丹麦近期妊娠期糖尿病妇女的健康素养、感知压力和饮食质量

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-05-27 DOI:10.1016/j.puhe.2025.105787

Kamilla Horn Diedrichsen , Majken Lillholm Pico , Elina Sofie Rasmussen , Karoline Kragelund Nielsen , Inger Katrine Dahl-Petersen , Per Ovesen , Peter Damm , Dorte Møller Jensen , Ulla Kampmann , Elisabeth R. Mathiesen , Christina Anne Vinter , Helle Terkildsen Maindal

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引用次数: 0

摘要

目的：妊娠期糖尿病（GDM）后坚持饮食建议可降低早发性2型糖尿病的风险。心理社会方面，如卫生知识普及和感受到的压力，可能影响对这些建议的遵守；然而，这在新近患GDM的女性中仍未得到充分研究。本研究旨在探讨健康素养与产后10-14周饮食质量之间的关系，并评估感知压力的影响。研究设计横断面研究。方法本研究使用Face-it试验的基线数据，包括283名产后10-14周的近期GDM丹麦妇女。使用饮食质量评分（DQS）测量饮食质量，使用健康素养问卷的两个领域：HLQ-2（有足够的信息来管理我的健康）和HLQ-3（积极管理我的健康），以及使用感知压力量表（PSS）测量压力。多元线性回归检验了HLQ-2和DQS之间的关系，以及HLQ-3和DQS之间的关系，调整了年龄、教育程度和出生国家。另外的分析考察了感知压力的影响。结果在近期患有GDM的女性中，报告“有足够的信息来管理自己的健康”（HLQ-2）和“积极管理自己的健康”（HLQ-3）与饮食质量呈正相关，β调整= 0.55 [95% CI: 0.22-0.87]和β调整= 1.12 [95% CI: 0.84-1.41]。感知到的压力不会影响这些关联。结论丹麦近期GDM女性的健康素养与饮食质量呈正相关。压力对这种关联没有影响。

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Health literacy, perceived stress, and dietary quality among Danish women with recent gestational diabetes mellitus

Objectives

Adhering to dietary recommendations after gestational diabetes mellitus (GDM) can mitigate the risk of early-onset type 2 diabetes. Psychosocial aspects, such as health literacy and perceived stress, may affect adherence to these recommendations; yet this remains underexplored in women with recent GDM. This study aimed to examine the association between health literacy and dietary quality 10–14 weeks postpartum and to assess the influence of perceived stress.

Study design

Cross-sectional study.

Methods

This study used baseline data from the Face-it trial, including 283 Danish women with recent GDM 10–14 weeks postpartum. Dietary quality was measured using the Dietary Quality Score (DQS), health literacy using two domains of the Health Literacy Questionnaire: HLQ-2 (Having sufficient information to manage my health) and HLQ-3 (Actively managing my health), and stress using the Perceived Stress Scale (PSS). Multiple linear regression examined the association between HLQ-2 and DQS, and HLQ-3 and DQS, adjusting for age, education, and country of birth. Additional analyses examined the influence of perceived stress.

Results

Among women with recent GDM, reporting Having sufficient information to manage their health (HLQ-2) and Actively managing their health (HLQ-3) were positively associated with dietary quality, with βadjusted = 0.55 [95 % CI: 0.22–0.87] and βadjusted = 1.12 [95 % CI: 0.84–1.41], respectively. Perceived stress did not affect these associations.

Conclusion

Health literacy was positively associated with dietary quality among Danish women with recent GDM. Stress did not affect this association.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.