Barriers and facilitators to attending postpartum diabetes screening among women with previous gestational diabetes in China: A qualitative analysis

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dc.contributor.authorHuang, Jingen
dc.contributor.authorForde, Ritaen
dc.contributor.authorForbes, Angusen
dc.contributor.authorParsons, Judithen
dc.date.accessioned2025-04-24T15:49:58Z
dc.date.available2025-04-24T15:49:58Z
dc.date.issued2025en
dc.description.abstractIntroduction: Gestational diabetes mellitus (GDM) is a common complication of pregnancy associated with a higher risk of developing type 2 diabetes (T2DM) in the future. Postpartum diabetes screening is important to identify glucose intolerance and introduce diabetes prevention support. However, screening uptake is suboptimal, including in China where the prevalence of GDM is high. There is limited evidence on the barriers and facilitators to screening uptake among Chinese women. Aims: To explore the barriers and facilitators of postpartum diabetes screening uptake among Chinese women with GDM to inform the development of an intervention to increase screening attendance. Methods: Women with current or previous GDM were recruited from social network platforms and pregnancy groups in China. Data were collected using semi-structured interviews and analysed using Framework Analysis to identify themes related to the barriers and facilitators for screening uptake. Results: Twenty-four women with current (n = 4) or previous (n = 20) GDM participated. The postpartum glucose screening attendance rate was 35% among those with previous GDM. Screening uptake was influenced by: risk awareness of T2DM and its complications, interactions with healthcare providers (HCPs), screening-related factors (understanding and beliefs, accessibility and acceptability of the test) and motivation to maintain personal health, which was influenced by fear of T2DM, lack of symptoms, confidence in self management without support, and prioritisation of the child's needs. Conclusion: Postpartum screening uptake after GDM could be boosted through raising risk awareness, more constructive communication from HCPs, increasing the acceptability and accessibility of screening procedures, and addressing psychological factors related to attendance. en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHuang, J., Forde, R., Forbes, A. and Parsons, J. (2025) 'Barriers and facilitators to attending postpartum diabetes screening among women with previous gestational diabetes in China: a qualitative analysis', Diabetic Medicine, p.e70043. DOI: 10.1111/dme.70043en
dc.identifier.doi10.1111/dme.70043en
dc.identifier.issn7423071en
dc.identifier.journaltitleDiabetic Medicineen
dc.identifier.urihttps://hdl.handle.net/10468/17338
dc.language.isoenen
dc.publisherJohn Wiley and Sons Incen
dc.relation.projectArticle in pressen
dc.rights© 2025 The Author(s). Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, providedthe original work is properly cited.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectGestational diabetesen
dc.subjectQualitative methodsen
dc.subjectScreeningen
dc.subjectType 2 diabetesen
dc.titleBarriers and facilitators to attending postpartum diabetes screening among women with previous gestational diabetes in China: A qualitative analysisen
dc.typeArticle (peer reviewed)en
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