dc.date.accessioned | 2021-08-31T17:22:53Z | |
dc.date.available | 2021-08-31T17:22:53Z | |
dc.date.created | 2021-08-13T21:16:36Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Sharma, Archana Birkeland, Kåre I. Nermoen, Ingrid Qvigstad, Elisabeth Tran, Anh T. Gulseth, Hanne L. Sollid, Stina T. Wium, Cecilie Varsi, Cecilie . Understanding mechanisms behind unwanted health behaviours in Nordic and South Asian women and how they affect their gestational diabetes follow-ups: A qualitative study. Diabetic Medicine. 2021, 1-12 | |
dc.identifier.uri | http://hdl.handle.net/10852/87490 | |
dc.description.abstract | Aims
The type 2 diabetes risk following gestational diabetes mellitus (GDM) is high, particularly among South Asian women in Western countries. Our study aimed to advance the knowledge regarding the mechanisms behind suboptimal follow-up in the Nordic and South Asian women with previous GDM by comparing (1) their experiences, (2) health and disease perceptions and (3) barriers to and facilitators of health-promoting behaviours.
Methods
This qualitative study was conducted in three hospital outpatient clinics in Norway, comprising six focus group interviews with 28 women 1–3 years after a pregnancy with GDM. The participants were purposively sampled and grouped according to their ethnicity. The data were analysed using thematic analysis, and a theoretical approach was applied to support the analysis and discuss the study's findings.
Results
Five main themes were identified: lack of resilience, emotional distress, ‘caught between a rock and a hard place’, postpartum abandonment and insufficient guidance. The key determinants of the maintenance of unwanted health behaviours after GDM were consistent across the ethnic groups. Although the importance of a culturally sensitive approach was emphasised, it appeared secondary to the need for a more organised public healthcare during and after GDM.
Conclusions
Women's real-life constraints, combined with the inadequate healthcare-service implementation, could explain the non-adherence to the lifestyle-changes guidelines essential for preventing diabetes post-GDM. We suggest promoting specific coping strategies and changing the healthcare service approach rather than relying on women's capacity to initiate the necessary changes. | |
dc.language | EN | |
dc.rights | Attribution-NonCommercial 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | |
dc.title | Understanding mechanisms behind unwanted health behaviours in Nordic and South Asian women and how they affect their gestational diabetes follow-ups: A qualitative study | |
dc.type | Journal article | |
dc.creator.author | Sharma, Archana | |
dc.creator.author | Birkeland, Kåre I. | |
dc.creator.author | Nermoen, Ingrid | |
dc.creator.author | Qvigstad, Elisabeth | |
dc.creator.author | Tran, Anh T. | |
dc.creator.author | Gulseth, Hanne L. | |
dc.creator.author | Sollid, Stina T. | |
dc.creator.author | Wium, Cecilie | |
dc.creator.author | Varsi, Cecilie | |
cristin.unitcode | 185,53,82,0 | |
cristin.unitname | Klinikk for indremedisin og laboratoriefag | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1925956 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Diabetic Medicine&rft.volume=&rft.spage=1&rft.date=2021 | |
dc.identifier.jtitle | Diabetic Medicine | |
dc.identifier.startpage | 1 | |
dc.identifier.endpage | 12 | |
dc.identifier.doi | https://doi.org/10.1111/dme.14651 | |
dc.identifier.urn | URN:NBN:no-90171 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 0742-3071 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/87490/2/Sharma%2Bet%2Bal.pdf | |
dc.type.version | PublishedVersion | |