Journal of Immigrant and Minority Health
Volume 18, Issue 6, 2016, Pages 1334-1342

Reported Health Behaviour Changes after a Diagnosis of Gestational Diabetes Mellitus among Ethnic Minority Women Living in Canada (Article)

Banerjee A.T.* , McTavish S. , Ray J.G. , Gucciardi E. , Lowe J. , Feig D. , Mukerji G. , Wu W. , Lipscombe L.L.
  • a Women’s College Research Institute, Women’s College Hospital, Toronto, ON, Canada, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
  • b Women’s College Research Institute, Women’s College Hospital, Toronto, ON, Canada
  • c St. Michael’s Hospital, Toronto, ON, Canada, Department of Medicine, University of Toronto, Toronto, ON, Canada
  • d School of Nutrition, Ryerson University, Toronto, ON, Canada
  • e Department of Medicine, University of Toronto, Toronto, ON, Canada, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
  • f Department of Medicine, University of Toronto, Toronto, ON, Canada, Mount Sinai Hospital, Toronto, ON, Canada
  • g Women’s College Research Institute, Women’s College Hospital, Toronto, ON, Canada, Department of Medicine, University of Toronto, Toronto, ON, Canada, Mount Sinai Hospital, Toronto, ON, Canada
  • h Women’s College Research Institute, Women’s College Hospital, Toronto, ON, Canada
  • i Women’s College Research Institute, Women’s College Hospital, Toronto, ON, Canada, Department of Medicine, University of Toronto, Toronto, ON, Canada, Sunnybrook Health Sciences Centre, Toronto, ON, Canada

Abstract

The aim of this cross-sectional study was to examine differences in health behaviours among ethnic minority and Caucasian women after a diagnosis of gestational diabetes mellitus (GDM). Data were derived from medical charts and a questionnaire among a multi-ethnic cohort of 898 Canadian pregnant women diagnosed with GDM attending prenatal diabetes clinics in Ontario, Canada. Health behaviours were compared between ethnic minority and Caucasian women, adjusting for relevant covariates. The mean age was 33.9 ± 6.1 years; 60.0 % self-reported to be part of an ethnic minority group. After adjustment for socio-demographic, behavioural and clinical characteristics, ethnic minority women were more likely to report reducing their meal portion sizes (odds ratio [OR] 1.98; 95.0 % confidence interval [CI] 1.20–3.26) and increasing their physical activity (OR 1.71; 95.0 % CI 1.12–2.62) in response to a GDM diagnosis compared to Caucasian women. Ethnic minority women were more likely to report changes in health behaviours after a GDM diagnosis. Further research is needed to determine the impact of these findings on maternal health and perinatal outcomes, during and after delivery. © 2015, Springer Science+Business Media New York.

Author Keywords

maternal health Health behaviour change gestational diabetes mellitus Ethnic minority women

Index Keywords

prenatal care pregnancy diabetes mellitus Caucasian exercise minority group human epidemiology Health Behavior statistics and numerical data diet feeding behavior ethnology Cross-Sectional Studies cross-sectional study Humans Minority Groups female Socioeconomic Factors socioeconomics pregnancy Meals Ontario adult European Continental Ancestry Group Diabetes, Gestational meal
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939607712&doi=10.1007%2fs10903-015-0266-1&partnerID=40&md5=77f015abbcf737b335d322e668fcfc9c
DOI: 10.1007/s10903-015-0266-1
ISSN: 15571912
Cited by: 1
Original Language: English