Does health literacy affect the decision to have gestational diabetes screening test?

Özlem Özgün Uyanıklar; Zeliha Atak; Sakine Rahımlı Ocakoglu; Hatice Ortaç; Gökhan Ocakoğlu

doi:10.18621/eurj.1291335

Araştırma Makalesi

Does health literacy affect the decision to have gestational diabetes screening test?

Yıl 2024, Cilt: 10 Sayı: 2, 195 - 203, 04.03.2024

Özlem Özgün Uyanıklar Zeliha Atak Sakine Rahımlı Ocakoglu Hatice Ortaç Gökhan Ocakoğlu

https://doi.org/10.18621/eurj.1291335

Öz

Objectives: The main objective of this study is to assess the relationship between the level of Health Literacy and the patient's decision to refuse the Gestational diabetes mellitus screening test.

Methods: This cross-sectional study was conducted at a high-volume public hospital from March 2020 to September 2020 with women between 24-28 weeks of gestation. Demographic characteristics and gestational diabetes mellitus screening status were recorded for each woman. The European Health Literacy Survey Questionnaire was used to assess health literacy.

Results: A total of 364 women were included in the study. Two hundred and three (55.7%) women accepted the gestational diabetes mellitus screening test, and 44.2% did not. Health care, disease prevention, health promotion subscales, and the general scale scores were higher in the gestational diabetes mellitus screening group (p = 0.001, p = 0.024, p = 0.01, and p = 0.003, respectively). It was determined that a 1-point increase in the health care score decreased the probability of rejecting the gestational diabetes mellitus screening by 1.03 times (p = 0.003).

Conclusions: Lower health literacy levels were associated with higher rates of gestational diabetes mellitus screening test rejection.

Anahtar Kelimeler

Gestational diabetes, health literacy, surveys and questionnaires

Kaynakça

1. Saravanan P; Diabetes in Pregnancy Working Group; Maternal Medicine Clinical Study Group; Royal College of Obstetricians and Gynaecologists, UK. Gestational diabetes: opportunities for improving maternal and child health. Lancet Diabetes Endocrinol. 2020;8(9):793-800. doi: 10.1016/S2213-8587(20)30161-3.
2. Deputy NP, Kim SY, Conrey EJ, Bullard KM. Prevalence and Changes in Preexisting Diabetes and Gestational Diabetes Among Women Who Had a Live Birth - United States, 2012-2016. MMWR Morb Mortal Wkly Rep. 2018;67(43):1201-1207. doi: 10.15585/mmwr.mm6743a2.
3. Karaçam Z, Çelİk D. The prevalence and risk factors of gestational diabetes mellitus in Turkey: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2021;34(8):1331-1341. doi: 10.1080/14767058.2019.1635109.
4. Dodd JM, Crowther CA, Antoniou G, Baghurst P, Robinson JS. Screening for gestational diabetes: the effect of varying blood glucose definitions in the prediction of adverse maternal and infant health outcomes. Aust N Z J Obstet Gynaecol. 2007;47(4):307-312. doi: 10.1111/j.1479-828X.2007.00743.x.
5. Scholtens DM, Kuang A, Lowe LP, et al. Hyperglycemia and Adverse Pregnancy Outcome Follow-up Study (HAPO FUS): Maternal Glycemia and Childhood Glucose Metabolism. Diabetes Care. 2019;42(3):381-392. doi: 10.2337/dc18-2021.
