Drivers and facilitators of weight stigma among preconception, pregnant, and postpartum women: A systematic review

Obesity Reviews, Год журнала: 2024, Номер unknown

Опубликована: Фев. 12, 2024

Summary Women in the preconception, pregnant, or postpartum period are susceptible to weight stigma, particularly due risk of excess gain during reproductive life and negative effects stigma on health both mother child. Identifying drivers facilitators will help guide focused prevention interventions. This systematic review aimed identify among women. In May 2022, Medline, Embase, PsycINFO, Maternity Infant Care Database were searched for peer‐reviewed articles published since 2010 using search terms AND OR postpartum. Of 1724 identified, 34 fulfilled inclusion criteria included a narrative synthesis. reported facing insensitive language, misconceptions about obesity across all settings, inappropriate media representation. The unavailability appropriate equipment at facilities was by women professionals. Our findings indicate that rigorous effort stakeholders is necessary promote regulatory, legal, educational initiatives designed reduce discrimination against period.

Язык: Английский

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Effectiveness of a nurse‐led mHealth app to prevent excessive gestational weight gain among overweight and obese women: A randomized controlled trial

Journal of Nursing Scholarship, Год журнала: 2022, Номер 55(1), С. 304 - 318

Опубликована: Сен. 19, 2022

Abstract Objective To explore the effectiveness of a nurse‐led mobile health (mHealth) intervention to prevent excessive gestational weight gain (GWG) in overweight and obese women. Methods A randomized controlled trial with an experimental study design. Ninety‐two pregnant women body mass index (BMI) ≥25 kg/m 2 at less than 17 weeks gestation were recruited from two prenatal clinics northern Taiwan January June 2020. The group used MyHealthyWeight (MHW) app wearable activity tracker (WAT), controls received standard antenatal treatments no mHealth‐based elements. Two hospital follow‐up visits scheduled 24–26 second trimester 34–36 third trimester. generalized estimating equation (GEE) was examine trajectories mHealth on GWG. Results No difference GWG found between control groups baseline ( p > 0.05). trajectory entire cohort obesity exhibited quadratic pattern (ß = 1.8, 95% confidence interval [CI] 1.27–2.32), participants' weekly gained significantly lower their < Throughout pregnancy, had proportion individuals who exceeded both total (21.6% vs. 32.6%) (first 58.7% 65.2%; 45% 67.4%; 48.6% 55.1%). In particular, among trimester, those controls. adjusted 5.44 kg 0.023), signifying (3.30 8.74 kg) means groups. GEE model indicated that aged 35 years, prepregnancy exercise habits, perceived self‐efficacy diet, more physical tended have low Conclusions shows promising results preventing high‐BMI More subgroup. Clinical relevance would be successfully implemented by nurses help maintain optimal promote healthy behavioral changes, particularly diet during pregnancy.

Язык: Английский

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Exploring body dissatisfaction in pregnancy and the association with gestational weight gain, obesity, and weight stigma

Midwifery, Год журнала: 2023, Номер 119, С. 103627 - 103627

Опубликована: Фев. 13, 2023

Язык: Английский

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SWIPE: a conceptual, multi-perspective model for understanding and informing interventions for weight stigma in preconception, pregnancy, and postpartum

Health Psychology Review, Год журнала: 2024, Номер unknown, С. 1 - 17

Опубликована: Апрель 1, 2024

Weight stigma is salient across the preconception, pregnancy, and postpartum (PPP) periods because of prevailing prescriptive norms expectations about weight gain during reproductive period. associated with negative physical psychological health outcomes for mother child. A clearly defined, multi-level conceptual model interventions, research, policy critical to mitigating adverse effects in PPP populations. Conceptual models towards women have advanced our understanding this issue guided evidence accumulation but there remains a gap informing translation into action. Guided by evidence-based paradigms development, paper has two primary objectives. First, we review summarise theories, frameworks, from population general literature inform development perpetuation women. Second, propose novel comprehensive intervention-guiding that draws synthesises multiple disciplines - SWIPE (Stigma In Experience) model. This will help plan coordinated, multi-layered, effective strategies reduce ultimately eliminate

Язык: Английский

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The (un)controlled body: A grounded theory analysis to conceptualise stigma for women with gestational diabetes mellitus

Journal of Health Psychology, Год журнала: 2024, Номер unknown

Опубликована: Апрель 16, 2024

Health-related stigma is associated with adverse outcomes including depression, stress and reduced engagement in health behaviours which are particularly harmful pregnancy the postpartum. Women gestational diabetes mellitus (GDM) report negative psychosocial experiences may be at risk of related to condition. We aimed understand women’s GDM-specific stigma. Individual interviews were conducted n = 53 women living UK a current or past (within 4 years) GDM. Grounded theory methodology was used analyse data. Four themes identified: (1) Preconceptions misconceptions; (2) Locating, regaining, negotiating agency; (3) Tension about resisting dominant discourse stigma; (4) Reclaiming control over body. diverse far reaching have broader implications for perinatal mental postnatal wellbeing. It pertinent investigate possible prospective associations between stigma, biomedical outcomes.

