Associations with low rates of postpartum glucose screening after gestational diabetes among Indigenous and non-Indigenous Australian women
Chamberlain, Catherine, Fredericks, Bronwyn L., McLean, Anna, Oldenburg, Brian, Mein, Jacki, & Wolfe, Rory (2015) Associations with low rates of postpartum glucose screening after gestational diabetes among Indigenous and non-Indigenous Australian women. Australian and New Zealand Journal of Public Health, 39(1), pp. 69-76.
To explore factors associated with postpartum glucose screening among women with Gestational Diabetes Mellitus (GDM).
A retrospective study using linked records from women with GDM who gave birth at Cairns Hospital in Far North Queensland, Australia, from 1 January 2004 to 31 December 2010.
The rates of postpartum Oral Glucose Tolerance Test (OGTT) screening, while having increased significantly among both Indigenous* and non-Indigenous women from 2004 to 2010 (HR 1.15 per year, 95%CI 1.08-1.22, p<0.0001), remain low, particularly among Indigenous women (10% versus 27%, respectively at six months postpartum). Indigenous women in Cairns had a longer time to postpartum OGTT than Indigenous women in remote areas (HR 0.58, 0.38-0.71, p=0.01). Non-Indigenous women had a longer time to postpartum OGTT if they: were born in Australia (HR 0.76, 0.59-1.00, 0.05); were aged <25 years (HR 0.45, 0.23-0.89, p=0.02); had parity >5 (HR 0.33, 0.12-0.90, p=0.03); smoked (HR 0.48, 0.31-0.76, p=0.001); and did not breastfeed (HR 0.09, 0.01-0.64, p=0.02).
Postpartum diabetes screening rates following GDM in Far North Queensland are low, particularly among Indigenous women, with lower rates seen in the regional centre; and among non-Indigenous women with indicators of low socioeconomic status.
Strategies are urgently needed to improve postpartum diabetes screening after GDM that reach women most at risk.
Impact and interest:
Citation counts are sourced monthly from and citation databases.
These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.
Citations counts from theindexing service can be viewed at the linked Google Scholar™ search.
|Item Type:||Journal Article|
|Additional Information:||Bronwyn Fredericks is an Adjunct Professor with the Faculty of Health, QUT and a Member of the ISRN, QUT. She is a Professor and the Pro Vice-Chancellor (Indigenous Engagement)and BMA Chair in Indigenous Engagement at Central Queensland University, Australia.|
|Keywords:||women, diabetes, gestational diabetes mellitus, pregnancy, Aboriginal, Torres Strait Islander, Indigenous, Australia|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Aboriginal and Torres Strait Islander Health (111701)
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Research Centres > Indigenous Studies Research Network
Current > Schools > School of Public Health & Social Work
|Copyright Owner:||Copyright 2015 Australian and New Zealand Journal of Public Health Association|
|Deposited On:||06 Jan 2016 22:56|
|Last Modified:||10 Jan 2016 22:24|
Repository Staff Only: item control page