Conceptions of pregnancy health and motivations for healthful behavior change among women in American Samoa
| Autor: | Jeanette M Sternberg Lamb, Stephen T. McGarvey, Mata'uitafa Faiai, Erica Kocher, Nicola L. Hawley, Bethel T Muasau-Howard |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Gerontology Adolescent Maternal Health Health Behavior Psychological intervention Context (language use) Health Promotion Young Adult 03 medical and health sciences Social support 0302 clinical medicine Behavior Therapy Pregnancy Intervention (counseling) Maternity and Midwifery Humans Medicine Obesity 030212 general & internal medicine skin and connective tissue diseases Exercise Life Style Motivation 030219 obstetrics & reproductive medicine business.industry Behavior change Obstetrics and Gynecology medicine.disease language.human_language American Samoa language Samoan Female Pregnant Women sense organs Thematic analysis business Attitude to Health |
| Zdroj: | Women and Birth. 31:e32-e41 |
| ISSN: | 1871-5192 |
| DOI: | 10.1016/j.wombi.2017.06.011 |
| Popis: | Background American Samoan women are particularly at risk of obesity-related non-communicable disease (NCD), requiring efficacious interventions to protect their health and that of their infants. Prior studies have identified pregnancy as an ideal time for behavior change interventions related to NCD. Aim This study aimed to understand American Samoan women’s conceptions of health during pregnancy, their motivations for pregnancy behavior change, and the role of their family in both enabling and preventing these changes. Methods Eighteen women (2–19 weeks post-partum) completed semi-structured interviews that explored their experiences of pregnancy-related behavior change and social support. A thematic analysis identified prominent themes. A stages of change framework was used to describe the sample’s readiness for behavior change. Findings Participants expressed a Westernized conception of health during pregnancy that focused on eating a balanced diet and exercising regularly; behaviors that would usually be stigmatized outside of pregnancy. Many were in the contemplative/pre-contemplative stages of change, although some reported initiating healthful behaviors in pregnancy. Participants overwhelmingly described external motivations for adopting healthy behaviors, most notably the perceived benefit to their baby. During pregnancy, women reported protective treatment from their families as a result of communal ownership over the baby that is potentially limiting for women’s agency over their health. Conclusions This study confirmed pregnancy as an opportune moment for health behavior intervention, especially within the context of Samoan culture. Future efforts should capitalize on external motivations for behavior change but also encourage the development of internal motivators to sustain changes initiated in pregnancy post-partum. |
| Databáze: | OpenAIRE |
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