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.
Key Words
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References
- Increased consumption of fruit and vegetables is related to a reduced risk of coronary heart disease: meta-analysis of cohort studies.J Hum Hypertens. 2007; 21: 717-728
- Fruit and vegetable consumption and stroke: meta-analysis of cohort studies.Lancet. 2006; 367: 320-326
- Fruit and vegetable intake and risk of wheezing and asthma: a systematic review and meta-analysis.Nutr Rev. 2014; 72: 411-428
Dietary Guidelines Advisory Committee. Scientific report of the 2015 Dietary Guidelines Advisory Committee. 2015. http://www.health.gov/dietaryguidelines/2015-scientific-report/. Accessed May 11, 2015.
Healthy Americas Institute. Healthy Americas Survey 2014. http://www.healthyamericasinstitute.org/healthy-americas-2014.html. Accessed November 4, 2015.
- Maternal obesity, metabolism, and pregnancy outcomes.Annu Rev Nutr. 2006; 26: 271-291
- Maternal dietary patterns during the second trimester are associated with preterm birth.J Nutr. 2015; 145: 1857-1864
- Risk factors for first trimester miscarriage: results from a UK-population-based case-control study.BJOG. 2007; 114: 170-186
- Diet and pre-eclampsia: a prospective multicentre case-control study in Ethiopia.Midwifery. 2015; 31: 617-624
- Diets rich in vegetables and physical activity are associated with a decreased risk of pregnancy induced hypertension among rural women from Kimpese, DR Congo.Niger J Med. 2008; 17: 45-49
- Fruit and vegetable intake and risk of upper respiratory tract infection in pregnant women.Public Health Nutr. 2010; 13: 276-282
- Prepregnancy low-carbohydrate dietary pattern and risk of gestational diabetes mellitus: a prospective cohort study.Am J Clin Nutr. 2014; 99: 1378-1384
- Associations of consumption of fruits and vegetables during pregnancy with infant birth weight or small for gestational age births: a systematic review of the literature.Int J Womens Health. 2014; 6: 899-912
- Pregnancy: a “teachable moment” for weight control and obesity prevention.Am J Obstet Gynecol. 2010; 202: 135.e131-135.e138
- Motivators and barriers to healthful eating and physical activity among low-income overweight and obese mothers.J Am Diet Assoc. 2008; 108: 1023-1028
- A qualitative study of perceived barriers to fruit and vegetable consumption among low-income populations, North Carolina, 2011.Prev Chron Dis. 2013; 10: E34
- Modeling health behavior change: how to predict and modify the adoption and maintenance of health behaviors.Appl Psychol. 2008; 57: 1-29
- How to overcome health compromising behaviors.Eur Psychologist. 2008; 13: 141-151
- Nutrient and food intakes differ among Latina subgroups during pregnancy.Public Health Nutr. 2012; 15: 341-351
- Low birth weight and Latino ethnicity: examining the epidemiologic paradox.Arch Pediatr Adolesc Med. 1997; 151: 665-674
- Testing the epidemiologic paradox of low birth weight in Latinos.Arch Pediatr Adolesc Med. 1999; 153: 147-153
Schwarzer R, Sniehotta FF, Lippke S, et al. On the assessment and analysis of variables in the Health Action Process Approach: conducting an investigation. 2003. http://userpage.fu-berlin.de/gesund/hapa_web.pdf. Accessed February 16, 2016.
- Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: the role of social support.Matern Child Health J. 2006; 10: 95-104
- Mediators and moderators of the effectiveness of a community health worker intervention that improved dietary outcomes in pregnant Latino women.Health Educ Behav. 2015; 42: 593-603
- Cultural factors affecting diet and pregnancy outcome of Mexican American adolescents.J Adolesc Health. 1999; 25: 227-237
- Low-income, pregnant, African American women's views on physical activity and diet.J Midwifery Womens Health. 2013; 58: 195-202
- A qualitative study of motivators and barriers to healthy eating in pregnancy for low-income, overweight, African-American mothers.J Acad Nutr Diet. 2013; 113: 1175-1181
- Food choices and practices during pregnancy of immigrant women with high-risk pregnancies in Canada: a pilot study.BMC Pregnancy Childbirth. 2014; 14: 370
- Food choice decision-making by women with gestational diabetes.Can J Diabetes. 2014; 38: 26-31
- If you stock it, will they buy it? Healthy food availability and customer purchasing behaviour within corner stores in Hartford, CT, USA.Public Health Nutr. 2012; 15: 1973-1978
- Dietary outcomes in a Spanish-language randomized controlled diabetes prevention trial with pregnant Latinas.Am J Public Health. 2014; 104: 526-533
- Factors affecting food choice in relation to fruit and vegetable intake: a review.Nutr Res Rev. 2002; 15: 373-387
- A qualitative study of pregnant teenagers' perceptions of the acceptability of a nutritional education intervention.Midwifery. 2003; 19: 140-147
- A randomised controlled trial to delay or prevent type 2 diabetes after gestational diabetes: walking for exercise and nutrition to prevent diabetes for you.Int J Endocrinol. 2015; 2015: 423717
- Change in breast self-examination behavior: effects of intervention on enhancing self-efficacy.Int J Behav Med. 2004; 11: 95-103
- Social-cognitive predictors of dietary behaviors in South Korean men and women.Int J Behav Med. 2008; 15: 4-13
Article info
Publication history
Accepted:
April 24,
2016
Footnotes
Conflict of Interest Disclosure: The authors' conflict of interest disclosures can be found online with this article on www.jneb.org.
Identification
Copyright
©2016 Society for Nutrition Education and Behavior. Published by Elsevier, Inc. All rights reserved.
