Abstract P189: Women with Gestational Diabetes Informed, but not Convinced of Power to Prevent CVD
Introduction: Women with a history of gestational diabetes (hGDM) are more prone to develop overt type 2 diabetes and possibly CVD at a younger age than their peers with no history of GDM (non-hGDM). It is less clear how often these women are being screened and taking preventive action against developing these conditions.
Hypothesis: We examined the hypothesis that women with hGDM are more knowledgeable than their non-hGDM controls regarding the risks that GDM poses for long-term development of type 2 diabetes and CVD.
Methods: The Maternal Health Survey was piloted in a population sample (146 singleton live births; 73 hGDM and 73 non-hGDM) drawn from the 2008 Ohio birth records file (Vital Statistics, Ohio Department of Health). Health histories, health providers’ advice, and mothers’ health knowledge regarding screening and risks for diabetes and CVD were ascertained. To compare hGDM and non-hGDM, descriptive statistics, adjusted odds ratios, and chi-squared statistics were performed.
Results: hGDM cases were more likely than controls to report a family history of gestational diabetes [OR= 1.60 (95% CI: 1.12, 2.90)], type 2 diabetes [OR= 1.71 (95% CI: 1.18, 2.49)], hypertension [OR= 2.00 (95% CI: 1.04, 3.87)], and polycystic ovary syndrome [OR= 2.28 (95% CI: 1.57, 3.29)]. hGDM cases were more likely to be encouraged to attend a postpartum visit [OR= 2.50 (95% CI: 1.05, 5.98)], told they were at risk for diabetes [OR= 56.20 (95% CI: 7.40, 426.57)] though not significantly more for CVD [OR= 2.60 (95% CI: 0.96, 7.34)], and how to avoid diabetes and CVD [OR=2.34 (95% CI: 1.40, 3.89)]. In addition, hGDM believed that they were more likely to develop diabetes than their peers (p = 0.002), equally likely to develop CVD (p = 0.211), and less able to change this situation (p = 0.036).
Discussion: In conclusion, hGDM reported family histories that were positive for cardiometabolic diseases. Women with hGDM were better informed than the controls regarding their increased risk for diabetes, CVD, and their personal abilities to intervene, but not as confident in the value of prevention measures.
- © 2012 by American Heart Association, Inc.