The Association of Avoidance Coping with Gestational Weight Gain among Pregnant Black Women. (March 2023)

• Record Type: Journal Article
• Authors: Hyer, Suzanne; Vaughan, Sarah; Davis, Jean W.; Xie, Rui; Misra, Dawn; Giurgescu, Carmen
• Is Part Of: Western journal of nursing research. Volume 45:Number 3(2023)
• Page Start: 226
• Page End: 233
• Publication Date: 2023-03
• Subjects: gestational weight gain -- adaptation -- psychological -- pregnancy -- Blacks -- female; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Nursing -- Research -- West (U.S.) -- Periodicals; Nursing -- West (U.S.) -- Periodicals; Nursing -- Periodicals; Nursing Research -- Periodicals; Soins infirmiers -- Recherche -- Périodiques; Soins infirmiers -- Périodiques; Soins infirmiers -- Recherche -- États-Unis (Ouest) -- Périodiques; Soins infirmiers -- États-Unis (Ouest) -- Périodiques; Soins infirmiers; Recherche; États-Unis (Ouest); Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 610.730702
• DOI: 10.1177/01939459221127800
• Languages: English
• ISSNs: 0193-9459

Abstract

Gestational weight gain (GWG) outside recommended parameters can lead to pregnancy or birth complications. Avoidance coping may influence GWG. We examined the association of avoidance coping with GWG among a sample of 112 pregnant Black women in the Midwest. Participants completed avoidance coping questionnaires at three time points throughout pregnancy. Data were abstracted from medical records for BMI and GWG. Overall, 23.2% gained inadequate weight, 30.4% adequate weight, and 46.4% excess weight. Multinomial logistic regression models indicated associations between avoidance coping and GWG adjusted for covariates. Participants with higher avoidance coping scores at 22–29 weeks' gestation were more likely to experience excess weight gain (odds ratio [ OR ] = 1.19, 95% CI [1.02, 1.37]). Participants with higher avoidance coping scores at 30–36 weeks' gestation were less likely to experience excess weight gain, ( OR = 0.82, 95% CI [0.72, 0.93]). The impact of higher avoidance coping on excess weight gain depends on the time period in pregnancy.