Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Department of Endocrinology, Division of Diabetes Care, Malmö University Hospital, Lund University, Malmö, Sweden.
Prim Health Care Res Dev. 2022 Jan 12;23:e2. doi: 10.1017/S1463423621000785.
The aim of this study was to explore the temporal development of beliefs about health, illness and health care in migrant women with gestational diabetes (GD) born in Asia residing in Sweden, and the influence on health-related behaviour in terms of self-care and seeking care.
Migrant Asian women are a high-risk group for developing GD. Adapting to the culture in the new society and the healthcare system, being diagnosed with GD and becoming a mother is demanding. The question is whether Asian migrants' patterns of beliefs and behaviour change over time, as no previous study has been revealed on this topic.
Qualitative prospective exploratory study. Semi-structured interviews were held on three occasions: during pregnancy and three and fourteen months after delivery, with women born in Asia, diagnosed with GD. Data were analysed with qualitative content analysis.
There was a temporal change of beliefs influencing health-related behaviour, showing a rising curve in risk awareness. An increasing number of persons described developing a healthy diet/lifestyle based on initial advice and shifted focus from the child to worries about the woman's health and risk of developing type 2 diabetes and being unable to care for the child/family. Also, the number of women perceiving GD as a transient condition decreased and more believed it would last forever. Beliefs about health care were unchanged, the healthcare model was perceived working well but information about GD and follow-ups was requested even after delivery, and competent staff was expected. Health professionals' beliefs about the seriousness of GD influence patients' beliefs and need to be considered. Migrant women need support with adequate information, based on their individual beliefs, to continue develop a sustainable healthy lifestyle even after giving birth, to promote health and prevent type 2 diabetes.
本研究旨在探讨在瑞典居住的亚洲出生的妊娠期糖尿病（GD）移民女性的健康、疾病和医疗保健信念的时间发展，以及这些信念如何影响自我保健和寻求医疗保健等与健康相关的行为。
亚洲移民女性是发生 GD 的高危人群。适应新社会的文化和医疗保健系统，被诊断出患有 GD 并成为母亲是具有挑战性的。问题是亚洲移民的信念和行为模式是否会随着时间的推移而发生变化，因为之前没有关于这个主题的研究。
定性前瞻性探索性研究。在怀孕期间以及分娩后 3 个月和 14 个月，对诊断出患有 GD 的亚洲出生的女性进行了 3 次半结构化访谈。使用定性内容分析对数据进行分析。
影响健康相关行为的信念发生了时间变化，表现出风险意识的上升趋势。越来越多的人描述了根据最初的建议发展健康饮食/生活方式，并将关注点从孩子转移到对女性健康和患 2 型糖尿病以及无法照顾孩子/家庭的风险的担忧上。此外，认为 GD 是一种短暂情况的女性人数减少，更多的人认为它会持续存在。对医疗保健的信念保持不变，人们认为医疗保健模式运作良好，但即使在分娩后，仍需要有关 GD 和随访的信息，并期望得到有能力的工作人员的支持。医疗保健专业人员对 GD 严重程度的信念会影响患者的信念，需要加以考虑。移民女性需要获得基于其个人信念的充足信息支持，以继续发展可持续的健康生活方式，即使在分娩后，也可以促进健康并预防 2 型糖尿病。
