Perceived risk of Type 2 diabetes in Australian women with a recent history of gestational diabetes mellitus

Morrison, Melinda; Lowe, J. M.; Collins, Clare E.

doi:10.1111/j.1464-5491.2010.03032.x

Cited by 55 publications

(59 citation statements)

References 15 publications

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“…While prior survey-based studies in the United States and Australia have shown that few women with GDM perceive high risk for T2DM [14,37], findings from qualitative studies have been more mixed; some of the variability may relate to the population studied and proximity to delivery [16,17,38]. Similar to prior studies, women in our study linked their risk for T2DM to presence or absence of family history of T2DM, their weight status, and current health habits [14,39].…”

Section: Discussionsupporting

confidence: 82%

Perspectives on Prevention of Type 2 Diabetes After Gestational Diabetes: A Qualitative Study of Hispanic, African-American and White Women

Tang

Foster

Pumarino

et al. 2014

Matern Child Health J

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Women with gestational diabetes (GDM) have a fivefold higher risk of developing type 2 diabetes (T2DM). Furthermore, Hispanic and African-American women are disproportionately affected by GDM, but their views on prevention of T2DM after gestational diabetes are largely unknown. We conducted semi-structured interviews with 23 women (8 Hispanic, 8 African-American, 7 non-Hispanic White) from two academic clinics in Chicago, IL. Interview questions elicited perspectives on prevention of T2DM; the interview protocol was developed based on the Health Belief Model. Two investigators applied template analysis to identify emergent themes. Women conceptualized risk for T2DM based on family history, health behaviors, and personal history of GDM. A subgroup of women expressed uncertainty about how GDM influences risk for T2DM. Women who described a strong link between GDM and T2DM often viewed the diagnosis as a cue to action for behavior change. T2DM was widely viewed as a severe condition, and desire to avoid T2DM was an important motivator for behavior change. Children represented both a key motivator and critical barrier to behavior change. Women viewed preventive care as important to alert them to potential health concerns. Identified themes were congruent across racial/ethnic groups. Diagnosis with GDM presents a potent opportunity for engaging women in behavior change. To fully harness the potential influence of this diagnosis, healthcare providers should more clearly link the diagnosis of GDM with risk for future T2DM, leverage women's focus on their children to motivate behavior change, and provide support with behavior change during healthcare visits in the postpartum period and beyond.

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Section: Discussionsupporting

confidence: 82%

Perspectives on Prevention of Type 2 Diabetes After Gestational Diabetes: A Qualitative Study of Hispanic, African-American and White Women

Tang

Foster

Pumarino

et al. 2014

Matern Child Health J

View full text Add to dashboard Cite

show abstract

“…First, our cohort was motivated to participate in our study and thus may not be representative of other populations who have GDM. Indeed, previous studies suggest that diabetes risk perception is low in women with prior GDM (42,49). In addition, all of our participants were English speaking, and the majority had high income, were highly educated, and were living with a spouse or partner; thus, they may not be representative of women with lower incomes and/or education levels.…”

Section: Discussionmentioning

confidence: 92%

The Subjective Impact of a Diagnosis of Gestational Diabetes Among Ethnically Diverse Pregnant Women: A Qualitative Study

Kaptein

Evans

McTavish

et al. 2015

Canadian Journal of Diabetes

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“…First, a self-administered written questionnaire and second, a telephone interview conducted in parallel by trained interviewers using Computer-Assisted-Telephone-Interviewing for Windows (WinCati, Version 4.2; Sawtooth Technologies, Northbrook, IL, USA); full details of which have been described elsewhere. 6,20 Briefly, the survey questions addressed demographics, educational attainment, language spoken at home and occupation using standard items from the 2001 Australian census. 21 Information regarding GDM management, lifestyle-related risk factors, family and medical history, and postpartum follow-up were collected by self-report.…”

Section: Survey Designmentioning

confidence: 99%

Postpartum diet quality in Australian women following a gestational diabetes pregnancy

et al. 2012

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BACKGROUND/OBJECTIVES:To describe the diet quality of a national sample of Australian women with a recent history of gestational diabetes mellitus (GDM) and determine factors associated with adherence to national dietary recommendations. SUBJECTS/METHODS: A postpartum lifestyle survey with 1499 Australian women diagnosed with GDM p3 years previously. Diet quality was measured using the Australian recommended food score (ARFS) and weighted by demographic and diabetes management characteristics. Multinominal logistic regression analysis was used to determine the association between diet quality and demographic characteristics, health seeking behaviours and diabetes-related risk factors. RESULTS: Mean (±s.d.) ARFS was 30.9±8.1 from a possible maximum score of 74. Subscale component scores demonstrated that the nuts/legumes, grains and fruits were the most poorly scored. Factors associated with being in the highest compared with the lowest ARFS quintile included age (odds ratio (OR) 5-year increase ¼ 1.40; 95% (confidence interval) CI:1.16-1.68), tertiary education (OR ¼ 2.19; 95% CI:1.52-3.17), speaking only English (OR ¼ 1.92; 95% CI:1.19-3.08), being sufficiently physically active (OR ¼ 2.11; 95% CI:1.46-3.05), returning for postpartum blood glucose testing (OR ¼ 1.75; 95% CI:1.23-2.50) and receiving risk reduction advice from a health professional (OR ¼ 1.80; 95% CI:1.24-2.60). CONCLUSIONS: Despite an increased risk of type 2 diabetes, women in this study had an overall poor diet quality as measured by the ARFS. Women with GDM should be targeted for interventions aimed at achieving a postpartum diet consistent with the guidelines for chronic disease prevention. Encouraging women to return for follow-up and providing risk reduction advice may be positive initial steps to improve diet quality, but additional strategies need to be identified.

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Perceived risk of Type 2 diabetes in Australian women with a recent history of gestational diabetes mellitus

Cited by 55 publications

References 15 publications

Perspectives on Prevention of Type 2 Diabetes After Gestational Diabetes: A Qualitative Study of Hispanic, African-American and White Women

Perspectives on Prevention of Type 2 Diabetes After Gestational Diabetes: A Qualitative Study of Hispanic, African-American and White Women

The Subjective Impact of a Diagnosis of Gestational Diabetes Among Ethnically Diverse Pregnant Women: A Qualitative Study

Postpartum diet quality in Australian women following a gestational diabetes pregnancy

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