Yang Yi, Yang Yao
Department of Neonatal, The Central Hospital of Enshi Tujia and Miao Autonomous, Enshi, Hubei, China.
Front Endocrinol (Lausanne). 2025 Jul 3;16:1574480. doi: 10.3389/fendo.2025.1574480. eCollection 2025.
Gestational diabetes mellitus (GDM) significantly impacts long-term child health outcomes. This study assessed neonatologists' knowledge, attitudes, and practices (KAP) regarding GDM-related complications in offspring.
A cross-sectional study of 1,614 neonatologists in Hubei Province, China, utilized a validated 28-item questionnaire examining knowledge (12 items), attitudes (8 items), and practices (8 items). Responses were scored on a trichotomous scale. Binary logistic regression analyzed predictors of satisfactory performance across domains.
Among 1,614 neonatologists, 1,437 (89%) demonstrated satisfactory knowledge, 1,513 (94%) positive attitudes, and 1,165 (72%) good practices. Knowledgeable practitioners were significantly older (45.4 vs 36.2 years; OR 1.42 [95% CI 1.40-1.44]; <.001) with greater experience (13.8 vs 10.5 years; 1.41 [1.35-1.46]; <.001). Academic hospital affiliation showed higher competency versus community settings (0.12 [0.08-0.20]; <.001). Practice patterns varied by education, with MD-PhD holders demonstrating higher odds of good practice (1.32 [1.03-1.71]; P=.032) compared with fellowship training (0.69 [0.51-0.92]; =.009). Universal documentation of maternal GDM coexisted with suboptimal rates of periodic evaluations (81%) and specialist referrals (84%). Knowledge competency (7.52 [5.90-9.60]; <.001) and positive attitudes (15.81 [9.90-25.26]; <.001) strongly predicted practice patterns.
Despite high knowledge levels and positive attitudes, particularly among experienced practitioners in academic settings, implementation gaps exist in follow-up protocols and specialist referrals. Practice setting significantly influences care delivery, suggesting the need for standardized protocols across healthcare tiers.
妊娠期糖尿病（GDM）对儿童长期健康结局有重大影响。本研究评估了新生儿科医生对GDM相关子代并发症的知识、态度和实践（KAP）。
对中国湖北省的1614名新生儿科医生进行横断面研究，使用经过验证的28项问卷，调查知识（12项）、态度（8项）和实践（8项）。回答按三分制评分。二元逻辑回归分析各领域表现满意的预测因素。
在1614名新生儿科医生中，1437名（89%）知识水平令人满意，1513名（94%）态度积极，1165名（72%）实践良好。知识丰富的从业者年龄显著更大（45.4岁对36.2岁；比值比1.42[95%置信区间1.40 - 1.44]；P <.001），经验更丰富（13.8年对10.5年；1.41[1.35 - 1.46]；P <.001）。学术医院附属机构的能力高于社区机构（0.12[0.08 - 0.20]；P <.001）。实践模式因教育程度而异，医学博士 - 哲学博士学位持有者表现出良好实践的几率更高（1.32[1.03 - 1.71]；P = 0.032），相比之下，专科培训者为0.69[0.51 - 0.92]；P = 0.009）。对母亲GDM的普遍记录与定期评估（81%）和专科转诊（84%）的次优率并存。知识能力（7.52[5.90 - 9.
