The Association of Avoidance Coping with Gestational Weight Gain among Pregnant Black Women.
Suzanne Hyer, Sarah Vaughan, Jean W Davis and 3 others
PMID 36196018WHAT IT FOUND
Among pregnant Black women, higher avoidance coping in mid-pregnancy was linked to excessive weight gain.
In late pregnancy, the association was in the opposite direction. Avoidance coping was not linked to inadequate weight gain.
Key findings
01For each one-unit increase in avoidance coping at 22-29 weeks, the odds of excessive gestational weight gain compared with adequate gain increased 19%.
02For each one-unit increase in avoidance coping at 30-36 weeks, the odds of excessive gestational weight gain compared with adequate gain decreased 18%.
03Avoidance coping was not significantly associated with inadequate gestational weight gain compared with adequate gain.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was an observational analysis, so it cannot establish that avoidance coping caused excessive weight gain. Avoidance coping was self-reported and may be affected by social desirability or recall bias. Parity, diabetes, hypertension, perceived stress, and mental health disorders were not available for adjustment. The sample was limited to non-Hispanic Black women recruited from prenatal clinics in Detroit and Columbus, so generalizability is narrow. The association changed direction between mid-pregnancy and late pregnancy, so the pattern is not stable.
Declared interests
The authors declare no conflicts of interest. The article is listed as NIH extramural research support.
The easy way to misread this
Do not conclude that reducing avoidance coping will prevent excessive gestational weight gain. This study found associations only, and the direction changed between mid-pregnancy and late pregnancy.