| Autor: |
Burton TCJ; Department of Pharmacy Practice, University of Illinois Chicago, 833. S. Wood Street, Chicago, IL 60612, USA., Crooks N; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave., Chicago, IL 60612, USA., Pezley L; Department of Kinesiology and Nutrition, University of Illinois Chicago, 1919 W. Taylor St., Chicago, IL 60612, USA., Hemphill NO; Department of Kinesiology and Nutrition, University of Illinois Chicago, 1919 W. Taylor St., Chicago, IL 60612, USA., Li Y; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave., Chicago, IL 60612, USA., Sawatpanich A; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave., Chicago, IL 60612, USA.; Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Rd., Ratchathewi, Bangkok 10400, Thailand., Farrow V; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave., Chicago, IL 60612, USA., Erbe K; Yvonne L. Munn Center for Nursing Research, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA., Kessee N; Department of Kinesiology and Nutrition, University of Illinois Chicago, 1919 W. Taylor St., Chicago, IL 60612, USA., Reed L; New Moms, 5317 W. Chicago Ave., Chicago, IL 606051, USA., Tussing-Humphreys L; Department of Kinesiology and Nutrition, University of Illinois Chicago, 1919 W. Taylor St., Chicago, IL 60612, USA., Koenig MD; Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave., Chicago, IL 60612, USA. |
| Abstrakt: |
Black pregnant women in Chicago are disproportionately affected by maternal morbidity and mortality and are more likely to reside in neighborhoods that experience greater economic hardships and food apartheid than any other race/ethnicity. Addressing social determinants of health such as structural inequities, economic environment, and food apartheid issues may provide insights into eliminating Black maternal morbidity and mortality disparities. This study explores food choice determinants and dietary perspectives of young, urban, Black pregnant women. Two audio-recorded focus groups were conducted in Chicago, IL between March 2019 and June 2019 to discuss pregnancy experiences and factors affecting maternal nutrition. Thematic analysis was used to identify the codes, themes, and subthemes of the data. Data analysis was guided by the Social Ecological Model (SEM) as a theoretical framework. Eleven, young, Black women were recruited. Three major themes were discussed across the SEM levels that influenced food choice including food access, stress and family influences on eating, and the need for nutritional education during pregnancy. These choices were primarily rooted in the detrimental effects of food apartheid experienced within the participants' neighborhoods. Therefore, acknowledging, understanding, and addressing food apartheid and its impact on Black maternal health disparities is needed in clinical practice, research, and policy change. |
