ArticleAmerican journal of preventive medicine2021
Factors Associated With Postpartum Diabetes Screening in Women With Gestational Diabetes and Medicaid During Pregnancy.
Article in American journal of preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Uptake of guideline-recommended postpartum diabetes screening among diverse women with gestational diabetes: associations with patient factors in an integrated health system in USA.BMJ open diabetes research & care · 2022Trial
- Receipt of postpartum diabetes screening after gestational diabetes mellitus in the United States, 2016-2022.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Long-term effectiveness of a reminder system for postpartum glucose intolerance screening in gestational diabetes.Acta diabetologica · 2026Article
- Social determinants of health and recommended A1C monitoring among women with postpartum-onset diabetes: results from a retrospective cohort.BMJ open diabetes research & care · 2026Article
- Primary Care for Gestational Diabetes: A Bibliometric Analysis of Publications from 1991 to 2024.International journal of environmental research and public health · 2024Article
- Postpartum Glucose Follow-up Screening Among Women With Gestational Diabetes Mellitus: A Retrospective Cohort Study.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2024Article
- Gestational diabetes knowledge improves with interactive online training modules.BMC medical education · 2024Article
- Article
- Influence of Gestational Diabetes Mellitus on Diabetes Risk and Glycemic Control in a Retrospective Population-Based Cohort.Diabetes care · 2023Article
- Clinical Care Among Individuals with Prediabetes in Primary Care: a Retrospective Cohort Study.Journal of general internal medicine · 2022Article
- Understanding Gestational Diabetes, Future Diabetes Risk, and Diabetes Prevention: A Qualitative Study of Patient, Provider, and Staff Perspectives.Clinical diabetes : a publication of the American Diabetes Association · 2022Article
- Barriers and facilitators to diabetes screening and prevention after a pregnancy complicated by gestational diabetes.PloS one · 2022Article
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Authors and funding
6 authors.
Funding
Abstract
introductionWomen with gestational diabetes are 7 times more likely to develop type 2 diabetes and require lifelong diabetes screening. Loss of health coverage after pregnancy, as occurs in states that did not expand Medicaid, limits access to guideline-driven follow-up care and fosters health inequity. This study aims to understand the factors associated with the receipt of postpartum diabetes screening for women with gestational diabetes in a state without Medicaid expansion.
methodsElectronic health record and Medicaid claims data were linked to generate a retrospective cohort of 1,078 women with gestational diabetes receiving care in Federally Qualified Health Centers in Missouri from 2010 to 2015. In 2019-2020, data were analyzed to determine the factors associated with the receipt of recommended postpartum diabetes screening (fasting plasma glucose, 2-hour oral glucose tolerance test, or HbA1c in specified timeframes) using a Cox proportional hazards model through 18 months of follow-up.
resultsMedian age in this predominantly urban population was 28 (IQR=24-33) years. Self-reported racial or ethnic minorities comprised more than half of the population. Only 9.7% of women were screened at 12 weeks, and 20.8% were screened at 18 months. Prenatal certified diabetes education (adjusted hazard ratio=1.74, 95% CI=1.22, 2.49) and access to public transportation (adjusted hazard ratio=1.70, 95% CI=1.13, 2.54) were associated with increased screening in a model adjusted for race/ethnicity, the total number of prenatal visits, the use of diabetes medication during pregnancy, and a pregnancy-specific comorbidity index that incorporated age.
conclusionsThis study underscores the importance of access to public transportation, prenatal diabetes education, and continued healthcare coverage for women on Medicaid to support the receipt of guideline-recommended follow-up care and improve health equity.
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