ; Body weight ; Body weight gain ; Brazil ; Cross-Sectional Studies ; Cultural factors ; Diet ; Emigrants and Immigrants ; Epidemiology ; Exercise ; Female ; Gestational Weight Gain ; Health care ; Health care industry ; Health Personnel ; Health services ; Humans ; Immigrants ; Medicine ; Medicine & Public Health ; Obesity ; Overweight ; Pregnancy ; Prenatal Care ; Quality of Life Research ; Social Inequality ; Social Structure ; Sociodemographics ; Underweight ; Weight gain ; Women ; Womens health</subject><ispartof>Journal of racial and ethnic health disparities, 2022-02, Vol.9 (1), p.23-31</ispartof><rights>W. Montague Cobb-NMA Health Institute 2020</rights><rights>2020. W. Montague Cobb-NMA Health Institute.</rights><rights>W. Montague Cobb-NMA Health Institute 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-96779fccf92044d5fd7c95ee4600647a9acc6283628ea8609b094d23bf8600ee3</citedby><cites>FETCH-LOGICAL-c375t-96779fccf92044d5fd7c95ee4600647a9acc6283628ea8609b094d23bf8600ee3</cites><orcidid>0000-0002-2520-0493</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40615-020-00926-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2932185843?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,12721,12800,12827,21369,21370,21372,27325,27905,27906,30980,33511,33512,33725,33726,33755,33986,33987,35786,35787,35791,35792,41469,42538,43640,43786,43934,44310,44311,51300,64364,64366,64368,72218</link.rule.ids><linktorsrc>$$Uhttps://www.proquest.com/docview/2932185843?pq-origsite=primo$$EView_record_in_ProQuest$$FView_record_in_$$GProQuest</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33206356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lindsay, Ana Cristina</creatorcontrib><creatorcontrib>Le, Qun</creatorcontrib><creatorcontrib>Nogueira, Denise Lima</creatorcontrib><creatorcontrib>Tavares Machado, Márcia M.</creatorcontrib><creatorcontrib>Greaney, Mary L.</creatorcontrib><title>Healthcare Providers’ Advice About Gestational Weight Gain, Diet, and Exercise: a Cross-Sectional Study with Brazilian Immigrant Women in the USA</title><title>Journal of racial and ethnic health disparities</title><addtitle>J. Racial and Ethnic Health Disparities</addtitle><addtitle>J Racial Ethn Health Disparities</addtitle><description>This study sought to quantify healthcare providers’ advice about gestational weight gain (GWG), diet, and exercise among first-time pregnant Brazilian women living in the USA. This is a cross-sectional study of first-time pregnant Brazilian women living in selected cities in Massachusetts. The study sample included 86 women, nearly all (97%;
n
= 83) immigrants. Participants’ mean age was 28.3 years and mean gestation was 27.5 weeks. Approximately 25.6% (
n
= 22) reported being overweight, and 1.2% (
n
= 1) being underweight. Only about 62% (
n
= 53) reported receiving advice from their healthcare provider on recommended GWG. In addition, about 83% (
n
= 71) and 81% (
n
= 70) reported receiving healthcare providers’ advice on exercise and diet, respectively. Women who self-reported being overweight pre-pregnancy (OR 0.15; 95% confidence interval [CI] 0.03–0.73;
p
= 0.02) and women who were classified low acculturation levels (OR 0.12; 95% CI 0.02–0.08;
p
= 0.03) were less likely to report receiving healthcare providers’ advice on GWG compared to women who self-reported being normal weight pre-pregnancy and those classified having high acculturation level, respectively. Furthermore, women who self-reported being overweight pre-pregnancy were less likely to report receiving diet-related advice (OR 0.32; 95% CI 0.10–1.02;
p
