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Gestational Diabetes and International Migration.

Karoline Kragelund Nielsen1, Emma Davidsen1, Anne Husted Henriksen1

  • 1Health Promotion Research, Steno Diabetes Center Copenhagen, 2730 Herlev, Denmark.

Journal of the Endocrine Society
|November 21, 2022
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Summary

International migration influences gestational diabetes risk and care experiences for immigrant women. More research is needed on pre- and post-migration factors affecting outcomes for these populations.

Keywords:
gestational diabetesmigrationmini-reviewpregnancy outcomestype 2 diabetes

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Area of Science:

  • Reproductive Health
  • Public Health
  • Sociology of Health

Background:

  • Gestational diabetes is a common pregnancy complication, particularly relevant for immigrant women who form a significant part of the birthing population globally.
  • Understanding the intersection of international migration and gestational diabetes is crucial for addressing health disparities.

Purpose of the Study:

  • To review existing evidence on international migration and gestational diabetes, including risks, outcomes, and care experiences.
  • To identify gaps in current research, particularly concerning perinatal and long-term outcomes for immigrant women.

Main Methods:

  • Systematic review of current evidence focusing on immigrant populations in high-income countries.
  • Analysis of studies examining gestational diabetes risk, perinatal outcomes, and healthcare access and follow-up for immigrant women.

Main Results:

  • Evidence suggests migration may affect gestational diabetes risk, with immigrant women facing barriers to care and follow-up.
  • Research on perinatal outcomes is inconclusive, and data on long-term outcomes are scarce.
  • Current studies primarily focus on risk differences and diagnosed experiences, with limited exploration of broader migration factors.

Conclusions:

  • Further research should investigate country of origin and premigration/postmigration factors influencing gestational diabetes and its outcomes.
  • Understanding these factors is vital for developing culturally appropriate healthcare practices and improving health for migrating populations.