2型糖尿病预防的区域差异:先前患有妊娠期糖尿病的妇女的预防优先事项:多方法共识研究
Gebresilasea Gendisha Ukke1, Maureen Makama2, Elysa Ioannou3
1Eastern Health Clinical School, Monash University, 5 Arnold Street, Box Hill, Victoria, Australia.
Public health
|December 9, 2025
概括
2型糖尿病 (T2DM) 预防优先事项对于先前妊娠糖尿病 (GDM) 的妇女在全球不同. 针对性,社区参与的方法是有效的T2DM预防策略的关键.
科学领域:
- 全球卫生研究全球卫生研究
- 孕产妇健康 孕产妇健康
- 预防糖尿病 预防糖尿病
背景情况:
- 孕期糖尿病 (GDM) 病史的女性患2型糖尿病 (T2DM) 的风险增加.
- 确定特定区域的价值观和研究优先事项对于在这个高风险人群中制定有效的T2DM预防策略至关重要.
研究的目的:
- 在全球五个地区确定T2DM预防的价值观,原则和研究重点.
- 评估修改后的Delphi和名义群体共识方法在不同文化环境中的适用性,以确定优先级.
主要方法:
- 采用混合方法的方法,涉及修改后的Delphi过程和名义组技术,与来自五个地区的卫生专业人员和有前GDM的妇女一起使用.
- 评估使用了儿童健康和营养研究倡议的标准,包括责任,有效性,可交付性,对母亲健康的影响和公平性.
- 参与者在三轮Delphi中对优先事项进行了排名,评估调查和采访评估了他们的经验.
主要成果:
- 观察到T2DM预防优先事项的区域差异:非洲 (成本效益,能力建设),美洲 (以人为本的护理,连续性),亚洲 (公平,家庭支持),欧洲 (打击错误信息) 和大洋洲 (规划技能).
- 结果发现,共识方法在所有参与地区都是可行的和可接受的.
- 50名卫生专业人员和50名先前患有GDM的女性参与了调查,其中11名接受了采访.
结论:
- 对于曾经患有GDM的女性来说,T2DM预防的优先事项在地理上是多样化的,需要本地化和量身定制的实施方法.
- 社区参与的共识方法在各种文化和地理背景下是可以接受和有效的,用于T2DM预防.
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