6. Carolan-Olah M, Vasilevski V. Development and validation of the 'Knowledge of Gestational Diabetes (GDM)' questionnaire among a sample of women with GDM in Australia. Patient Educ Couns. 2021;104(8):2112-2118. doi: 10.1016/j.pec.2021.01.029.
7. Hillier TA, Pedula KL, Ogasawara KK, et al. A Pragmatic, Randomized Clinical Trial of Gestational Diabetes Screening. N Engl J Med. 2021;384(10):895-904. doi: 10.1056/NEJMoa2026028.
8. Caughey AB. Gestational diabetes mellitus. Obstet Gynecol. 2017;130:E17-31.
9. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020;43:S14-S31. doi: 10.2337/dc20-S002.
10. IDF Atlas 9th edition and other resources. Available at: https://www.diabetesatlas.org/en/resources/. Accessed 4 October 2021.
11. Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman L, Panzer AM, Kindig DA, editors. Washington (DC): National Academies Press (US). 2004. doi: 10.17226/10883.
12. Committee Opinion No. 676: Health Literacy to Promote Quality of Care. Obstet Gynecol. 2016;128(4):e183-e186. doi: 10.1097/AOG.0000000000001714.
13. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97-107. doi: 10.7326/0003-4819-155-2-201107190-00005.
14. Emiral GÖ, Atalay B, Aygar H, Işıktekin B, Göktaş S, Dağtekin G, et al. Health literacy scale-European union-Q16: a validity and reliability study in Turkey. Int Res J Med Sci. 2018;6:1-7.
15. Hocaoglu M, Turgut A, Guzin K, et al. Why some pregnant women refuse glucose challenge test? Turkish pregnant women's perspectives for gestational diabetes mellitus screening. North Clin Istanb. 2018;6(1):7-12. doi: 10.14744/nci.2018.37167.
16. Sella T, Shalev V, Elchalal U, Chovel-Sella A, Chodick G. Screening for gestational diabetes in the 21st century: a population-based cohort study in Israel. J Matern Fetal Neonatal Med. 2013;26(4):412-416. doi: 10.3109/14767058.2012.733761.
17. Blatt AJ, Nakamoto JM, Kaufman HW. Gaps in diabetes screening during pregnancy and postpartum. Obstet Gynecol. 2011;117(1):61-68. doi: 10.1097/AOG.0b013e3181fe424b.
18. Nicotra F, Molinari C, Dozio N, et al. Screening for gestational diabetes in the Lombardy region: A population-based study. Diabetes Metab. 2015;41(4):319-325. doi: 10.1016/j.diabet.2014.11.008.
19. van der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. J Health Commun. 2013;18:172-184. doi: 10.1080/10810730.2013.825668.
20. Sørensen K, Pelikan JM, Röthlin F, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-1058. doi: 10.1093/eurpub/ckv043.
21. Weiss BD. Removing barriers to better, safer care. Health literacy and patient safety: help patients understand. Manual for clinicians. 2nd ed. Chicago (IL): American Medical Association Foundation and American Medical Association. 2007.
22. Stafford JD, Goggins ER, Lathrop E, Haddad LB. Health Literacy and Associated Outcomes in the Postpartum Period at Grady Memorial Hospital. Matern Child Health J. 2021;25(4):599-605. doi: 10.1007/s10995-020-03030-1.
23. Endres LK, Sharp LK, Haney E, Dooley SL. Health literacy and pregnancy preparedness in pregestational diabetes. Diabetes Care. 2004;27(2):331-334. doi: 10.2337/diacare.27.2.331.
24. Pirdehghan A, Eslahchi M, Esna-Ashari F, Borzouei S. Health literacy and diabetes control in pregnant women. J Family Med Prim Care. 2020;9(2):1048-1052. doi: 10.4103/jfmpc.jfmpc_891_19.

