SOCIO-CULTURAL BARRIERS AND FACILITATORS OF ADHERENCE TO GESTATIONAL DIABETES MANAGEMENT AMONG PREGNANT WOMEN IN OSUN STATE, NIGERIA
Résumé
Gestational diabetes mellitus (GDM) is a growing burden on public health and has been linked to adverse outcomes for both mother and neonate, especially when compliance with recommended management is suboptimal. Socio-cultural factors may influence adherence and non-adherence to GDM management among pregnant women in Nigeria, but there is limited empirical evidence from Osun State. This study investigated the extent of adherence and socio-cultural factors influencing gestational adherence and non-adherence among pregnant women in Osun State, Nigeria. A descriptive cross- sectional survey design was adopted for the study. A structured questionnaire was used to collect data from 128 pregnant women attending antenatal care at purposively selected health facilities. Descriptive statistics, Chi-square and binary logistic regression were used to analyse the data at P < 0.05. It was found that 36.7% of the respondents had poor adherence, 33.6% had moderate adherence and 29.7% had good adherence to gestational diabetes management and 53.9% were grouped as non-adherent. Food practices (=2.75 ± 0.83), stigma (=2.73 ± 0.81), religion/spiritual beliefs (=2.71 ± 0.80), traditional medicine (=2.70 ± 0.79), cultural beliefs (=2. 68 ± 0.78), and family pressure (=2.66 ± 0.80) were considered as key socio-cultural barriers to adherence. Support from family (Mean = 3.01 ±° 0.76), health education (Mean = 2.95 ± 0.79), health care workers (Mean = 2.91 ± 0.81), religious support (Mean = 2.83 ± 0.82), community support (Mean = 2.78 ± 0.80) and financial support (Mean = 2.74 ± 0.84) were found to significantly facilitate adherence to GDM management. Binary logistic regression analysis showed that cultural beliefs (OR = 4.10, p = 0.016), family pressure (OR = 2.95, p = 0.033), and religious/spiritual beliefs (OR = 2.57, p = 0.047) were significant predictors of non-adherence. Based on these findings, intervention should be delivered through family-centered, group-based, culturally sensitive, and community-integrated antenatal care framework that strengthens social support networks, enhances health education, promotes adherence to gestational diabetes management, and ultimately improves maternal health outcomes.
Citer ce document
Accès au document
Texte intégral en lecture en ligne, réservé aux abonnés SPHAERO et aux membres de l'institution. Se connecter
Voir l'article sur le site de la revueStatistiques
Consultations : 1
Téléchargements : 0