Purpose The purpose of this qualitative study was to examine perceived barriers to adoption of lifestyle changes for type 2 diabetes prevention among a diverse group of low-income women with a history of gestational diabetes mellitus (GDM). Methods A secondary data analysis of 10 semistructured focus group discussions was conducted. Participants were low-income African American, Hispanic, and Appalachian women ages 18 to 45 years who were diagnosed with GDM in the past 10 years. A qualitative content analysis was conducted to identify key themes that emerged within and between groups. Results Four key themes emerged on the role of knowledge, affordability, accessibility, and social support in type 2 diabetes prevention. Women discussed a lack of awareness of the benefits of breastfeeding and type 2 diabetes prevention, inaccessibility of resources in their local communities to help them engage in lifestyle change, and the desire for more culturally relevant education on healthful food options and proper portion sizes. Discussion Study findings suggests that to improve effectiveness of type 2 diabetes prevention efforts among low-income women with GDM history, health care providers and public health practitioners should avoid using “one-size-fits-all” approaches to lifestyle change and instead use tailored interventions that address the cultural and environmental factors that impact women’s ability to engage in recommended behavior change.

中文翻译：

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有妊娠糖尿病史的低收入女性预防 2 型糖尿病的感知障碍：定性二级数据分析

目的 本定性研究的目的是在有妊娠糖尿病 (GDM) 病史的不同低收入妇女群体中，检查改变生活方式以预防 2 型糖尿病的认知障碍。方法 对 10 个半结构化焦点小组讨论进行二次数据分析。参与者是年龄在 18 至 45 岁之间的低收入非洲裔美国人、西班牙裔和阿巴拉契亚女性，她们在过去 10 年中被诊断出患有 GDM。进行了定性内容分析，以确定群体内部和群体之间出现的关键主题。结果 知识、可负担性、可及性和社会支持在 2 型糖尿病预防中的作用出现了四个关键主题。妇女讨论了缺乏对母乳喂养和 2 型糖尿病预防的好处的认识，当地社区无法获得资源来帮助他们改变生活方式，以及希望在健康食品选择和适当份量方面进行更具文化相关性的教育。讨论 研究结果表明，为了在有 GDM 病史的低收入女性中提高 2 型糖尿病预防工作的有效性，医疗保健提供者和公共卫生从业者应避免使用“一刀切”的方法来改变生活方式，而是使用量身定制的方法。解决影响妇女参与建议行为改变的能力的文化和环境因素的干预措施。