Structural Vulnerability Factors and Gestational Weight Gain: A Scoping Review on the Extent, Range, and Nature of the Literature
Background: Inadequate and excessive gestational weight gain (GWG) are rising epidemiological health concerns, affecting a substantial proportion of pregnant women in high-income countries and contributing to a multitude of adverse maternal and infant health outcomes. The aim of this scoping review...
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2024-12-01
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| author | Labonté, Jocelyne M Dumas, Alex Clark, Emily Savard, Claudia Fournier, Karine O’Connor, Sarah Morisset, Anne-Sophie Fontaine-Bisson, Bénédicte |
| author_facet | Labonté, Jocelyne M Dumas, Alex Clark, Emily Savard, Claudia Fournier, Karine O’Connor, Sarah Morisset, Anne-Sophie Fontaine-Bisson, Bénédicte |
| author_sort | Labonté, Jocelyne M |
| collection | DOAJ |
| description | Background: Inadequate and excessive gestational weight gain (GWG) are rising epidemiological health concerns, affecting a substantial proportion of pregnant women in high-income countries and contributing to a multitude of adverse maternal and infant health outcomes. The aim of this scoping review was to identify key structural vulnerability factors (SVFs) related to GWG, and to examine the extent, range, and nature of the existing literature to inform future research. Methods: Electronic searches were performed in October 2018 (updated in August 2019) in MEDLINE(R) ALL, EMBASE, PsycINFO, CINAHL, and Sociological Abstracts databases. Eligible studies had an observational design, had to be conducted before COVID-19, in a high-income country, have pregnant participants, and perform inferential statistics between an SVF and GWG. Results: Of the 157 included articles, the eight SVFs most commonly studied in association with GWG were race/ethnicity (n=91 articles), age (n=87), parity (n=48), education (n=44), income (n=39), marital status (n=28), immigration (n=19), and abuse (n=12). Substantial heterogeneity across study contexts, methodologies, populations, and findings was identified. Studies spanned 22 high-income countries, were predominantly conducted in the USA (77%), and most studies (60%) had a retrospective design. Race/ethnicity was the most extensively studied factor, covering the longest time period (since 1976) and having the largest sample size, and the second-highest proportion of studies reporting a significant relationship with GWG (79%), following immigration status (95%). Conclusions: Given the heterogeneity in findings across studies, adopting an intersectional approach may enhance our understanding of the complex interplay between SVFs and the social context in relation to GWG. This nuanced perspective is critical for informing future research and developing effective strategies to address the pervasive perinatal health challenges associated with inadequate and excessive GWG. |
| format | Article |
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| institution | Kabale University |
| issn | 2804-3871 |
| language | English |
| publishDate | 2024-12-01 |
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| series | Peer Community Journal |
| spelling | doaj-art-0e8b27c595354ecda02f1ef0e37c1aef2025-02-07T10:17:17ZengPeer Community InPeer Community Journal2804-38712024-12-01410.24072/pcjournal.50210.24072/pcjournal.502Structural Vulnerability Factors and Gestational Weight Gain: A Scoping Review on the Extent, Range, and Nature of the Literature Labonté, Jocelyne M0https://orcid.org/0000-0001-6493-1339Dumas, Alex1https://orcid.org/0000-0001-8919-5235Clark, Emily2Savard, Claudia3https://orcid.org/0000-0002-3160-067XFournier, Karine4https://orcid.org/0000-0001-6030-2412O’Connor, Sarah5https://orcid.org/0000-0003-3361-8192Morisset, Anne-Sophie6https://orcid.org/0000-0002-9214-8912Fontaine-Bisson, Bénédicte7https://orcid.org/0000-0002-9697-1164Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, CanadaSchool of Human Kinetics, University of Ottawa, Ottawa, Canada; Institut du savoir Montfort, Ottawa, CanadaSchool of Human Kinetics, University of Ottawa, Ottawa, CanadaCentre Nutrition, santé et société (NUTRISS) of the Institut sur la nutrition et les aliments fonctionnels (INAF), Québec City, Canada; Centre de recherche du CHU de Québec, Québec City, CanadaHealth Sciences Library, University of Ottawa, Ottawa, CanadaFaculty of Pharmacy, Laval