- Title
- Predictors of low diabetes risk perception in a multi-ethnic cohort of women with gestational diabetes mellitus
- Creator
- Mukerji, G.; Kainth, S.; Pendrith, C.; Lowe, J.; Feig, D. S.; Banerjee, A. T.; Wu, W.; Lipscombe, L. L.
- Relation
- Diabetic Medicine Vol. 33, Issue 10, p. 1437-1444
- Publisher Link
- http://dx.doi.org/10.1111/dme.13009
- Publisher
- Wiley-Blackwell Publishing
- Resource Type
- journal article
- Date
- 2016
- Description
- Aim: To determine what proportion of women with gestational diabetes underestimate their diabetes risk and identify factors associated with low diabetes risk perception. Methods: Participants included pregnant adult women with gestational diabetes between 2009 and 2012 across seven diabetes clinics in Ontario, Canada. Data were collected through chart review and a survey that included a diabetes risk perception question. Results: Of the 614 of 902 women (68% response rate) with gestational diabetes, 89% correctly responded that gestational diabetes increases the risk for developing diabetes. However, 47.1% of women perceived themselves to be at low risk for developing diabetes within 10 years. On multivariable analysis, BMI < 25 kg/m², absent previous gestational diabetes history, absent diabetes family history and absent insulin use were appropriately associated with low diabetes risk perception. However, compared with Caucasian ethnicity, high-risk ethnicity (Aboriginal, Latin American, West Indian, South Asian, Middle Eastern, Filipino, Black, Pacific Islander) [odds ratio (OR) 2.07; 95% CI 1.30–3.31] and East and South East Asian ethnicity (OR 2.01; 1.10–3.67) were associated with low diabetes risk perception. After further adjustment for immigration, only high-risk ethnicity remained a predictor of low diabetes risk perception (OR 1.86; 1.09–3.19), whereas East and South East Asian ethnicity did not (OR 1.67; 0.86–3.22). Conclusions: Although the majority of women recognized gestational diabetes as a risk factor for diabetes, almost half underestimated their personal high diabetes risk despite prenatal care. Furthermore, women from high-risk ethnic groups were more likely to underestimate their risk, even after adjusting for immigration. Interventions tailored to these groups are necessary to enhance perceived diabetes risk.
- Subject
- diabetes; gestational diabetes; risk factors; high-risk ethnicity
- Identifier
- http://hdl.handle.net/1959.13/1344281
- Identifier
- uon:29378
- Identifier
- ISSN:0742-3071
- Language
- eng
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