Preconception women's views of promoting preconception women's health in Australia.
pregnancy
qualitative methods
women's health
Journal
Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals
ISSN: 1036-1073
Titre abrégé: Health Promot J Austr
Pays: Australia
ID NLM: 9710936
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
07
04
2020
accepted:
05
08
2020
pubmed:
12
8
2020
medline:
25
2
2023
entrez:
12
8
2020
Statut:
ppublish
Résumé
Sub-optimal lifestyle choices made long before pregnancy have the potential to impact negatively maternal health and pregnancy outcomes. However, many women are unaware of this and do not seek preconception health advice. Using a descriptive qualitative approach, nonpregnant women (n = 31) aged 18-45 years were purposively recruited to participate in a focus group (n = 7) that explored how preconception health is prioritised and how to increase women's awareness and uptake of healthy lifestyle behaviours in the preconception period. Focus group transcripts were coded by two researchers and an inductive process was used to categorise codes into themes. Two themes and five sub-themes relating to the aims of this study were identified. Participants believed preconception health to be important for all women, while admitting that was not a high priority if not planning a pregnancy. Participants suggested a range of interventions that spanned the social-ecological model of health to engage preconception women in preventive actions and promote preconception health. These interventions included having access to reputable and easily accessible online sources of preconception health information, education and at secondary schools and public health campaigns. Future initiatives to engage preconception women should span the social-ecological model of health and consider women's personal preferences for accessible and tailored preconception health information and support at individual, interpersonal, community and organisational levels, as well as in the broader environment. SO WHAT?: This research provides guidance to those in health promotion when planning future initiatives to promote and protect women's preconception health.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
22-28Informations de copyright
© 2020 Australian Health Promotion Association.
Références
Catalano P. Maternal obesity and metabolic risk to the offspring: why lifestyle interventions may have not achieved the desired outcomes. Int J Obes. 2015;39:642-49.
Cheney K, Farber R, Barratt AL, McGeechan K, de Vries B, Ogle R, et al. Population attributable fractions of perinatal outcomes for nulliparous women associated with overweight and obesity, 1990-2014. Med J Aust. 2018;208:119-25.
Langley-Evans S. Nutrition in early life and the programming of adult disease: a review. J Hum Nutr Diet. 2015;28:1-14.
Stephenson J, Heslehurst N, Hall J, Schoenaker DA, Hutchinson J, Cade JE, et al. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. Lancet. 2018;391:1830-41.
Australian Institute of Health and Welfare. Nutrition across the life stages. Canberra, Australia: Australian Government; 2018. Available from: https://www.aihw.gov.au/reports/food-nutrition/nutrition-across-the-life-stages/contents/summary [cited 2020 Apr 7].
Australian Institute of Health and Welfare. Australia’s health 2018. Canberra, Australia: Australian Government; 2018. Available from: https://www.aihw.gov.au/reports/australias-health/australias-health-2018/contents/indicators-of-australias-health/fruit-and-vegetable-intake [cited 2020 Apr 7].
Australian Institute of Health and Welfare. Physical actvity across the life stages. Canberra, Australia: Australian Government; 2018. Available from: https://www.aihw.gov.au/reports/physical-activity/physical-activity-across-the-life-stages/contents/summary [cited 2020 Apr 7].
Stephenson J, Patel D, Barrett G, Howden B, Copas A, Ojukwu O, et al. How do women prepare for pregnancy? Preconception experiences of women attending antenatal services and views of health professionals. PLoS One. 2014;9:e103085.
Goodfellow A, Frank J, McAteer J, Rankin J. Improving preconception health and care: a situation analysis. BMC Health Serv Res. 2017;17:595.
Bateson DJ, Black KI. Pre-conception care: an important yet underutilised preventive care strategy. Med J Aust. 2018;209:389.
Goossens J, De Roose M, Van Hecke A, Goemaes R, Verhaeghe S, Beeckman D. Barriers and facilitators to the provision of preconception care by healthcare providers: a systematic review. Int J Nurs Stud. 2018;87:113-30.
Mazza D, Chapman A, Michie S. Barriers to the implementation of preconception care guidelines as perceived by general practitioners: a qualitative study. BMC Health Serv Res. 2013;13:36.
Gardiner P, Hempstead MB, Ring L, Bickmore T, Yinusa-Nyahkoon L, Tran H, et al. Reaching women through health information technology: the Gabby preconception care system. Am J Health Promot. 2013;27:eS11-eS20.
Jack B, Bickmore T, Hempstead M, Yinusa-Nyahkoon L, Sadikova E, Mitchell S, et al. Reducing preconception risks among African American women with conversational agent technology. J Am Board Fam Med. 2015;28:441-51.
The primary outcomes of this paper have been published. Blinded for peer review.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349-57.
Canadian Public Health Association. A vision for a health literate Canada: report of the expert panel on health literacy. Ottawa, ON: Canadian Public Health Association; 2020. Available from: https://www.cpha.ca/vision-health-literate-canada-report-expert-panel-health-literacy [cited 2020 Apr 7].
McCormack L, Thomas V, Lewis MA, Rudd R. Improving low health literacy and patient engagement: A social ecological approach. Patient Educ Counsel. 2017;100:8-13.
Walker R, Blumfield M, Truby H. Beliefs and advice-seeking behaviours for fertility and pregnancy: a cross-sectional study of a global sample. J Hum Nutr Diet. 2018;31:486-95.
Khan NN, Boyle JA, Lang AY, Harrison CL. Preconception health attitudes and behaviours of women: a qualitative investigation. Nutrients. 2019;11:1490.
Walker R, Kumar A, Blumfield M, Truby H. Maternal nutrition and weight management in pregnancy: a nudge in the right direction. Nutr Bull. 2018;43:69-78.
Mitchell A, Smith A, Carman M, Schlichthorst M, Walsh J, Pitts M. Sexuality Education in Australia in 2011 Monograph Series No. 81, Melbourne, Australia; 2011. Available from: https://www.latrobe.edu.au/__data/assets/pdf_file/0019/148060/Sexual-Education-in-Australia-2011.pdf [cited 2020 Aug 20].
Lynch M, Squiers L, Lewis MA, Moultrie R, Kish-Doto J, Boudewyns V, et al. Understanding women’s preconception health goals: Audience segmentation strategies for a preconception health campaign. Social Marketing Q. 2014;20:148-64.
Levis DM, Westbrook K. A content analysis of preconception health education materials: characteristics, strategies, and clinical-behavioral components. Am J Health Promotion. 2013;27(3):S36-S42.
Walker R, Morris H, Lang S, Hampton K, Boyle J, Skouteris H. Co-designing preconception and pregnancy care for healthy maternal lifestyles and obesity prevention. Women Birth. 2019. https://doi.org/10.1016/j.wombi.2019.11.005
Barker M, Dombrowski SU, Colbourn T, Fall CH, Kriznik NM, Lawrence WT, et al. Intervention strategies to improve nutrition and health behaviours before conception. Lancet. 2018;391:1853-64.