ArticleDiabetic medicine : a journal of the British Diabetic Association2021
A theoretical model of contraceptive decision-making and behaviour in diabetes: A qualitative application of the Health Belief Model.
Article in Diabetic medicine : a journal of the British Diabetic Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- Experiences of women with type 2 diabetes during the pre-pregnancy, pregnancy and postpartum periods: A systematic review of qualitative studies.Diabetic medicine : a journal of the British Diabetic Association · 2025Pooled it
- Beyond individual-level factors that influence family planning uptake among women with diabetes mellitus: a systematic literature review.BMC public health · 2025Pooled it
- 'No Foot, No Future': Lived Experiences of Foot Health and Care Access Among Rough-Sleeping Adults in a UK Coastal Community-A Qualitative Study.Journal of foot and ankle research · 2026Article
- Understanding Risk Factors for Unmet Contraceptive Needs Among Married and Cohabiting Women in Sub-Saharan Africa: Evidence from 22 Countries.Rwanda journal of medicine and health sciences · 2026Article
- Decision-making behavior of blood glucose management and its influencing factors in pregnant women with gestational diabetes mellitus.BMC pregnancy and childbirth · 2025Article
- Implementation of an EMS-based naloxone distribution program: A qualitative evaluation.Journal of the American College of Emergency Physicians open · 2024Article
- Predictors of Influenza Vaccination among Chinese Middle School Students Based on the Health Belief Model: A Mixed-Methods Study.Vaccines · 2022Article
- Article
- Consumer acceptance of autonomous delivery robots for last-mile delivery: Technological and health perspectives.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
aimPeople with diabetes have contraceptive needs that have been inadequately addressed. The aim of this qualitative study was to develop a theoretical model that reflects contraceptive decision-making and behaviour in the setting of diabetes mellitus.
methodsWe conducted semi-structured, qualitative interviews of 17 women with type 1 or type 2 diabetes from Michigan, USA. Participants were recruited from a diabetes registry and local clinics. We adapted domains from the Health Belief Model (HBM) and applied reproductive justice principles to inform the qualitative data collection and analysis. Using an iterative coding template, we advanced from descriptive to theoretical codes, compared codes across characteristics of interest (e.g. diabetes type), and synthesized the theoretical codes and their relationships in an explanatory model.
resultsThe final model included the following constructs and themes: perceived barriers and benefits to contraceptive use (effects on blood sugar, risk of diabetes-related complications, improved quality of life); perceived seriousness of pregnancy (harm to self, harm to foetus or baby); perceived susceptibility to pregnancy risks (diabetes is a 'high risk' state); external cues to action (one-size-fits-all/anxiety-provoking counselling vs. personalized/trust-based counselling); internal cues to action (self-perceived 'sickness'); self-efficacy (reproductive self-efficacy, contraceptive self-efficacy); and modifying factors (perceptions of biased counselling based upon one's age, race or severity of disease).
conclusionsThis novel adaptation of the HBM highlights the need for condition-specific and person-centred contraceptive counselling for those with diabetes.
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Registered trials
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.