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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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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 |
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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 |
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