University, Québec City, Canada; Institut universitaire de cardiologie et de pneumologie de Québec, Québec City, CanadaCentre Nutrition, santé et société (NUTRISS) of the Institut sur la nutrition et les aliments fonctionnels (INAF), Québec City, Canada; Centre de recherche du CHU de Québec, Québec City, Canada; School of Nutrition, Laval University, Québec City, CanadaInstitut du savoir Montfort, Ottawa, Canada; School of Nutrition Sciences; University of Ottawa, Ottawa, CanadaBackground: Inadequate and excessive gestational weight gain (GWG) are rising epidemiological health concerns, affecting a substantial proportion of pregnant women in high-income countries and contributing to a multitude of adverse maternal and infant health outcomes. The aim of this scoping review was to identify key structural vulnerability factors (SVFs) related to GWG, and to examine the extent, range, and nature of the existing literature to inform future research. Methods: Electronic searches were performed in October 2018 (updated in August 2019) in MEDLINE(R) ALL, EMBASE, PsycINFO, CINAHL, and Sociological Abstracts databases. Eligible studies had an observational design, had to be conducted before COVID-19, in a high-income country, have pregnant participants, and perform inferential statistics between an SVF and GWG. Results: Of the 157 included articles, the eight SVFs most commonly studied in association with GWG were race/ethnicity (n=91 articles), age (n=87), parity (n=48), education (n=44), income (n=39), marital status (n=28), immigration (n=19), and abuse (n=12). Substantial heterogeneity across study contexts, methodologies, populations, and findings was identified. Studies spanned 22 high-income countries, were predominantly conducted in the USA (77%), and most studies (60%) had a retrospective design. Race/ethnicity was the most extensively studied factor, covering the longest time period (since 1976) and having the largest sample size, and the second-highest proportion of studies reporting a significant relationship with GWG (79%), following immigration status (95%). Conclusions: Given the heterogeneity in findings across studies, adopting an intersectional approach may enhance our understanding of the complex interplay between SVFs and the social context in relation to GWG. This nuanced perspective is critical for informing future research and developing effective strategies to address the pervasive perinatal health challenges associated with inadequate and excessive GWG.https://peercommunityjournal.org/articles/10.24072/pcjournal.502/Gestational weight gain, structural vulnerability, pregnancy, social determinants of health, health inequities |
| spellingShingle | Labonté, Jocelyne M Dumas, Alex Clark, Emily Savard, Claudia Fournier, Karine O’Connor, Sarah Morisset, Anne-Sophie Fontaine-Bisson, Bénédicte Structural Vulnerability Factors and Gestational Weight Gain: A Scoping Review on the Extent, Range, and Nature of the Literature Peer Community Journal Gestational weight gain, structural vulnerability, pregnancy, social determinants of health, health inequities |
| title | Structural Vulnerability Factors and Gestational Weight Gain: A Scoping Review on the Extent, Range, and Nature of the Literature
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| title_full | Structural Vulnerability Factors and Gestational Weight Gain: A Scoping Review on the Extent, Range, and Nature of the Literature
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| title_fullStr | Structural Vulnerability Factors and Gestational Weight Gain: A Scoping Review on the Extent, Range, and Nature of the Literature
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| title_full_unstemmed | Structural Vulnerability Factors and Gestational Weight Gain: A Scoping Review on the Extent, Range, and Nature of the Literature
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| title_short | Structural Vulnerability Factors and Gestational Weight Gain: A Scoping Review on the Extent, Range, and Nature of the Literature
|
| title_sort | structural vulnerability factors and gestational weight gain a scoping review on the extent range and nature of the literature |
| topic | Gestational weight gain, structural vulnerability, pregnancy, social determinants of health, health inequities |
| url | https://peercommunityjournal.org/articles/10.24072/pcjournal.502/ |
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