Almatrafi Salem D, Sekhar Chandra
Family Medicine, Family Medicine Academy, Qassim Health Cluster, Buraydah, SAU.
Cureus. 2024 Jan 29;16(1):e53166. doi: 10.7759/cureus.53166. eCollection 2024 Jan.
Background Gestational diabetes mellitus (GDM) is a carbohydrate intolerance of variable severity with onset or first recognition during pregnancy; it does not include diabetics who become pregnant or women who become lactosuric. Knowledge of this problem among the public will promote its prevention, screening, and treatment strategies. This study aims to assess the knowledge of GDM regarding its risk factors, screening, treatment, and complications among women in the Al Qassim Province, Saudi Arabia. Method A cross-sectional study was conducted among 617 females aged 18 years and older through convenience sampling between October 2022 and January 2023. An online questionnaire was distributed using Google Forms (Google LLC, Mountain View, CA, USA) and WhatsApp (Meta, Menlo Park, CA, USA). Data was entered, cleaned, and analyzed using SPSS Statistics version 27 (IBM Corp., Armonk, NY, USA). Informed consent was obtained from every participant, and the participants' information was kept confidential. Results In this study, 52.4% of the women (323/617) had moderate knowledge, and 27.6% (170/617) had excellent knowledge about GDM. Only 13.3% (n = 82) knew the optimum time (24 to 28 weeks of gestational age) for gestational diabetes screening in the absence of risk factors. Moreover, 44.6% (n = 275) knew that insulin is one of the treatments for gestational diabetes, while 45.4% (n = 280) knew that gestational diabetes increases a baby's risk of obesity and type 2 diabetes mellitus (T2DM) later in life. A statistically significant association was found between the development of GDM with multigravida (19.5%), a BMI of >25 (15%), and age 31 to 45 years (17.8%), with corresponding p-values of 0.001, 0.0001, and 0.0001, respectively. Conclusion In this study, almost four-fifths of the study population had moderate to excellent knowledge regarding GDM. However, there is a need to enhance knowledge about optimum screening time and insulin use for gestational diabetes treatment. Therefore, encouraging the existing population to learn more about diabetes education programs and health promotional measures should be undertaken periodically. Further studies are required to support this study's findings.
妊娠期糖尿病(GDM)是一种严重程度各异的碳水化合物不耐受症,在孕期发病或首次被发现;它不包括怀孕的糖尿病患者或出现乳糖尿的女性。公众对这一问题的了解将有助于推广其预防、筛查和治疗策略。本研究旨在评估沙特阿拉伯卡西姆省女性对GDM的危险因素、筛查、治疗及并发症的了解情况。
2022年10月至2023年1月期间,通过便利抽样对617名18岁及以上女性进行了一项横断面研究。使用谷歌表单(谷歌有限责任公司,美国加利福尼亚州山景城)和WhatsApp(元公司,美国加利福尼亚州门洛帕克)分发在线问卷。使用SPSS Statistics 27版(IBM公司,美国纽约州阿蒙克)录入、清理和分析数据。获得了每位参与者的知情同意,并对参与者的信息保密。
在本研究中,52.4%(323/617)的女性对GDM有中等程度的了解,27.6%(170/617)的女性有良好的了解。在无危险因素的情况下,只有13.3%(n = 82)的人知道妊娠期糖尿病筛查的最佳时间(孕24至28周)。此外,44.6%(n = 275)的人知道胰岛素是妊娠期糖尿病的治疗方法之一,而45.4%(n = 280)的人知道妊娠期糖尿病会增加婴儿日后患肥胖症和2型糖尿病(T2DM)的风险。发现GDM的发生与多胎妊娠(19.5%)、BMI>25(15%)以及年龄31至45岁(17.8%)之间存在统计学显著关联,相应的p值分别为0.001、0.0001和0.0001。
在本研究中,近五分之四的研究人群对GDM有中等至良好的了解。然而,有必要加强对妊娠期糖尿病最佳筛查时间和胰岛素治疗用途的了解。因此,应定期鼓励现有人群更多地了解糖尿病教育项目和健康促进措施。需要进一步的研究来支持本研究的结果。