Cargando…

Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours

BACKGROUND: Diabetes is increasing in prevalence globally, notably amongst populations from low- and middle- income countries. Gestational Diabetes Mellitus(GDM), a precursor for type 2 diabetes, is increasing in line with this trend. Few studies have considered the personal and social effects of GD...

Descripción completa

Detalles Bibliográficos
Autores principales: Hirst, Jane E, Tran, Thach Son., Do, My An T, Rowena, Forsyth, Morris, Jonathan M, Jeffery, Heather E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3449178/
https://www.ncbi.nlm.nih.gov/pubmed/22873351
http://dx.doi.org/10.1186/1471-2393-12-81
_version_ 1782244319007080448
author Hirst, Jane E
Tran, Thach Son.
Do, My An T
Rowena, Forsyth
Morris, Jonathan M
Jeffery, Heather E
author_facet Hirst, Jane E
Tran, Thach Son.
Do, My An T
Rowena, Forsyth
Morris, Jonathan M
Jeffery, Heather E
author_sort Hirst, Jane E
collection PubMed
description BACKGROUND: Diabetes is increasing in prevalence globally, notably amongst populations from low- and middle- income countries. Gestational Diabetes Mellitus(GDM), a precursor for type 2 diabetes, is increasing in line with this trend. Few studies have considered the personal and social effects of GDM on women living in low and middle-income countries. The aim of this study was determine attitudes and health behaviours of pregnant women with GDM in Vietnam. METHODS: This was a qualitative study using focus group methodology conducted in Ho Chi Minh City. Pregnant women, aged over 18 years, with GDM were eligible to participate. Women were purposely sampled to obtain a range of gestational ages and severity of disease. They were invited to attend a 1-hour focus group. Questions were semi structured around six themes. Focus groups were recorded, transcribed, translated and cross-referenced. Non-verbal and group interactions were recorded. Thematic analysis was performed using a theoretical framework approach. RESULTS: From December 2010 to February 2011, four focus groups were conducted involving 34 women. Median age was 31.5 years (range 23 to 44), median BMI 21.8 kg/m(2). Women felt confusion, anxiety and guilt about GDM. Many perceived their baby to be at increased risk of death. Advice to reduce dietary starch was confusing. Women reported being ‘hungry’ or ‘starving’ most of the time, unaware of appropriate food substitutions. They were concerned about transmission of GDM through breast milk. Several women planned not to breastfeed. All felt they needed more information. Current sources of information included friends, magazines, a health phone line or the Internet. Women felt small group sessions and information leaflets could benefit them. CONCLUSIONS: This study highlights the need for culturally appropriate clinical education and health promotion activities for women with GDM in Vietnam.
format Online
Article
Text
id pubmed-3449178
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-34491782012-09-24 Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours Hirst, Jane E Tran, Thach Son. Do, My An T Rowena, Forsyth Morris, Jonathan M Jeffery, Heather E BMC Pregnancy Childbirth Research Article BACKGROUND: Diabetes is increasing in prevalence globally, notably amongst populations from low- and middle- income countries. Gestational Diabetes Mellitus(GDM), a precursor for type 2 diabetes, is increasing in line with this trend. Few studies have considered the personal and social effects of GDM on women living in low and middle-income countries. The aim of this study was determine attitudes and health behaviours of pregnant women with GDM in Vietnam. METHODS: This was a qualitative study using focus group methodology conducted in Ho Chi Minh City. Pregnant women, aged over 18 years, with GDM were eligible to participate. Women were purposely sampled to obtain a range of gestational ages and severity of disease. They were invited to attend a 1-hour focus group. Questions were semi structured around six themes. Focus groups were recorded, transcribed, translated and cross-referenced. Non-verbal and group interactions were recorded. Thematic analysis was performed using a theoretical framework approach. RESULTS: From December 2010 to February 2011, four focus groups were conducted involving 34 women. Median age was 31.5 years (range 23 to 44), median BMI 21.8 kg/m(2). Women felt confusion, anxiety and guilt about GDM. Many perceived their baby to be at increased risk of death. Advice to reduce dietary starch was confusing. Women reported being ‘hungry’ or ‘starving’ most of the time, unaware of appropriate food substitutions. They were concerned about transmission of GDM through breast milk. Several women planned not to breastfeed. All felt they needed more information. Current sources of information included friends, magazines, a health phone line or the Internet. Women felt small group sessions and information leaflets could benefit them. CONCLUSIONS: This study highlights the need for culturally appropriate clinical education and health promotion activities for women with GDM in Vietnam. BioMed Central 2012-08-09 /pmc/articles/PMC3449178/ /pubmed/22873351 http://dx.doi.org/10.1186/1471-2393-12-81 Text en Copyright ©2012 Hirst et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hirst, Jane E
Tran, Thach Son.
Do, My An T
Rowena, Forsyth
Morris, Jonathan M
Jeffery, Heather E
Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours
title Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours
title_full Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours
title_fullStr Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours
title_full_unstemmed Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours
title_short Women with gestational diabetes in Vietnam: a qualitative study to determine attitudes and health behaviours
title_sort women with gestational diabetes in vietnam: a qualitative study to determine attitudes and health behaviours
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3449178/
https://www.ncbi.nlm.nih.gov/pubmed/22873351
http://dx.doi.org/10.1186/1471-2393-12-81
work_keys_str_mv AT hirstjanee womenwithgestationaldiabetesinvietnamaqualitativestudytodetermineattitudesandhealthbehaviours
AT tranthachson womenwithgestationaldiabetesinvietnamaqualitativestudytodetermineattitudesandhealthbehaviours
AT domyant womenwithgestationaldiabetesinvietnamaqualitativestudytodetermineattitudesandhealthbehaviours
AT rowenaforsyth womenwithgestationaldiabetesinvietnamaqualitativestudytodetermineattitudesandhealthbehaviours
AT morrisjonathanm womenwithgestationaldiabetesinvietnamaqualitativestudytodetermineattitudesandhealthbehaviours
AT jefferyheathere womenwithgestationaldiabetesinvietnamaqualitativestudytodetermineattitudesandhealthbehaviours