Improving women’s experiences with gestational diabetes from culturally and linguistically diverse backgrounds in Australia: a qualitative study
IntroductionGestational diabetes mellitus (GDM) is the fastest growing type of diabetes in many countries worldwide, including Australia. Although studies have explored the experiences of women with GDM from ethnic minority groups, few have compared their experiences with women from Anglosphere back...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1291347/full |
| _version_ | 1797354033066803200 |
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| author | Hiu Wing Rachel Lau Johnathon Dong Johnathon Dong Tessa Weir Tessa Weir Meenakshi Chopra Lyn Olivetti Gregory Fulcher Sarah Glastras |
| author_facet | Hiu Wing Rachel Lau Johnathon Dong Johnathon Dong Tessa Weir Tessa Weir Meenakshi Chopra Lyn Olivetti Gregory Fulcher Sarah Glastras |
| author_sort | Hiu Wing Rachel Lau |
| collection | DOAJ |
| description | IntroductionGestational diabetes mellitus (GDM) is the fastest growing type of diabetes in many countries worldwide, including Australia. Although studies have explored the experiences of women with GDM from ethnic minority groups, few have compared their experiences with women from Anglosphere backgrounds.ObjectiveTo investigate the responses to diagnosis, the management of GDM, and the experiences of healthcare services among women with GDM from different culturally and linguistically diverse (CALD) backgrounds.MethodsParticipants were recruited via convenience sampling by advertisement posted around antenatal clinics of three hospitals in NSLHD: Royal North Shore, Hornsby, and Manly Hospitals. The interviews were semi-structured, one-on-one, and in-person conducted by a trained female volunteer. The interviews were audio-recorded, transcribed into text. The data was analyzed via an inductive and descriptive coding approach. The codes were then categorized into main themes and sub-themes.Results30 women (7 Australian-born, 11 Chinese, 8 Indians, and 4 Koreans) partook the semi-structured interviews and 5 themes were identified: (1) Reaction to diagnosis; (2) Management issues; (3) Roles of friends and family; (4) Information access; and (5) Experience with healthcare services. The lack of culturally tailored dietary information, social support and language barriers were the main factors underpinning the differences in GDM experiences among women from CALD backgrounds versus Australian-born.ConclusionHealthcare models should provide more emotional support upon diagnosis, culturally tailored guidelines for lifestyle modifications, and involve friends and family in care and management to enhance the experience of GDM for women from CALD backgrounds. |
| first_indexed | 2024-03-08T13:39:30Z |
| format | Article |
| id | doaj.art-a213f863b55741b49a534974cb0eff17 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-08T13:39:30Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-a213f863b55741b49a534974cb0eff172024-01-16T12:56:50ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-01-011110.3389/fpubh.2023.12913471291347Improving women’s experiences with gestational diabetes from culturally and linguistically diverse backgrounds in Australia: a qualitative studyHiu Wing Rachel Lau0Johnathon Dong1Johnathon Dong2Tessa Weir3Tessa Weir4Meenakshi Chopra5Lyn Olivetti6Gregory Fulcher7Sarah Glastras8Sydney Medical School, University of Sydney, Camperdown, NSW, AustraliaSydney Medical School, University of Sydney, Camperdown, NSW, AustraliaNorth Sydney Endocrine Centre, Royal North Shore Hospital, St Leonards, NSW, AustraliaSydney Medical School, University of Sydney, Camperdown, NSW, AustraliaEndocrinology Outpatient Clinic Service, Nepean Blue Mountains Hospital, Penrith, NSW, AustraliaIntegrated Digital Enablement Accelerator (IDEA) Team, NSW Ministry of Health, St Leonards, NSW, AustraliaNorthern Sydney Local Health District, St Leonards, NSW, AustraliaNorth Sydney Endocrine Centre, Royal North Shore Hospital, St Leonards, NSW, AustraliaNorth Sydney Endocrine Centre, Royal North Shore Hospital, St Leonards, NSW, AustraliaIntroductionGestational diabetes mellitus (GDM) is the fastest growing type of diabetes in many countries worldwide, including Australia. Although studies have explored the experiences of women with GDM from ethnic minority groups, few have compared their experiences with women from Anglosphere backgrounds.ObjectiveTo investigate the responses to diagnosis, the management of GDM, and the experiences of healthcare services among women with GDM from different culturally and linguistically diverse (CALD) backgrounds.MethodsParticipants were recruited via convenience sampling by advertisement posted around antenatal clinics of three hospitals in NSLHD: Royal North Shore, Hornsby, and Manly Hospitals. The interviews were semi-structured, one-on-one, and in-person conducted by a trained female volunteer. The interviews were audio-recorded, transcribed into text. The data was analyzed via an inductive and descriptive coding approach. The codes were then categorized into main themes and sub-themes.Results30 women (7 Australian-born, 11 Chinese, 8 Indians, and 4 Koreans) partook the semi-structured interviews and 5 themes were identified: (1) Reaction to diagnosis; (2) Management issues; (3) Roles of friends and family; (4) Information access; and (5) Experience with healthcare services. The lack of culturally tailored dietary information, social support and language barriers were the main factors underpinning the differences in GDM experiences among women from CALD backgrounds versus Australian-born.ConclusionHealthcare models should provide more emotional support upon diagnosis, culturally tailored guidelines for lifestyle modifications, and involve friends and family in care and management to enhance the experience of GDM for women from CALD backgrounds.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1291347/fullantenatal caregestational diabetesendocrinologyobstetricsdelivery of health carepatient experience |
| spellingShingle | Hiu Wing Rachel Lau Johnathon Dong Johnathon Dong Tessa Weir Tessa Weir Meenakshi Chopra Lyn Olivetti Gregory Fulcher Sarah Glastras Improving women’s experiences with gestational diabetes from culturally and linguistically diverse backgrounds in Australia: a qualitative study Frontiers in Public Health antenatal care gestational diabetes endocrinology obstetrics delivery of health care patient experience |
| title | Improving women’s experiences with gestational diabetes from culturally and linguistically diverse backgrounds in Australia: a qualitative study |
| title_full | Improving women’s experiences with gestational diabetes from culturally and linguistically diverse backgrounds in Australia: a qualitative study |
| title_fullStr | Improving women’s experiences with gestational diabetes from culturally and linguistically diverse backgrounds in Australia: a qualitative study |
| title_full_unstemmed | Improving women’s experiences with gestational diabetes from culturally and linguistically diverse backgrounds in Australia: a qualitative study |
| title_short | Improving women’s experiences with gestational diabetes from culturally and linguistically diverse backgrounds in Australia: a qualitative study |
| title_sort | improving women s experiences with gestational diabetes from culturally and linguistically diverse backgrounds in australia a qualitative study |
| topic | antenatal care gestational diabetes endocrinology obstetrics delivery of health care patient experience |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1291347/full |
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