Язык: Английский

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Intersecting Expectations when Expecting: Pregnancy-Related Weight Stigma in Women of Colour

Journal of Immigrant and Minority Health, Год журнала: 2024, Номер 26(6), С. 1008 - 1015

Опубликована: Июль 17, 2024

Язык: Английский

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Who drives weight stigma? A multinational exploration of clustering characteristics behind weight bias against preconception, pregnant, and postpartum women

International Journal of Obesity, Год журнала: 2025, Номер unknown

Опубликована: Янв. 28, 2025

Abstract Background Weight bias is a global health challenge and community members are endorsed as the most common source of weight bias. The nature biases specifically against preconception, pregnant, postpartum (PPP) women from perspective not known, especially in terms cross-cultural trends. We investigated magnitude explicit implicit profiles characteristics associated with harbouring Methods conducted multinational investigation clusters factors PPP (May–July 2023). Community Australia, Canada, United States (US), Kingdom (UK), Malaysia, India completed cross-sectional survey measuring biases, beliefs about controllability, awareness sociocultural body ideals. Hierarchical multiple regression latent profile analyses identified Results Participants reported lowest (B = −0.45, p 0.02). Australia −0.14, 0.04) UK −0.16, 0.02) (vs. US) Three distinct were clustering on mass index (BMI) weight-controllability beliefs: low-BMI/moderate-beliefs, high-BMI/more biased , high-BMI/less . Profile membership varied by country residence outcomes low-BMI/moderate-beliefs containing more people non-Western countries low Conclusions Explicit was harboured participants across all included nations, although less pronounced countries. Our highlight that individuals who held stronger belief controllable, regardless their weight, should be targeted for interventions to eliminate stigma.

Язык: Английский

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Perceived Weight Stigma and Disordered Eating Behaviors among Postpartum Women: The Mediating Role of Weight Bias Internalization and Postpartum Depression

International Journal of Nursing Studies Advances, Год журнала: 2025, Номер 8, С. 100306 - 100306

Опубликована: Фев. 7, 2025

Weight stigma is linked to adverse effects, but whether it directly heightens the risk of disordered eating behaviors or psychological factors mediate this connection among postpartum women uncertain. To investigate relationship between perceived weight and (restrained eating, emotional external eating) identify mediating role bias internalization depression (PPD). This cross-sectional study involved 507 women. Data were collected anonymously using self-reported questionnaires, including Perceived Stigma Questionnaire, Bias Internalization Scale, Edinburgh Postpartum Depression Dutch Eating Behavior Questionnaire. analyzed descriptive statistics, Pearson's correlation analysis, hierarchical linear regression, mediation analysis. The results showed that was fully mediated by PPD. Specifically, associated with greater internalization, which PPD, PPD behaviors. may be first propose a chain model exploring roles in findings enhance understanding impacts perinatal underscore importance addressing care. Comprehensive interventions should developed health reduce

Язык: Английский

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Experiencing weight stigma during childbirth increases the odds of cesarean birth

BMC Pregnancy and Childbirth, Год журнала: 2025, Номер 25(1)

Опубликована: Фев. 21, 2025

Abstract Background Weight-biased clinical practices and institutional characteristics can have a wide impact on the quality of care provided to women with obesity. This may substantially increase their risks for poor birth outcomes. The current study assessed experienced weight stigma by during childbirth in maternity settings Switzerland. We aimed identify frequencies, sources, manifestations weight-related stigmatization, hypothesizing that such impacts outcomes, specifically cesarean (CB). Methods Data from nationwide cross-sectional online survey was used investigate childbirth. Binomial logistic regression applied predict CB stigma. Mediation analysis role association between body mass index (BMI) CB. Results In total 1352 who gave last five years, obesity (BMI ≥ 30 kg/m2) more often than peers healthy 18.5–24.9 kg/m2). Obstetricians were identified as major source stigma, accounting 77.8% stigmatization women, compared perceived nurses (21.7%) midwives (23.8%). Overall, mostly form dismissive or critical comments towards woman’s figure weight. Significantly indicated being blamed healthy-weighted (χ²(2) = 22.2, P < 0.001). An frequency related higher odds intrapartum ([aOR], 1.08; 95% CI, 1.02,1.15; 0.05), it partially mediated relationship increased pre-pregnancy BMI (b 0.07, SE 0.029; 0.05). Conclusion Women reported highest proportion childbirth, experiencing frequently without associated Raising awareness among healthcare providers reducing potential biases improve health outcomes

Язык: Английский

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Healthcare related barriers and enablers for weight management among pregnant women with overweight and obesity: a rapid scoping review

BMC Pregnancy and Childbirth, Год журнала: 2025, Номер 25(1)

Опубликована: Март 7, 2025

Abstract Background Overweight and obesity in pregnancy are associated with health risks for women babies. Providing effective weight management during is necessary to support appropriate gestational gain improve outcomes their infants. This study aimed synthesise evidence documenting healthcare-related barriers enablers among pregnant overweight or English-speaking high-income countries. Methods An initial rapid scoping review focusing on the all populations was undertaken. Due unique needs of women, this analysed a sub-set publications collected pertaining women. All publication types (except protocols conference abstracts) were eligible inclusion. The search limited from 2010 onwards. Academic grey literature identified, screened, data extracted. Findings summarised thematically. Results search, including populations, identified 12,762 abstracts, 181 full-text articles. Of these, 22 focused living obesity. A further four articles via citation searches included healthcare settings fell under three broad themes: (1) access to, engagement with, advice (2), challenges providing settings, (3) provider confidence pregnancy. Conclusion Pregnant not receiving adequate guidance. Multi-level strategies needed ensure have care that stigma-free, easily accessible, tailored individual fosters positive relationships providers.

Язык: Английский

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