The Associations Between Health-Related Knowledge and Health Beliefs Regarding Risk for Gestational Diabetes in American Indian and Alaska Native Female Adolescents and Young Adults at Risk for Gestational Diabetes and Their Female Caregivers: A Cross-Sectional Dyadic Analysis

IF 2.1 4区医学 Q2 NURSING

Journal of midwifery & women's health Pub Date : 2024-06-03 DOI:10.1111/jmwh.13643

Susan M. Sereika PhD, Kelly R. Moore MD, Sarah Stotz PhD, MS, RDN, CDCES, Laura J. Chalmers MD, Health Garrow BS, CHES, Kelly Gonzales PhD, MPH, Nancy O'Banion MS, Jeffrey Powell MD, Ursula Knoki-Wilson CNM, MSN, MPH, Denise Charron-Prochownik PhD, RN, CPNP, For The Stopping GDM Study Group

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引用次数: 0

Abstract

Introduction

Research on associations between knowledge and health beliefs for women at risk for gestational diabetes mellitus (GDM) has focused on adults at risk for or having GDM. Gaps also exist in examining interpersonal associations with family members or peers. We examined dyadic associations between knowledge and health beliefs about the risk for GDM between and within American Indian and Alaska Native (AIAN) female adolescents and young adults (FAYAs) at risk for GDM and their mothers or adult female caregivers (FCs).

Methods

Grounded in the Expanded Health Belief Model, we employed a cross-sectional design using baseline data from 147 dyads of AIAN FAYAs at risk for GDM and their FCs who participated in the Stopping GDM in Daughters and Mothers trial. FAYAs were 12.0 to 24.5 years of age, and 89.1% were students. FCs had a mean (SD) age of 44.0 (9.3) years, 87.0% were AIAN, 44.9% were college educated, 19.7% had ever had GDM, and 81.0% were the FAYA's mother. FAYAs and FCs completed surveys about knowledge and health beliefs (benefits, barriers, severity, susceptibility) regarding GDM risk and prevention. Bivariate correlational analyses were performed to examine associations between and within dyad members. Dyadic associations were investigated using actor-partner interdependence modeling (APIM) assuming distinguishable dyad members.

Results

Compared with their FCs, FAYAs had lower health-related knowledge and perceived benefits of GDM prevention and susceptibility regarding GDM risk. APIM revealed actor and partner effects of health-related knowledge on health beliefs for dyads. In particular, positive actor effects were found for FAYAs and FCs for GDM-related knowledge with perceived benefits (P < .001), and positive partner effects of GDM-related knowledge for FCs were related to perceived susceptibility and severity for FAYAs (P < .05).

Discussion

As shown in these AIAN dyads, FAYAs and their FCs, as members of one another's social network, may influence each other's health beliefs regarding GDM risk and prevention.

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美国印第安人和阿拉斯加原住民女性青少年和有妊娠糖尿病风险的年轻成年人及其女性照顾者有关妊娠糖尿病风险的健康相关知识和健康信念之间的关联：一项横断面二元分析。

导言：有关妊娠糖尿病（GDM）高危妇女的知识和健康信念之间的联系的研究主要集中在妊娠糖尿病高危或已患 GDM 的成年人身上。在研究与家庭成员或同龄人的人际关系方面也存在差距。我们研究了有 GDM 风险的美国印第安人和阿拉斯加原住民（AIAN）女性青少年和年轻成年人（FAYAs）与其母亲或成年女性照顾者（FCs）之间以及她们内部关于 GDM 风险的知识和健康信念之间的关系：以扩展健康信念模型为基础，我们采用了横断面设计，使用了 147 对有 GDM 风险的阿拉斯加原住民女性青少年和年轻成人及其母亲或成年女性照顾者（FCs）的基线数据，她们都参加了 "阻止女儿和母亲患 GDM "试验。FAYAs 的年龄在 12.0 到 24.5 岁之间，89.1% 是学生。FCs的平均年龄（标清）为44.0（9.3）岁，87.0%为亚裔美国人，44.9%受过大学教育，19.7%曾经患过GDM，81.0%是FAYA的母亲。FAYA 和 FC 完成了有关 GDM 风险和预防的知识和健康信念（益处、障碍、严重程度、易感性）的调查。我们进行了双变量相关性分析，以研究双变量成员之间和内部的关联。使用行为主体-伙伴相互依存模型（APIM）研究了干系人之间的关联，假定干系人之间是可区分的：结果：与 FC 相比，FAYAs 对预防 GDM 的健康相关知识和感知到的益处较少，对 GDM 风险的易感性也较低。APIM揭示了健康相关知识对二人组健康信念的行为者和伙伴效应。特别是，在 GDM 相关知识和感知到的益处方面，FAYAs 和 FCs 发现了积极的行为者效应（P 讨论）：正如这些亚裔美国人二人组所显示的，作为彼此社会网络的成员，FAYAs 和他们的 FCs 可能会影响彼此关于 GDM 风险和预防的健康信念。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of midwifery & women's health 医学-护理

CiteScore

3.60

自引率

7.40%

发文量

103

审稿时长

6-12 weeks

期刊介绍： The Journal of Midwifery & Women''s Health (JMWH) is a bimonthly, peer-reviewed journal dedicated to the publication of original research and review articles that focus on midwifery and women''s health. JMWH provides a forum for interdisciplinary exchange across a broad range of women''s health issues. Manuscripts that address midwifery, women''s health, education, evidence-based practice, public health, policy, and research are welcomed