Evidence map›Paper›PMID 29455383›Full record

ArticleMaternal and child health journal2018

Healthcare Experiences of Low-Income Women with Prior Gestational Diabetes.

Reena Oza-Frank, Elizabeth Conrey, Jo Bouchard, Cynthia Shellhaas, Mary Beth Weber

Abstract read
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In one paragraph

Article in Maternal and child health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 6 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 6 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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  15. Bridging Gaps and Understanding Disparities in Gestational Diabetes Mellitus to Improve Perinatal Outcomes.Diabetes spectrum : a publication of the American Diabetes Association · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Reena Oza-FrankThe Ohio Department of Health, 246 North High Street, Columbus, OH, 43215, USA. reena.oza-frank@odh.ohio.gov.
Elizabeth ConreyThe Ohio Department of Health, 246 North High Street, Columbus, OH, 43215, USA.
Jo BouchardThe Ohio Department of Health, 246 North High Street, Columbus, OH, 43215, USA.
Cynthia ShellhaasThe Ohio Department of Health, 246 North High Street, Columbus, OH, 43215, USA.
Mary Beth WeberRollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA, 30322, USA.
Ohio Department of Health · USCenters for Disease Control and Prevention · USEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction An important yet understudied component of postpartum type 2 diabetes risk reduction among high risk women is experiences with the healthcare system. Our objective was to describe the healthcare experiences of a diverse, low-income sample of women with prior GDM, including their suggestions for improving care. Methods Focus groups were conducted among African American, Hispanic, and Appalachian women who were diagnosed with GDM within the past 10 years. Participants were recruited from community and medical resources. Twelve focus groups were conducted, four within each race-ethnic group. Results Three broad themes were identified around barriers to GDM care, management, and follow-up: (1) communication issues; (2) personal and environmental barriers; and (3) type and quality of healthcare. Many women felt communication with their provider could be improved, including more education on the severity of GDM, streamlining information to be less overwhelming, and providing additional support through referrals to community resources. Although women expressed interest in receiving more actionable advice for managing GDM during pregnancy and for preventing type 2 diabetes postpartum, few women reported changing behaviors. Barriers to behavior change were related to cost, transportation, and competing demands. Several opportunities for improved care were elucidated. Discussion Our findings suggest that across all racial and ethnic representations in our sample, low-income women with GDM experience similar communication, personal, and environmental barriers related to the healthcare they receive for their GDM. Considering the increased exposure to the health care system during a GDM-affected pregnancy, there are opportunities to address barriers among women with GDM across different race-ethnic groups.

Indexed as

Black or African AmericanHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHispanic or LatinoQuality of Health CareAdultAppalachian RegionDiabetes, GestationalDiabetes Mellitus, Type 2FemaleFocus GroupsHealth BehaviorHumansOhioPovertyPregnancyAfrican-AmericanAppalachianBarriersGestational diabetesHealth careHispanicLow incomePreventionType 2 diabetes

Identifiers

PMID29455383
OpenAlexW2788706370

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.