Patient and caregiver perspectives of health provision practices for First Nations and Métis women with gestational diabetes mellitus accessing care in Winnipeg, Manitoba

BMC Health Services Research

Hannah Tait Neufeld¹ 

[1] Department of Geography, Western University, London, Ontario N6A 5C2, Canada

关键词: Pregnancy;    Health care disparities;    Diabetes;    Canada;    Indigenous people;   

Others  :  1126081
DOI  :  10.1186/1472-6963-14-440

 received in 2014-01-30, accepted in 2014-09-22,  发布年份 2014

【 摘 要 】

Background

More North American Indigenous women are diagnosed with gestational diabetes mellitus (GDM) than the general population. Despite the number of health problems associated with GDM, few studies have been conducted that explore Indigenous women’s understandings of GDM in an effort to develop appropriate and effective health strategies.

Methods

A qualitative investigation was conducted to describe the experiences of First Nations and Métis women with GDM. Unstructured interviews and focus groups initially took place with 25 advisors such as maternal care providers and community representatives. Semi-structured explanatory model interviews were subsequently carried out with 29 First Nations and Métis women in Winnipeg, Manitoba, Canada.

Results

Divisions in health services, communication and cultural barriers exist, and limit prenatal care access as well as the consistent interpretation of diabetes education messages.

Conclusions

Collectively the results suggest living with GDM can be overwhelming and underscore the need for health care providers to encourage self-efficacy towards effective management practices in the context of cultural safety.

【 授权许可】

   
2014 Tait Neufeld; licensee BioMed Central Ltd.

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