School of Public Health and Community Medicine, University of New South Wales.
Health Promot J Austr. 2010 Aug;21(2):130-7. doi: 10.1071/he10130.
Women with previous gestational diabetes mellitus (GDM) are at increased risk of developing type 2 diabetes; this risk is higher in non-Caucasian women. This study explored the beliefs, attitudes, social support, environmental influences and other factors related to diabetes risk behaviours among Arabic, Cantonese/Mandarin, and English speaking women with recent GDM.
Women living in the Sydney metropolitan area (Australia) who had GDM 6-36 months previously were included. In-depth semi-structured telephone interviews on women's experiences and perceptions of GDM and the lifestyle risk factors for developing type 2 diabetes were conducted in the language participants spoke at home (n=20 Arabic, 20 Cantonese/Mandarin, 17 English). Data were analysed for underlying themes using NVivo software.
Mental distress, role perceptions, social support and cultural expectations were major issues related to women's struggles to find the right balance between the large proportion of household and child care responsibilities and leading a healthy lifestyle.
Women's ability to follow a healthy lifestyle is embedded in their psychological wellbeing and the social and cultural context of their lives. The study highlights the need for a holistic approach that ensures personal support and access to services as well as lifestyle specific programs.
患有既往妊娠糖尿病（GDM）的女性发生 2 型糖尿病的风险增加；非白种人女性的风险更高。本研究探讨了阿拉伯语、粤语/普通话和英语的近期 GDM 女性在与糖尿病风险行为相关的信念、态度、社会支持、环境影响和其他因素。
纳入居住在澳大利亚悉尼大都市区且既往 6-36 个月患有 GDM 的女性。对女性在 GDM 方面的经历和看法以及发生 2 型糖尿病的生活方式风险因素进行了深入的家庭语言（20 名阿拉伯语、20 名粤语/普通话、17 名英语）半结构式电话访谈。使用 NVivo 软件对数据进行了主题分析。
精神困扰、角色认知、社会支持和文化期望是与女性在家庭和儿童照顾责任与健康生活方式之间寻找适当平衡的斗争相关的主要问题。
女性遵循健康生活方式的能力根植于她们的心理健康以及生活的社会和文化背景。该研究强调需要采取整体方法，确保个人支持和服务的获取以及特定生活方式的项目。
