Petherick, ES, Fairley, L orcid.org/0000-0002-4280-6323, Parslow, RC orcid.org/0000-0002-3945-5294 et al. (6 more authors) (2017) Ethnic differences in the clustering and outcomes of health behaviours during pregnancy: results from the Born in Bradford cohort. Journal of Public Health, 39 (3). pp. 514-522. ISSN 1741-3842
Abstract
Background Pregnancy is a time of optimal motivation for many women to make positive behavioural changes. We aim to describe pregnant women with similar patterns of self-reported health behaviours and examine associations with birth outcomes. Methods We examined the clustering of multiple health behaviours during pregnancy in the Born in Bradford cohort, including smoking physical inactivity, vitamin d supplementation and exposure to second-hand smoke. Latent class analysis was used to identify groups of individuals with similar patterns of health behaviours separately for White British (WB) and Pakistani mothers. Multinomial regression was then used to examine the association between group membership and birth outcomes, which included preterm birth and mean birthweight. Results For WB mothers, offspring of those in the ‘Unhealthiest’ group had lower mean birthweight than those in the ‘Mostly healthy but inactive’ class, although no association was observed for preterm birth. For Pakistani mothers, group membership was not associated with birthweight differences, although the odds of preterm birth was higher in ‘Inactive smokers’ compared to the ‘Mostly healthy but inactive’ group. Conclusions The use of latent class methods provides important information about the clustering of health behaviours which can be used to target population segments requiring behaviour change interventions considering multiple risk factors. Given the dominant negative association of smoking with the birth outcomes investigated, latent class groupings of other health behaviours may not confer additional risk information for these outcomes.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author 2016. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The version of record Petherick, ES, Fairley, L , Parslow, RC , McEachan, R, Tuffnell, D, Pickett, KE, Leon, D, Lawlor, DA and Wright, J (2016) Ethnic differences in the clustering and outcomes of health behaviours during pregnancy: results from the Born in Bradford cohort. Journal of Public Health. ISSN 1741-3842 is available online at: http://dx.doi.org/10.1093/pubmed/fdw098. Uploaded in accordance with the publisher's self-archiving policy. |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Genetics, Health and Therapeutics (LIGHT) > Division of Epidemiology & Biostatistics (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 21 Sep 2016 14:08 |
Last Modified: | 03 Nov 2017 03:01 |
Published Version: | http://dx.doi.org/10.1093/pubmed/fdw098 |
Status: | Published |
Publisher: | Oxford University Press |
Identification Number: | 10.1093/pubmed/fdw098 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:104948 |