Yıl 2024, Cilt: 10 Sayı: 2, 195 - 203, 04.03.2024

Özlem Özgün Uyanıklar Zeliha Atak Sakine Rahımlı Ocakoglu Hatice Ortaç Gökhan Ocakoğlu

https://doi.org/10.18621/eurj.1291335

Öz

Kaynakça

1. Saravanan P; Diabetes in Pregnancy Working Group; Maternal Medicine Clinical Study Group; Royal College of Obstetricians and Gynaecologists, UK. Gestational diabetes: opportunities for improving maternal and child health. Lancet Diabetes Endocrinol. 2020;8(9):793-800. doi: 10.1016/S2213-8587(20)30161-3.
2. Deputy NP, Kim SY, Conrey EJ, Bullard KM. Prevalence and Changes in Preexisting Diabetes and Gestational Diabetes Among Women Who Had a Live Birth - United States, 2012-2016. MMWR Morb Mortal Wkly Rep. 2018;67(43):1201-1207. doi: 10.15585/mmwr.mm6743a2.
3. Karaçam Z, Çelİk D. The prevalence and risk factors of gestational diabetes mellitus in Turkey: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2021;34(8):1331-1341. doi: 10.1080/14767058.2019.1635109.
4. Dodd JM, Crowther CA, Antoniou G, Baghurst P, Robinson JS. Screening for gestational diabetes: the effect of varying blood glucose definitions in the prediction of adverse maternal and infant health outcomes. Aust N Z J Obstet Gynaecol. 2007;47(4):307-312. doi: 10.1111/j.1479-828X.2007.00743.x.
5. Scholtens DM, Kuang A, Lowe LP, et al. Hyperglycemia and Adverse Pregnancy Outcome Follow-up Study (HAPO FUS): Maternal Glycemia and Childhood Glucose Metabolism. Diabetes Care. 2019;42(3):381-392. doi: 10.2337/dc18-2021.
6. Carolan-Olah M, Vasilevski V. Development and validation of the 'Knowledge of Gestational Diabetes (GDM)' questionnaire among a sample of women with GDM in Australia. Patient Educ Couns. 2021;104(8):2112-2118. doi: 10.1016/j.pec.2021.01.029.
7. Hillier TA, Pedula KL, Ogasawara KK, et al. A Pragmatic, Randomized Clinical Trial of Gestational Diabetes Screening. N Engl J Med. 2021;384(10):895-904. doi: 10.1056/NEJMoa2026028.
8. Caughey AB. Gestational diabetes mellitus. Obstet Gynecol. 2017;130:E17-31.
9. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020;43:S14-S31. doi: 10.2337/dc20-S002.
10. IDF Atlas 9th edition and other resources. Available at: https://www.diabetesatlas.org/en/resources/. Accessed 4 October 2021.
11. Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman L, Panzer AM, Kindig DA, editors. Washington (DC): National Academies Press (US). 2004. doi: 10.17226/10883.
12. Committee Opinion No. 676: Health Literacy to Promote Quality of Care. Obstet Gynecol. 2016;128(4):e183-e186. doi: 10.1097/AOG.0000000000001714.
13. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97-107. doi: 10.7326/0003-4819-155-2-201107190-00005.
14. Emiral GÖ, Atalay B, Aygar H, Işıktekin B, Göktaş S, Dağtekin G, et al. Health literacy scale-European union-Q16: a validity and reliability study in Turkey. Int Res J Med Sci. 2018;6:1-7.
15. Hocaoglu M, Turgut A, Guzin K, et al. Why some pregnant women refuse glucose challenge test? Turkish pregnant women's perspectives for gestational diabetes mellitus screening. North Clin Istanb. 2018;6(1):7-12. doi: 10.14744/nci.2018.37167.
16. Sella T, Shalev V, Elchalal U, Chovel-Sella A, Chodick G. Screening for gestational diabetes in the 21st century: a population-based cohort study in Israel. J Matern Fetal Neonatal Med. 2013;26(4):412-416. doi: 10.3109/14767058.2012.733761.
17. Blatt AJ, Nakamoto JM, Kaufman HW. Gaps in diabetes screening during pregnancy and postpartum. Obstet Gynecol. 2011;117(1):61-68. doi: 10.1097/AOG.0b013e3181fe424b.
18. Nicotra F, Molinari C, Dozio N, et al. Screening for gestational diabetes in the Lombardy region: A population-based study. Diabetes Metab. 2015;41(4):319-325. doi: 10.1016/j.diabet.2014.11.008.
19. van der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. J Health Commun. 2013;18:172-184. doi: 10.1080/10810730.2013.825668.
20. Sørensen K, Pelikan JM, Röthlin F, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-1058. doi: 10.1093/eurpub/ckv043.
21. Weiss BD. Removing barriers to better, safer care. Health literacy and patient safety: help patients understand. Manual for clinicians. 2nd ed. Chicago (IL): American Medical Association Foundation and American Medical Association. 2007.
22. Stafford JD, Goggins ER, Lathrop E, Haddad LB. Health Literacy and Associated Outcomes in the Postpartum Period at Grady Memorial Hospital. Matern Child Health J. 2021;25(4):599-605. doi: 10.1007/s10995-020-03030-1.
23. Endres LK, Sharp LK, Haney E, Dooley SL. Health literacy and pregnancy preparedness in pregestational diabetes. Diabetes Care. 2004;27(2):331-334. doi: 10.2337/diacare.27.2.331.
24. Pirdehghan A, Eslahchi M, Esna-Ashari F, Borzouei S. Health literacy and diabetes control in pregnant women. J Family Med Prim Care. 2020;9(2):1048-1052. doi: 10.4103/jfmpc.jfmpc_891_19.

Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Kadın Hastalıkları ve Doğum
Bölüm	Original Article
Yazarlar	Özlem Özgün Uyanıklar 0000-0002-9800-256X Zeliha Atak 0000-0002-4876-0573 Sakine Rahımlı Ocakoglu 0000-0001-8159-9489 Hatice Ortaç 0000-0002-1199-1706 Gökhan Ocakoğlu 0000-0002-1114-6051
Erken Görünüm Tarihi	11 Eylül 2023
Yayımlanma Tarihi	4 Mart 2024
Gönderilme Tarihi	2 Mayıs 2023
Kabul Tarihi	29 Temmuz 2023
Yayımlandığı Sayı	Yıl 2024 Cilt: 10 Sayı: 2

Kaynak Göster

AMA	Uyanıklar ÖÖ, Atak Z, Rahımlı Ocakoglu S, Ortaç H, Ocakoğlu G. Does health literacy affect the decision to have gestational diabetes screening test?. Eur Res J. Mart 2024;10(2):195-203. doi:10.18621/eurj.1291335

Kapak Resmi İndir

Makale Dosyaları

Tam Metin

e-ISSN: 2149-3189

Facebook - Twitter - Linkedin - Instagram

The European Research Journal, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

2024