= 0.05) than women who self-reported being normal weight pre-pregnancy. Findings indicate the need for increased communication and counseling between healthcare providers and Brazilian immigrant women about GWG, in particular for women with low acculturation levels and language barriers suggesting the need for linguistic and culturally relevant interventions designed to improve Brazilian immigrant women’s access to evidence-based information about GWG, diet, and exercise.</description><subject>Acculturation</subject><subject>Adult</subject><subject>Body Mass Index</subject><subject>Body weight</subject><subject>Body weight gain</subject><subject>Brazil</subject><subject>Cross-Sectional Studies</subject><subject>Cultural factors</subject><subject>Diet</subject><subject>Emigrants and Immigrants</subject><subject>Epidemiology</subject><subject>Exercise</subject><subject>Female</subject><subject>Gestational Weight Gain</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Health Personnel</subject><subject>Health services</subject><subject>Humans</subject><subject>Immigrants</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Pregnancy</subject><subject>Prenatal Care</subject><subject>Quality of Life Research</subject><subject>Social Inequality</subject><subject>Social Structure</subject><subject>Sociodemographics</subject><subject>Underweight</subject><subject>Weight gain</subject><subject>Women</subject><subject>Womens health</subject><issn>2197-3792</issn><issn>2196-8837</issn><issn>2196-8837</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>LD-</sourceid><sourceid>LD.</sourceid><sourceid>QXPDG</sourceid><recordid>eNp9kcFu1DAQhiNERavSF-CALHHhUMPETuyY27ItbaVKIC1Vj5bXmey6SpxiO6XlxDtw4vV4EtzuFiQOHKyxx9__W-O_KF6U8KYEkG9jBaKsKTCgAIoJCk-KPVYqQZuGy6cPe0m5VGy3OIjxCgBKVteKi2fFLucMBK_FXvHjFE2f1tYEJJ_CeONaDPHX959k1t44i2S2HKdETjAmk9zoTU8u0a3WuWWcPyRHDtMhMb4lx7cYrIv4jhgyD2OMdIF2K1mkqb0jX11ak_fBfHO9M56cDYNbBeMTuRwH9MR5ktZILhaz58VOZ_qIB9u6X1x8OP48P6XnH0_O5rNzarmsE1VCStVZ2ykGVdXWXSutqhErASAqaZSxVrCG54WmEaCWoKqW8WWXD4DI94vXG9_rMH6Z8oh6cNFi3xuP4xQ1q0TZ1ELwMqOv_kGvxink2TKlOMtYU_FMsQ1l7z8gYKevgxtMuNMl6PvU9CY1nVPTD6lpyKKXW-tpOWD7R_KYUQb4Boj5yq8w_H37P7a_AT_VolE</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Lindsay, Ana Cristina</creator><creator>Le, Qun</creator><creator>Nogueira, Denise Lima</creator><creator>Tavares Machado, Márcia M.</creator><creator>Greaney, Mary L.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7U4</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWI</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>LD-</scope><scope>LD.</scope><scope>M0S</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>QXPDG</scope><scope>WZK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2520-0493</orcidid></search><sort><creationdate>20220201</creationdate><title>Healthcare Providers’ Advice About Gestational Weight Gain, Diet, and Exercise: a Cross-Sectional Study with Brazilian Immigrant Women in the USA</title><author>Lindsay, Ana Cristina ; Le, Qun ; Nogueira, Denise Lima ; Tavares Machado, Márcia M. ; Greaney, Mary L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-96779fccf92044d5fd7c95ee4600647a9acc6283628ea8609b094d23bf8600ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acculturation</topic><topic>Adult</topic><topic>Body Mass Index</topic><topic>Body weight</topic><topic>Body weight gain</topic><topic>Brazil</topic><topic>Cross-Sectional Studies</topic><topic>Cultural factors</topic><topic>Diet</topic><topic>Emigrants and Immigrants</topic><topic>Epidemiology</topic><topic>Exercise</topic><topic>Female</topic><topic>Gestational Weight Gain</topic><topic>Health care</topic><topic>Health care industry</topic><topic>Health Personnel</topic><topic>Health services</topic><topic>Humans</topic><topic>Immigrants</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Pregnancy</topic><topic>Prenatal Care</topic><topic>Quality of Life Research</topic><topic>Social Inequality</topic><topic>Social Structure</topic><topic>Sociodemographics</topic><topic>Underweight</topic><topic>Weight gain</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lindsay, Ana Cristina</creatorcontrib><creatorcontrib>Le, Qun</creatorcontrib><creatorcontrib>Nogueira, Denise Lima</creatorcontrib><creatorcontrib>Tavares Machado, Márcia M.