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Burton TCJ, Crooks N, Pezley L, Hemphill NO, Li Y, Sawatpanich A, Farrow V, Erbe K, Kessee N, Reed L, Tussing-Humphreys L, Koenig MD. Food Choice and Dietary Perspectives of Young, Urban, Black Pregnant Women: A Focus Group Study. Nutrients 2024; 16:781. [PMID: 38542692 PMCID: PMC10974382 DOI: 10.3390/nu16060781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Revised: 02/27/2024] [Accepted: 03/06/2024] [Indexed: 04/01/2024] Open
Abstract
Black pregnant women in Chicago are disproportionately affected by maternal morbidity and mortality and are more likely to reside in neighborhoods that experience greater economic hardships and food apartheid than any other race/ethnicity. Addressing social determinants of health such as structural inequities, economic environment, and food apartheid issues may provide insights into eliminating Black maternal morbidity and mortality disparities. This study explores food choice determinants and dietary perspectives of young, urban, Black pregnant women. Two audio-recorded focus groups were conducted in Chicago, IL between March 2019 and June 2019 to discuss pregnancy experiences and factors affecting maternal nutrition. Thematic analysis was used to identify the codes, themes, and subthemes of the data. Data analysis was guided by the Social Ecological Model (SEM) as a theoretical framework. Eleven, young, Black women were recruited. Three major themes were discussed across the SEM levels that influenced food choice including food access, stress and family influences on eating, and the need for nutritional education during pregnancy. These choices were primarily rooted in the detrimental effects of food apartheid experienced within the participants' neighborhoods. Therefore, acknowledging, understanding, and addressing food apartheid and its impact on Black maternal health disparities is needed in clinical practice, research, and policy change.
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Affiliation(s)
| | - Natasha Crooks
- Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave., Chicago, IL 60612, USA; (N.C.); (Y.L.); (A.S.); (V.F.); (M.D.K.)
| | - Lacey Pezley
- Department of Kinesiology and Nutrition, University of Illinois Chicago, 1919 W. Taylor St., Chicago, IL 60612, USA; (L.P.); (N.O.H.); (N.K.); (L.T.-H.)
| | - Nefertiti OjiNjideka Hemphill
- Department of Kinesiology and Nutrition, University of Illinois Chicago, 1919 W. Taylor St., Chicago, IL 60612, USA; (L.P.); (N.O.H.); (N.K.); (L.T.-H.)
| | - Yanqiao Li
- Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave., Chicago, IL 60612, USA; (N.C.); (Y.L.); (A.S.); (V.F.); (M.D.K.)
| | - Arissara Sawatpanich
- Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave., Chicago, IL 60612, USA; (N.C.); (Y.L.); (A.S.); (V.F.); (M.D.K.)
- Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Rd., Ratchathewi, Bangkok 10400, Thailand
| | - Vanessa Farrow
- Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave., Chicago, IL 60612, USA; (N.C.); (Y.L.); (A.S.); (V.F.); (M.D.K.)
| | - Katherine Erbe
- Yvonne L. Munn Center for Nursing Research, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA;
| | - Nicollette Kessee
- Department of Kinesiology and Nutrition, University of Illinois Chicago, 1919 W. Taylor St., Chicago, IL 60612, USA; (L.P.); (N.O.H.); (N.K.); (L.T.-H.)
| | - Luecendia Reed
- New Moms, 5317 W. Chicago Ave., Chicago, IL 606051, USA;
| | - Lisa Tussing-Humphreys
- Department of Kinesiology and Nutrition, University of Illinois Chicago, 1919 W. Taylor St., Chicago, IL 60612, USA; (L.P.); (N.O.H.); (N.K.); (L.T.-H.)
| | - Mary Dawn Koenig
- Department of Human Development Nursing Science, University of Illinois Chicago, 845 S. Damen Ave., Chicago, IL 60612, USA; (N.C.); (Y.L.); (A.S.); (V.F.); (M.D.K.)
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Schott SL, Adams A, Dougherty RJ, Montgomery T, Lapite FC, Fletcher FE. Renewed calls for abortion-related research in the post-Roe era. Front Public Health 2023; 11:1322299. [PMID: 38179559 PMCID: PMC10765585 DOI: 10.3389/fpubh.2023.1322299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 11/29/2023] [Indexed: 01/06/2024] Open
Abstract
Nearly 50 years after Roe versus Wade, the United States Supreme Court's decision in Dobbs versus Jackson Women's Health Organization unraveled the constitutional right to abortion, allowing individual states to severely restrict or ban the procedure. In response, leading medical, public health, and community organizations have renewed calls for research to elucidate and address the burgeoning social and medical consequences of new abortion restrictions. Abortion research not only includes studies that establish the safety, quality, and efficacy of evidence-based abortion care protocols, but also encompasses studies on the availability of abortion care, the consequences of being denied an abortion, and the legal and social burdens surrounding abortion. The urgency of these calls for new evidence underscores the importance of ensuring that research in this area is conducted in an ethical and respectful manner, cognizant of the social, political, and structural conditions that shape reproductive health inequities and impact each stage of research-from protocol design to dissemination of findings. Research ethics relates to the moral principles undergirding the design and execution of research projects, and concerns itself with the technicalities of ethical questions related to the research process, such as informed consent, power relations, and confidentiality. Critical insights and reflections from reproductive justice, community engagement, and applied ethics frameworks have bolstered existing research ethics scholarship and discourse by underscoring the importance of meaningful engagement with community stakeholders-bringing attention to overlapping structures of oppression, including racism, sexism, and ways that these structures are perpetuated in the research process.
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Affiliation(s)
- Sophie L. Schott
- Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, United States
| | - April Adams
- Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, United States
| | - Ryan J. Dougherty
- Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, United States
| | - Taylor Montgomery
- Harvard Pilgrim Health Care Institute, Harvard Medical School, Boston, MA, United States
- Department of Population Medicine, Harvard Medical School, Boston, MA, United States
| | | | - Faith E. Fletcher
- Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, United States
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