PMID- 32501566
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230619
IS  - 1365-2648 (Electronic)
IS  - 0309-2402 (Linking)
VI  - 76
IP  - 8
DP  - 2020 Aug
TI  - Factors influencing postpartum blood glucose screening among women with prior 
      gestational diabetes mellitus in a rural community.
PG  - 2151-2160
LID - 10.1111/jan.14440 [doi]
AB  - AIMS: The aims of the present study were: a) to investigate the current state of 
      postpartum glucose screening in rural China; and b) to explore the factors 
      influencing postpartum blood glucose screening among women with prior GDM based 
      on Andersen's behavioural model of health service use. DESIGN: A multisite, 
      cross-sectional study design, conducted from November 2017 to January 2018. 
      METHODS: A total of 465 women with prior GDM were included from two county-level 
      hospitals in rural China. The potential influencing factors for postpartum blood 
      glucose screening based on Andersen's behavioural model, including predisposing, 
      enabling, and need factors, were collected by self-reported questionnaires. 
      Chi-square tests and logistic regression were used to explore the influence of 
      these factors on whether screening of blood glucose level after delivery 
      occurred. RESULTS: The mean age of the women was 31.92 years old (SD 5.16) and 
      the mean time after delivery was 16.73 months (SD 15.07). The postpartum glucose 
      screening proportion was 32.7%. Women who did not have a full-time job (p= .011) 
      (predisposing factor), had not received any treatment for GDM (p= .002), and were 
      not informed about screening plans for diabetes by health professionals (p < 
      .001) (enabling factor) were less likely to engage in postpartum glucose 
      screening. The need factor, high actual risk of developing type 2 diabetes 
      mellitus (T2DM), was not associated with postpartum blood glucose screening (p> 
      .05). CONCLUSIONS: In rural China, most women with prior GDM were not screened 
      for T2DM after delivery. The women with prior GDM who did not have a full-time 
      job or had not received any prior treatment for GDM should be the target 
      population for health education on postpartum glucose screening. IMPACT: There is 
      a need for data on postpartum blood glucose testing rates among rural women. 
      Future interventions aimed at increasing postpartum blood glucose screening are 
      needed.
CI  - (c) 2020 John Wiley & Sons Ltd.
FAU - Tang, Yujia
AU  - Tang Y
AD  - Xiangya School of Nursing, Central South University, Changsha, PR China.
FAU - Guo, Jia
AU  - Guo J
AUID- ORCID: 0000-0002-8304-9947
AD  - Xiangya School of Nursing, Central South University, Changsha, PR China.
FAU - Long, Qing
AU  - Long Q
AD  - Xiangya School of Nursing, Central South University, Changsha, PR China.
FAU - Yang, Jundi
AU  - Yang J
AD  - Xiangya School of Nursing, Central South University, Changsha, PR China.
FAU - Luo, Jiaxin
AU  - Luo J
AD  - Xiangya School of Nursing, Central South University, Changsha, PR China.
FAU - Yang, Shuangyan
AU  - Yang S
AD  - Youxian General Hospital, Youxian, PR China.
FAU - Li, Xiangxin
AU  - Li X
AD  - Department of Health Education, Yongding Maternal and Children's Hospital, 
      Zhangjiajie, PR China.
FAU - Mao, Ping
AU  - Mao P
AD  - Nursing Department, Third Xiangya Hospital, Central South University, Changsha, 
      PR China.
FAU - Chen, Jyu-Lin
AU  - Chen JL
AD  - School of Nursing, University of California, San Francisco, CA, USA.
LA  - eng
GR  - 2018CX037/Innovation-Driven Project of Central South University/
GR  - 2018zzts888/the Fundamental Research Funds for the Central Universities of 
      Central South University/
GR  - 17XBQ111/Philosophy and Social Science Foundation of Hunan Province/
GR  - 16-256/China Medical Board/
GR  - Central South University/
PT  - Journal Article
DEP - 20200618
PL  - England
TA  - J Adv Nurs
JT  - Journal of advanced nursing
JID - 7609811
SB  - IM
OTO - NOTNLM
OT  - blood glucose screening
OT  - gestational diabetes mellitus
OT  - nursing
OT  - postpartum
OT  - rural
OT  - women
EDAT- 2020/06/06 06:00
MHDA- 2020/06/06 06:01
CRDT- 2020/06/06 06:00
PHST- 2020/03/20 00:00 [revised]
PHST- 2019/12/24 00:00 [received]
PHST- 2020/04/28 00:00 [accepted]
PHST- 2020/06/06 06:01 [medline]
PHST- 2020/06/06 06:00 [pubmed]
PHST- 2020/06/06 06:00 [entrez]
AID - 10.1111/jan.14440 [doi]
PST - ppublish
SO  - J Adv Nurs. 2020 Aug;76(8):2151-2160. doi: 10.1111/jan.14440. Epub 2020 Jun 18.