</creatorcontrib><creatorcontrib>Greaney, Mary L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Sociological Abstracts</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>Sociological Abstracts</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Ethnic NewsWatch</collection><collection>Ethnic NewsWatch (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Environmental Science Collection</collection><collection>Diversity Collection</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of racial and ethnic health disparities</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Lindsay, Ana Cristina</au><au>Le, Qun</au><au>Nogueira, Denise Lima</au><au>Tavares Machado, Márcia M.</au><au>Greaney, Mary L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthcare Providers’ Advice About Gestational Weight Gain, Diet, and Exercise: a Cross-Sectional Study with Brazilian Immigrant Women in the USA</atitle><jtitle>Journal of racial and ethnic health disparities</jtitle><stitle>J. Racial and Ethnic Health Disparities</stitle><addtitle>J Racial Ethn Health Disparities</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>9</volume><issue>1</issue><spage>23</spage><epage>31</epage><pages>23-31</pages><issn>2197-3792</issn><issn>2196-8837</issn><eissn>2196-8837</eissn><abstract>This study sought to quantify healthcare providers’ advice about gestational weight gain (GWG), diet, and exercise among first-time pregnant Brazilian women living in the USA. This is a cross-sectional study of first-time pregnant Brazilian women living in selected cities in Massachusetts. The study sample included 86 women, nearly all (97%;
n
= 83) immigrants. Participants’ mean age was 28.3 years and mean gestation was 27.5 weeks. Approximately 25.6% (
n
= 22) reported being overweight, and 1.2% (
n
= 1) being underweight. Only about 62% (
n
= 53) reported receiving advice from their healthcare provider on recommended GWG. In addition, about 83% (
n
= 71) and 81% (
n
= 70) reported receiving healthcare providers’ advice on exercise and diet, respectively. Women who self-reported being overweight pre-pregnancy (OR 0.15; 95% confidence interval [CI] 0.03–0.73;
p
= 0.02) and women who were classified low acculturation levels (OR 0.12; 95% CI 0.02–0.08;
p
= 0.03) were less likely to report receiving healthcare providers’ advice on GWG compared to women who self-reported being normal weight pre-pregnancy and those classified having high acculturation level, respectively. Furthermore, women who self-reported being overweight pre-pregnancy were less likely to report receiving diet-related advice (OR 0.32; 95% CI 0.10–1.02;
p
= 0.05) than women who self-reported being normal weight pre-pregnancy. Findings indicate the need for increased communication and counseling between healthcare providers and Brazilian immigrant women about GWG, in particular for women with low acculturation levels and language barriers suggesting the need for linguistic and culturally relevant interventions designed to improve Brazilian immigrant women’s access to evidence-based information about GWG, diet, and exercise.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33206356</pmid><doi>10.1007/s40615-020-00926-0</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-2520-0493</orcidid></addata></record> |
| fulltext | fulltext_linktorsrc |
| identifier | ISSN: 2197-3792 |
| ispartof | Journal of racial and ethnic health disparities, 2022-02, Vol.9 (1), p.23-31 |
| issn | 2197-3792 2196-8837 2196-8837 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2461856631 |
| source | Ethnic NewsWatch (Alumni) |
| subjects | Acculturation Adult Body Mass Index Body weight Body weight gain Brazil Cross-Sectional Studies Cultural factors Diet Emigrants and Immigrants Epidemiology Exercise Female Gestational Weight Gain Health care Health care industry Health Personnel Health services Humans Immigrants Medicine Medicine & Public Health Obesity Overweight Pregnancy Prenatal Care Quality of Life Research Social Inequality Social Structure Sociodemographics Underweight Weight gain Women Womens health |
| title | Healthcare Providers’ Advice About Gestational Weight Gain, Diet, and Exercise: a Cross-Sectional Study with Brazilian Immigrant Women in the USA |
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