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.

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Abstract

OBJECTIVES

To explore factors associated with postpartum glucose screening among women with Gestational Diabetes Mellitus (GDM).

METHODS

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.

RESULTS

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).

CONCLUSIONS

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.

IMPLICATIONS

Strategies are urgently needed to improve postpartum diabetes screening after GDM that reach women most at risk.

Impact and interest:

1 citations in Scopus
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ID Code: 91621
Item Type: Journal Article
Refereed: Yes
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
DOI: 10.1111/1753-6405.12285
ISSN: 1753-6405
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

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