Amber Hromi-Fiedler1, Donna Chapman2, Sofia Segura-Pérez3, Grace Damio3, Pamela Clark4, Josefa Martinez5, Rafael Pérez-Escamilla5. 1. Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, CT. Electronic address: amber.hromi-fiedler@yale.edu. 2. Exercise Science and Sports Studies Department, Springfield College, Springfield, MA. 3. Hispanic Health Council, Hartford, CT. 4. Women's Ambulatory Health Services, Hartford Hospital, Hartford, CT. 5. Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, CT.
Abstract
OBJECTIVE: Identify barriers and facilitators to improve prenatal fruit and vegetable (F&V) intake among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-eligible Latinas using the Health Action Process Approach framework. DESIGN: Qualitative data were collected via audiotaped in-depth interviews as part of a larger study to design an intervention to increase prenatal F&V intake. SETTING: Hartford, Connecticut. PARTICIPANTS: Forty-five WIC-eligible Latinas completed the study. Included women were: ≥ 18 years old; in 2nd or 3rd trimester; having a singleton pregnancy; overweight or obese (ie, pregravid body mass index ≥ 25); not on a restricted diet; nonsmokers. PHENOMENON OF INTEREST: Prenatal factors that promote and hinder F&V intake. ANALYSIS: Transcripts were independently read and coded, and a consensus was reached about emerging themes. RESULTS: Ten factors influenced prenatal F&V intake: social support, family structure, F&V access, F&V preferences, F&V knowledge, F&V health outcome expectations, self-efficacy, intentions, F&V action/coping planning strategies, and maternal health status. CONCLUSIONS AND IMPLICATIONS: Social support from family/friends emerged as the primary distal factor driving prenatal F&V intake. Interventions designed to empower pregnant Latinas to gain the access, confidence, knowledge, and strategies necessary to consume more F&Vs must consider strengthening support to achieve the desired outcome.
OBJECTIVE: Identify barriers and facilitators to improve prenatal fruit and vegetable (F&V) intake among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-eligible Latinas using the Health Action Process Approach framework. DESIGN: Qualitative data were collected via audiotaped in-depth interviews as part of a larger study to design an intervention to increase prenatal F&V intake. SETTING: Hartford, Connecticut. PARTICIPANTS: Forty-five WIC-eligible Latinas completed the study. Included women were: ≥ 18 years old; in 2nd or 3rd trimester; having a singleton pregnancy; overweight or obese (ie, pregravid body mass index ≥ 25); not on a restricted diet; nonsmokers. PHENOMENON OF INTEREST: Prenatal factors that promote and hinder F&V intake. ANALYSIS: Transcripts were independently read and coded, and a consensus was reached about emerging themes. RESULTS: Ten factors influenced prenatal F&V intake: social support, family structure, F&V access, F&V preferences, F&V knowledge, F&V health outcome expectations, self-efficacy, intentions, F&V action/coping planning strategies, and maternal health status. CONCLUSIONS AND IMPLICATIONS: Social support from family/friends emerged as the primary distal factor driving prenatal F&V intake. Interventions designed to empower pregnant Latinas to gain the access, confidence, knowledge, and strategies necessary to consume more F&Vs must consider strengthening support to achieve the desired outcome.
Authors: Clélia M Bianchi; François Mariotti; Elodie Reulet; Gaëlle Le Goff; Anne Lluch; Eric O Verger; Jean-François Huneau; Patricia Gurviez Journal: Nutrients Date: 2021-12-25 Impact factor: 5.717