"If I Don't Eat Enough, I Won't Be Healthy". Women's Experiences with Gestational Diabetes Mellitus Treatment in Rural and Urban South India
Gestational diabetes mellitus (GDM) is associated with a range of adverse pregnancy outcomes as well as increased risk of future type 2 diabetes and cardiovascular disease. In India, 10%-35% of pregnant women develop GDM. In this study, we investigated women's experiences with the dietary and p...
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| Veröffentlicht in: | International journal of environmental research and public health 2020-04, Vol.17 (9), p.3062 |
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| creator | Kragelund Nielsen, Karoline Vildekilde, Thilde Kapur, Anil Damm, Peter Seshiah, Veerasamy Bygbjerg, Ib C |
| description | Gestational diabetes mellitus (GDM) is associated with a range of adverse pregnancy outcomes as well as increased risk of future type 2 diabetes and cardiovascular disease. In India, 10%-35% of pregnant women develop GDM. In this study, we investigated women's experiences with the dietary and pharmaceutical treatment for GDM in rural and urban Tamil Nadu, India. Semi-structured interviews were conducted with 19 women diagnosed with GDM. Data were analyzed using qualitative content analysis. Three overall aspects were discovered with several sub-aspects characterizing women's experiences: emotional challenges (fear and apprehension for the baby' health and struggling to accept a treatment seen as counterintuitive to being safe and healthy), interpersonal challenges (managing treatment in the near social relations and social support, and coordinating treatment with work and social life), and health system-related challenges (availability and cost of treatment, interaction with health care providers). Some aspects acted as barriers. However, social support and positive, high-quality interactions with health care providers could mitigate some of these barriers and facilitate the treatment process. Greater efforts at awareness creation in the social environment and systemic adjustments in care delivery targeting the individual, family, community and health system levels are needed in order to ensure that women with GDM have the opportunity to access treatment and are enabled and motivated to follow it as well. |
| doi_str_mv | 10.3390/ijerph17093062 |
| format | Article |
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Women's Experiences with Gestational Diabetes Mellitus Treatment in Rural and Urban South India</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Kragelund Nielsen, Karoline ; Vildekilde, Thilde ; Kapur, Anil ; Damm, Peter ; Seshiah, Veerasamy ; Bygbjerg, Ib C</creator><creatorcontrib>Kragelund Nielsen, Karoline ; Vildekilde, Thilde ; Kapur, Anil ; Damm, Peter ; Seshiah, Veerasamy ; Bygbjerg, Ib C</creatorcontrib><description>Gestational diabetes mellitus (GDM) is associated with a range of adverse pregnancy outcomes as well as increased risk of future type 2 diabetes and cardiovascular disease. In India, 10%-35% of pregnant women develop GDM. In this study, we investigated women's experiences with the dietary and pharmaceutical treatment for GDM in rural and urban Tamil Nadu, India. Semi-structured interviews were conducted with 19 women diagnosed with GDM. Data were analyzed using qualitative content analysis. Three overall aspects were discovered with several sub-aspects characterizing women's experiences: emotional challenges (fear and apprehension for the baby' health and struggling to accept a treatment seen as counterintuitive to being safe and healthy), interpersonal challenges (managing treatment in the near social relations and social support, and coordinating treatment with work and social life), and health system-related challenges (availability and cost of treatment, interaction with health care providers). Some aspects acted as barriers. However, social support and positive, high-quality interactions with health care providers could mitigate some of these barriers and facilitate the treatment process. Greater efforts at awareness creation in the social environment and systemic adjustments in care delivery targeting the individual, family, community and health system levels are needed in order to ensure that women with GDM have the opportunity to access treatment and are enabled and motivated to follow it as well.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17093062</identifier><identifier>PMID: 32354048</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Cardiovascular diseases ; Content analysis ; Data analysis ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Health care ; Health care access ; Health services ; Insulin ; Interviews ; Low income groups ; Pharmaceuticals ; Pregnancy ; Qualitative analysis ; Social environment ; Social interactions ; Studies ; Womens health</subject><ispartof>International journal of environmental research and public health, 2020-04, Vol.17 (9), p.3062</ispartof><rights>2020. 