Understanding the Experiences of East African Immigrant Women With Gestational Diabetes Mellitus

Siad, Fartoon M.; Xiao, Fang; Santana, Maria; Butalia, Sonia; Hebert, Marilynne; Rabi, Doreen M.

doi:10.1016/j.jcjd.2018.01.013

Cited by 24 publications

(49 citation statements)

References 26 publications

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“…An initial search identified 20,040 studies, of which, those with limited discussions in relation to MH outcomes and of poor quality, were excluded, resulting in a final dataset of 69 studies ( Table 1a ) of which 46 studies were systematically included and thematically analysed ( Table 2 ). These 46 studies included 26 qualitative [ 12 , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] ], 17 cohort [ 7 , 18 , 21 , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] ], 6 controlled [61] , [62] , [63] , [64] , [65] , [66] , 2 randomised controlled trials [ 19 , 67 ] and 2 mixed methods [ 68 , 69 ] studies. Based on the eligibility criteria, and the quality assessment, 21 studies were selected for the meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

“…The levels of evidence differ from the meta-analysis and the systematic review which, demonstrates GDM increased the risk of maternal MH conditions as reported by 16 studies, although, they did not specify the prevalence of depression or anxiety to each ethnic group of the population. Four studies suggested that GDM heightened the risk of MH conditions, yet they did not analyse these effects according to ethnicity [ 7 , 47 , 54 , 58 ]. On the contrary, Nicklas and colleagues reported that ethnicity did not alter the risk of PPD [9] , following adjustments for demographic variables.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

et al. 2021

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Background: Gestational diabetes mellitus (GDM) is a common complication of pregnancy and is associated with an increased risk of mental health (MH) disorders including antenatal and postnatal depression (PND), anxiety and post-traumatic-stress-disorder (PTSD). We hypothesized GDM and MH disorders will disproportionately affect individuals from Black, Asian and Minority Ethnic backgrounds. Methods: A systematic methodology was developed, and a protocol was published in PROSPERO (CRD42020210863) and a systematic review of publications between 1st January 1990 and 30th January 2021 was conducted. Multiple electronic databases were explored using keywords and MeSH terms. The finalised dataset was analysed using statistical methods such as random-effect models, subgroup analysis and sensitivity analysis. These were used to determine odds ratio (OR) and 95% confidence intervals (CI) to establish prevalence using variables of PND, anxiety, PTSD and stress to name a few. Findings: Sixty studies were finalised from the 20,040 data pool. Forty-six studies were included systematically with 14 used to meta-analyze GDM and MH outcomes. A second meta-analysis was conducted using 7 studies to determine GDM risk among Black, Asian and Minority Ethnic women with pre-existing MH disorders. The results indicate an increased risk with pooled adjusted OR for both reflected at 1.23, 95% CI of 1.00À1.50 and 1.29, 95% CI of 1.11À1.50 respectively. Interpretation: The available studies suggest a MH sequalae with GDM as well as a sequalae of GDM with MH among Black, Asian and Minority Ethnic populations. Our findings warrant further future exploration to better manage these patients.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

et al. 2021

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“…We found that African immigrants monitor their symptoms but may not monitor for medication side-effects or feeling more tired than usual when doing normal activities. Two separate studies reported that, for the most part, African immigrants monitor their illnesses, except for lapses due to forgetfulness (Njeru et al, 2016; Siad et al, 2018). One reason that they may not monitor for medication side effects may be an inability to understand discharge instructions (Henry Osokpo et al, 2021; Omenka et al, 2020) due to language differences during patient-provider interactions, during which providers use technical names and descriptions that are unfamiliar to this population.…”

Section: Discussionmentioning

confidence: 99%

Self-Care of African Immigrant Adults with Chronic Illness

et al. 2021

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This cross-sectional study aims to describe the self-care of adult African immigrants in the US with chronic illness and explore the relationship between acculturation and self-care. A total of 88 African immigrants with chronic illness were enrolled. Self-care was measured with the Self Care of Chronic Illness Inventory v3 and the Self-Care Self-Efficacy scale. Scores are standardized 0 to 100 with scores >70 considered adequate. Acculturation was measured using a modified standardized acculturation instrument and predefined acculturation proxies. The self-care scores showed adequate self-care, with the mean scores of 78.6, 77.9, and 75.6 for self-care maintenance, monitoring, and management. Self-care self-efficacy mean score was 81.3. Acculturation was not significantly associated with self-care. Self-care self-efficacy was a strong determinant of self-care maintenance ( p < .0001), monitoring ( p < .0001), and management ( p < .0001). The perception of inadequate income was a significant determinant of poor self-care management ( p = .03). Self-care self-efficacy and perceived income adequacy were better determinants of self-care than acculturation.

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“…Treat me, not my diagnosis’. 21 Studies have also identified various other negative stereotypes associated with the GDM label, such as women with GDM not being able to control their weight; not engaging in physical activity; being lazy; having poor eating habits; lack of willpower and judgement as well as the notion that women diagnosed with GDM have brought the condition upon themselves through their own failings. 18 , 19 , 20 , 22 , 23 , 24 , 25 , 26 The negative labelling and stereotypes mean that women diagnosed with GDM may be vulnerable to being discredited as ‘bad mothers’ or having unhealthy pregnancies and children.…”

Section: Resultsmentioning

confidence: 99%