Bagger Stine, Maindal Helle Terkildsen, Nielsen Karoline Kragelund, Vrå Amanda Grønbjerg, Aagaard-Hansen Jens
Health Promotion Research, Steno Diabetes Center Copenhagen, Gentofte, Denmark.
Department of Public Health, Section for Health Promotion, Aarhus University, Aarhus, Denmark.
Health Psychol Behav Med. 2021 Aug 30;9(1):761-777. doi: 10.1080/21642850.2021.1969235. eCollection 2021.
To explore perceptions of risk and motivation for healthy living among immigrant women from non-western countries with prior gestational diabetes mellitus (GDM) living in Denmark.
Seventeen semi-structured interviews were conducted with 12 female immigrants with prior GDM from non-western countries living in Denmark. The women were recruited through a public hospital and other health services and nongovernmental organisations. The theoretical approach was inspired by Arthur Kleinman's Explanatory Models. Data were analysed using qualitative content analysis.
A diagnosis of GDM entailed great worry for the future. Participants' fears were primarily linked to the potential later development of type 2 diabetes (T2D) and poor health. Women's perceptions of GDM reflected their experiences with T2D-related complications and even death among relatives. The risk perception of GDM was also influenced by participants' challenges and trauma unrelated to diabetes. Their motivation for healthy living was strengthened by their experiences with T2D among relatives, while unrelated challenges and trauma generally reduced their capacity for healthier behaviours.
Among women with a non-western immigrant background and prior GDM living in Denmark, experiences with T2D among family members and their close communities affect their perceptions of risk and motivation to prevent the development of T2D. Furthermore, the challenges of daily life and past trauma were critical factors in their levels of available resources for health. Health promotion in this population should address health in a holistic way by integrating mental and social health with interventions aimed at preventing the development of T2D.
探讨丹麦境内有既往妊娠糖尿病（GDM）史的非西方国家移民女性对健康生活的风险认知和动机。
对丹麦境内12名有既往GDM史的非西方国家女性移民进行了17次半结构式访谈。这些女性通过一家公立医院、其他卫生服务机构和非政府组织招募而来。理论方法受亚瑟·克莱曼的解释模型启发。采用定性内容分析法对数据进行分析。
GDM诊断引发了对未来的极大担忧。参与者的恐惧主要与2型糖尿病（T2D）的潜在后期发展及健康状况不佳有关。女性对GDM的认知反映了她们在亲属中目睹的与T2D相关并发症甚至死亡的经历。GDM的风险认知还受到参与者与糖尿病无关的挑战和创伤的影响。亲属中T2D的经历增强了她们健康生活的动机，而无关的挑战和创伤通常降低了她们采取更健康行为的能力。
在丹麦境内有非西方移民背景且有既往GDM史的女性中，家庭成员及其亲密社区中T2D的经历影响她们对风险的认知以及预防T2D发展的动机。此外，日常生活的挑战和过去的创伤是影响她们健康可用资源水平的关键因素。对这一人群的健康促进应通过将心理和社会健康与旨在预防T2D发展的干预措施相结合，以全面的方式解决健康问题。