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Women's Experiences with Gestational Diabetes Mellitus Treatment in Rural and Urban South India</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Gestational diabetes mellitus (GDM) is associated with a range of adverse pregnancy outcomes as well as increased risk of future type 2 diabetes and cardiovascular disease. In India, 10%-35% of pregnant women develop GDM. In this study, we investigated women's experiences with the dietary and pharmaceutical treatment for GDM in rural and urban Tamil Nadu, India. Semi-structured interviews were conducted with 19 women diagnosed with GDM. Data were analyzed using qualitative content analysis. Three overall aspects were discovered with several sub-aspects characterizing women's experiences: emotional challenges (fear and apprehension for the baby' health and struggling to accept a treatment seen as counterintuitive to being safe and healthy), interpersonal challenges (managing treatment in the near social relations and social support, and coordinating treatment with work and social life), and health system-related challenges (availability and cost of treatment, interaction with health care providers). Some aspects acted as barriers. However, social support and positive, high-quality interactions with health care providers could mitigate some of these barriers and facilitate the treatment process. 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Women's Experiences with Gestational Diabetes Mellitus Treatment in Rural and Urban South India</title><author>Kragelund Nielsen, Karoline ; Vildekilde, Thilde ; Kapur, Anil ; Damm, Peter ; Seshiah, Veerasamy ; Bygbjerg, Ib C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-5e4f57acdf3359b10403e66b34941ba0a008285898b37a8a954adba70235dff13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cardiovascular diseases</topic><topic>Content analysis</topic><topic>Data analysis</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Health care</topic><topic>Health care access</topic><topic>Health services</topic><topic>Insulin</topic><topic>Interviews</topic><topic>Low income groups</topic><topic>Pharmaceuticals</topic><topic>Pregnancy</topic><topic>Qualitative analysis</topic><topic>Social environment</topic><topic>Social interactions</topic><topic>Studies</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kragelund Nielsen, Karoline</creatorcontrib><creatorcontrib>Vildekilde, Thilde</creatorcontrib><creatorcontrib>Kapur, Anil</creatorcontrib><creatorcontrib>Damm, Peter</creatorcontrib><creatorcontrib>Seshiah, Veerasamy</creatorcontrib><creatorcontrib>Bygbjerg, Ib C</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kragelund Nielsen, Karoline</au><au>Vildekilde, Thilde</au><au>Kapur, Anil</au><au>Damm, Peter</au><au>Seshiah, Veerasamy</au><au>Bygbjerg, Ib C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>"If I Don't Eat Enough, I Won't Be Healthy". Women's Experiences with Gestational Diabetes Mellitus Treatment in Rural and Urban South India</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-04-28</date><risdate>2020</risdate><volume>17</volume><issue>9</issue><spage>3062</spage><pages>3062-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Gestational diabetes mellitus (GDM) is associated with a range of adverse pregnancy outcomes as well as increased risk of future type 2 diabetes and cardiovascular disease. In India, 10%-35% of pregnant women develop GDM. In this study, we investigated women's experiences with the dietary and pharmaceutical treatment for GDM in rural and urban Tamil Nadu, India. Semi-structured interviews were conducted with 19 women diagnosed with GDM. Data were analyzed using qualitative content analysis. Three overall aspects were discovered with several sub-aspects characterizing women's experiences: emotional challenges (fear and apprehension for the baby' health and struggling to accept a treatment seen as counterintuitive to being safe and healthy), interpersonal challenges (managing treatment in the near social relations and social support, and coordinating treatment with work and social life), and health system-related challenges (availability and cost of treatment, interaction with health care providers). Some aspects acted as barriers. However, social support and positive, high-quality interactions with health care providers could mitigate some of these barriers and facilitate the treatment process. 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| subjects | Cardiovascular diseases Content analysis Data analysis Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Health care Health care access Health services Insulin Interviews Low income groups Pharmaceuticals Pregnancy Qualitative analysis Social environment Social interactions Studies Womens health |
| title | "If I Don't Eat Enough, I Won't Be Healthy". Women's Experiences with Gestational Diabetes Mellitus Treatment in Rural and Urban South India |
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