Patient and obstetric provider communication regarding weight gain management among socioeconomically disadvantaged African American women who are overweight/obese

Rachel A. Tinius, Julia D. López, W. Todd Cade, Richard I. Stein, Debra Haire-Joshu, Alison G. Cahill

Research output: Contribution to journalArticle

Abstract

To examine the communication between obstetric providers and their socioeconomically disadvantaged, African American patients who are overweight and obese during pregnancy, and whether this communication relates to outcomes. Pregnant patients and their obstetric providers were surveyed between October 2012 and March 2016 at Washington University School of Medicine in St. Louis, MO. Percent agreement between patients’ and obstetric providers’ survey responses was analyzed and measured (κ coefficient). Descriptive and multilevel logistic regression analyses aimed at identifying the relation of perceived communication between providers and patients to gestational weight gain, diet, and exercise during pregnancy. A total of 99 pregnant women and 18 obstetric providers participated in the study. Significant lack of agreement was observed between patients and obstetric providers regarding communication about weight gain recommendations, risk factors associated with excessive weight gain, what constitutes adequate exercise per week, exercise recommendations, dietary recommendations, and risk factors associated with a poor diet. Our findings suggest patients were not receiving intended messages from their obstetric providers. Thus, more effective patient-obstetric provider communication is needed regarding gestational weight gain, exercise and dietary recommendations among overweight/obese, socioeconomically disadvantaged, African American women.

Original languageEnglish (US)
Pages (from-to)156-167
Number of pages12
JournalWomen and Health
Volume60
Issue number2
DOIs
StatePublished - Feb 7 2020

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Vulnerable Populations
African Americans
Obstetrics
Weight Gain
Communication
Exercise
Diet
Pregnancy
Pregnant Women
Logistic Models
Regression Analysis
Medicine

Keywords

  • Gestational weight gain
  • patient-provider communication
  • pregnancy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Patient and obstetric provider communication regarding weight gain management among socioeconomically disadvantaged African American women who are overweight/obese. / Tinius, Rachel A.; López, Julia D.; Cade, W. Todd; Stein, Richard I.; Haire-Joshu, Debra; Cahill, Alison G.

In: Women and Health, Vol. 60, No. 2, 07.02.2020, p. 156-167.

Research output: Contribution to journalArticle

Tinius, Rachel A. ; López, Julia D. ; Cade, W. Todd ; Stein, Richard I. ; Haire-Joshu, Debra ; Cahill, Alison G. / Patient and obstetric provider communication regarding weight gain management among socioeconomically disadvantaged African American women who are overweight/obese. In: Women and Health. 2020 ; Vol. 60, No. 2. pp. 156-167.
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