Understanding the determinants of health for people with type 2 diabetes.
Objectives. We sought to determine rates and factors associated with screening for type 2 diabetes mellitus (DM) in women with a history of gestational diabetes mellitus. Methods. We retrospectively studied women with diagnosed gestational diabetes mellitus who delivered at a university-affiliated h...
| Publicado en: | American Journal of Public Health Vol. 96; no. 9; pp. 1649 - 1656 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Public Health Association
Sep2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106224160&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106224160 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Sep2006 vid: 96 iid: 9 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 106224160 22304268 2009293299 10.2105/AJPH.2005.067728 NLM16873750 106224160 ppf: 1649 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Understanding the determinants of health for people with type 2 diabetes. aug: au: Maddigan SL Feeny DH Majumdar SR Farris KB Johnson JA affil: Institute of Health Economics, Edmonton, Alberta sug: subj: Diabetes Mellitus, Type 2 Health Status Indicators Evaluation Canada Chi Square Test Confidence Intervals Data Analysis Software Female Health Status Evaluation Male Middle Age Multiple Regression Quality of Life Evaluation Secondary Analysis Self Report Summated Rating Scaling T-Tests Human Middle Aged: 45-64 years Female Male ab: Objectives. We sought to determine rates and factors associated with screening for type 2 diabetes mellitus (DM) in women with a history of gestational diabetes mellitus. Methods. We retrospectively studied women with diagnosed gestational diabetes mellitus who delivered at a university-affiliated hospital (n=570). Data sources included medical and administrative record review. Main outcome measures were the frequency of any type of glucose testing at least 6 weeks after delivery and the frequency of recommended glucose testing. We assessed demographic data, past medical history, and prenatal and postpartum care characteristics. Results. Rates of glucose testing after delivery were low. Any type of glucose testing was performed at least once after 38% of deliveries, and recommended glucose testing was performed at least once after 23% of deliveries. Among women with at least 1 visit to the health care system after delivery (n=447), 42% received any type of glucose test at least once, and 35% received a recommended glucose test at least once. Factors associated with testing were being married, having a visit with an endocrinologist after delivery, and having more visits after delivery. Conclusions. These findings suggest that most women with gestational diabetes mellitus are not screened for type 2 DM after delivery. Opportunities for DM prevention and early treatment are being missed. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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