Evidence map›Paper›PMID 32627725›Full record

ArticlePublic health nutrition2020

Addressing embodied inequities in health: how do we enable improvement in women's diet in pregnancy?

L McKerracher, S Oresnik, T Moffat, B Murray-Davis, J Vickers-Manzin, L Zalot, D Williams, D M Sloboda, M E Barker

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In one paragraph

Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Experiences of Food Insecurity During Pregnancy in High-Income Countries: A Meta-Synthesis of Qualitative Studies.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Pooled it
  2. Trial
  3. Co-Design With Mothers and Professionals to Enhance Care for Mothers Experiencing Adversity: Development of the METIC Model.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

L McKerracherDepartment of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, ON, Canada.
S OresnikDepartment of Anthropology, McMaster University, Hamilton, ON, Canada.
T MoffatDepartment of Anthropology, McMaster University, Hamilton, ON, Canada.
B Murray-DavisDepartment of Midwifery, McMaster University, Hamilton, ON, Canada.
J Vickers-ManzinPublic Health Services, Healthy Families Division, Hamilton, ON, Canada.
L ZalotPublic Health Services, Healthy Families Division, Hamilton, ON, Canada.
D WilliamsDepartment of Anthropology, McMaster University, Hamilton, ON, Canada.
D M Sloboda *Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-7410-4756
M E Barker *Medical Research Council Lifecourse Epidemiology Unit, Southampton University, Southampton, United Kingdom of Great Britain and Northern Ireland.

Funding

CIHR 146333Department of Health RP-PG-0216-20004Medical Research Council MC_UU_12011/4Medical Research Council MR/N011848/1
6 · The paper itself

Abstract

objectiveTo disrupt cycles of health inequity, traceable to dietary inequities in the earliest stages of life, public health interventions should target improving nutritional wellbeing in preconception/pregnancy environments. This requires a deep engagement with pregnant/postpartum people (PPP) and their communities (including their health and social care providers, HSCP). We sought to understand the factors that influence diet during pregnancy from the perspectives of PPP and HSCP, and to outline intervention priorities.

designWe carried out thematic network analyses of transcripts from ten focus group discussions (FGD) and one stakeholder engagement meeting with PPP and HSCP in a Canadian city. Identified themes were developed into conceptual maps, highlighting local priorities for pregnancy nutrition and intervention development.

settingFGD and the stakeholder meeting were run in predominantly lower socioeconomic position (SEP) neighbourhoods in the sociodemographically diverse city of Hamilton, Canada.

participantsAll local, comprising twenty-two lower SEP PPP and forty-three HSCP.

resultsSalient themes were resilience, resources, relationships and the embodied experience of pregnancy. Both PPP and HSCP underscored that socioeconomic-political forces operating at multiple levels largely determined the availability of individual and relational resources constraining diet during pregnancy. Intervention proposals focused on cultivating individual and community resilience to improve early-life nutritional environments. Participants called for better-integrated services, greater income supports and strengthened support programmes.

conclusionsHamilton stakeholders foregrounded social determinants of inequity as main factors influencing pregnancy diet. They further indicated a need to develop interventions that build resilience and redistribute resources at multiple levels, from the household to the state.

Indexed as

DietCanadaFemaleFocus GroupsHumansPostpartum PeriodPreconception CarePregnancyPregnancy OutcomePrenatal CareSocial SupportSocioeconomic FactorsCommunity engagementDevelopmental originsDietary inequitiesHealth inequitiesPregnancy

Identifiers

PMID32627725
PMCPMC10200536

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.