Assessment of gestational diabetes mellitus knowledge, attitudes, and practices and associated factors among pregnant women at a district hospital in Coastal Kenya.

IF 3.6 Q1 TROPICAL MEDICINE
Nanyangwe Siuluta, Miho Sato, Le Khac Linh, Violet Wanjihia, Mwatasa Salim Changoma, Nguyen Tien Huy, Satoshi Kaneko
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Abstract

Background: Gestational diabetes mellitus (GDM) is any degree of glucose intolerance first recognized during pregnancy. GDM awareness among pregnant women translates into GDM prevention and early diagnosis.

Objective: To establish the underlying factors influencing GDM Knowledge Attitude and Practices (KAP) among pregnant women at Kinango District Hospital.

Method: An explanatory mixed-methods design was implemented by initially assessing GDM KAP quantitatively [QUAN], followed by the qualitative [qual] exploration of contextual factors behind quantitative results. In the [QUAN] strand, 354 pregnant women were interviewed from January to February 2019. Thereafter, in the [qual] strand, key informant interviews were conducted among four pregnant women and three healthcare workers; a focus group discussion was held among nine pregnant women, from May to June 2019. STATA V15 software package was used to analyze the quantitative data. Qualitative data were analyzed manually using thematic analysis.

Result: Among 354 pregnant women, 29.0% were knowledgeable, 46.98% had good attitude and 60.17% had good practice. Attending at least one antenatal clinic visit and having heard about diabetes mellitus were associated with good GDM attitude and practices. Among the knowledgeable pregnant women, one-third (33.33%) obtained GDM information from a health facility. Discussions with pregnant women and the interviews with healthcare workers highlighted that daily health talks during antenatal clinic, included GDM and diabetes mellitus information. Furthermore, attendance of at least one antenatal clinic visit was low (85.88%), among pregnant women (87.86%) who were expected to have attended at least one antenatal clinic visits.

Conclusion: Despite low GDM knowledge, pregnant women had relatively good GDM attitudes and good GDM practices. Daily health talks conducted during antenatal clinic as well as indigenous knowledge among pregnant women, influenced the latter. Hence, GDM information dissemination needs to be enhanced for the improvement of GDM KAP among pregnant women for GDM prevention.

评估肯尼亚沿海地区一家地区医院孕妇对妊娠糖尿病的认识、态度和做法以及相关因素。
背景:妊娠糖尿病(GDM)是指在怀孕期间首次发现的任何程度的葡萄糖不耐受。孕妇对 GDM 的认识有助于 GDM 的预防和早期诊断:确定影响 Kinango 地区医院孕妇 GDM 知识、态度和做法 (KAP) 的潜在因素:采用解释性混合方法设计,首先对 GDM KAP 进行定量[QUAN]评估,然后对定量结果背后的背景因素进行定性[Qual]探索。在[QUAN]方面,于2019年1月至2月对354名孕妇进行了访谈。此后,在[质]方面,于2019年5月至6月对4名孕妇和3名医护人员进行了关键信息提供者访谈;对9名孕妇进行了焦点小组讨论。定量数据采用 STATA V15 软件包进行分析。采用专题分析法对定性数据进行人工分析:在 354 名孕妇中,29.0% 具备相关知识,46.98% 态度良好,60.17% 实践良好。至少参加过一次产前检查和听说过糖尿病与 GDM 的良好态度和做法有关。在了解情况的孕妇中,有三分之一(33.33%)是从医疗机构获得 GDM 信息的。与孕妇的讨论以及与医护人员的访谈都强调,产前门诊的日常健康讲座包括了 GDM 和糖尿病的相关信息。此外,在本应至少参加一次产前检查的孕妇(87.86%)中,至少参加一次产前检查的比例较低(85.88%):结论:尽管孕妇对 GDM 的了解较少,但她们对 GDM 的态度和做法相对较好。产前检查期间举办的日常健康讲座以及孕妇的本土知识对后者产生了影响。因此,需要加强 GDM 信息的传播,以改善孕妇的 GDM KAP,从而预防 GDM。
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
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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