Les représentations sociales d’une future grossesse en santé chez les femmes ayant un surplus de poids et leurs partenaires
Bibliographic record
Abstract
Thesis presented at the faculty of medicine and health sciences for the obtention of Master degree diploma maitre ès sciences (M.Sc.) in PRSS, Faculty of medicine and health sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada, J1H 5N4 This study addresses a significant public health concern: the health of women of reproductive age with excess weight. More than one in five women in Canada features this condition, which is associated with various mental, physical, and reproductive health challenges. Given the limited effectiveness of interventional approaches targeting this population—primarily focused on weight loss—this research aims to understand how a healthy future pregnancy is socially represented by overweight women and their partners. Grounded in the theoretical framework of social representations, this descriptive, interpretive and qualitative research explores in depth the shared socio-cognitive constructions that determine preconceptional health behaviors among women with excess weight and their partners. The methodological approach involved 16 women (mean body mass index of 36.4 kg/m²) and 7 male partners, recruited in Quebec. Data collected through individual semi-structured interviews and sociodemographic questionnaires underwent rigorous thematic analysis following Braun and Clarke's approach. The findings identify three shared conditions underlying the production and circulation of social representations on a future healthy pregnancy: (1) stigmatization at three levels (medical, social, and internalized) constituting a fundamental barrier to pregnancy preparation; (2) constrained preconceptional temporality with a dual urgency: the urgency to lose weight and reproductive urgency; and (3) specific needs of couples concerned with maternal excess weight. In-depth analysis revealed two distinct representational configurations among women. A predominantly negative social representation, associated with higher BMI and history of miscarriages, which is characterized by pronounced stigmatization and increased reproductive anxiety. Conversely, the positive representation revolves around resilience mechanisms and a holistic approach to health. Partners, occupying a peripheral position, manifest a more pragmatic vision, while the interactional dynamics within the couple demonstrate a process of co-construction where the feminine perspective predominates. These findings suggest the relevance of preconceptional interventions integrating psychosocial and relational dimensions, respecting women's autonomy while valuing active partner involvement. This research makes an original contribution through its woman-centered perspective on the preconceptional period, and its dyadic approach often neglected in previous studies. Its implications are manifold: orienting reflection toward a more inclusive preconceptional health prevention model, providing insights for improving clinical interventions aimed at optimizing the health of women of reproductive age and their partners, and contributing to reproductive justice by questioning the dominant biomedical approach.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.006 | 0.008 |
| Scholarly communication | 0.004 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".