Correction to: Glycemic control and healthcare utilization following pregnancy among women with pre-existing diabetes in Navajo Nation

Autor: Kristi Anderson, Jennifer Jaggi, Cameron Curley, Karen Bachman-Carter, Sonya Shin, Christopher B. Brown, Julius Ho, Shelley Thorkelson, Sid Atwood, Adrianne Katrina Nelson, Caroline King
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Blood Glucose
Postnatal Care
medicine.medical_specialty
Adolescent
New Mexico
Control (management)
Pregnancy in Diabetics
Health informatics
Health administration
03 medical and health sciences
Young Adult
0302 clinical medicine
Pregnancy
Utah
Medicine
Health Services
Indigenous
Humans
030212 general & internal medicine
Glycemic
Retrospective Studies
Glycated Hemoglobin
business.industry
lcsh:Public aspects of medicine
030503 health policy & services
Health Policy
Nursing research
Public health
Arizona
Correction
lcsh:RA1-1270
Prenatal Care
Middle Aged
Patient Acceptance of Health Care
medicine.disease
language.human_language
United States
Navajo
Logistic Models
Diabetes Mellitus
Type 2
Family medicine
language
Indians
North American
Female
0305 other medical science
business
Facilities and Services Utilization
Zdroj: BMC Health Services Research
BMC Health Services Research, Vol 19, Iss 1, Pp 1-1 (2019)
ISSN: 1472-6963
Popis: Native American communities experience greater burden of diabetes than the general population, including high rates of Type 2 diabetes among women of childbearing age. Diabetes in pregnancy is associated with risks to both the mother and offspring, and glycemic control surrounding the pregnancy period is of vital importance.A retrospective chart review was conducted at a major Navajo Area Indian Health Service (IHS) hospital, tracking women with pre-existing diabetes who became pregnant between 2010 and 2012. Logistic regression was performed to find patient-level predictors of our desired primary outcome-having hemoglobin A1c (HbA1c) consistently 8% within 2 years after pregnancy. Descriptive statistics were generated for other outcomes, including glycemic control and seeking timely IHS care.One hundred twenty-two pregnancies and 114 individuals were identified in the dataset. Baseline HbA1c was the only covariate which predicted our primary outcome (OR = 1.821, 95% CI = 1.184-2.801). Examining glycemic control among pregnancies with complete HbA1c data (n = 59), 59% were controlled before, 85% during, and 34% after pregnancy. While nearly all women received care in the immediate postpartum period, only 49% of women visited a primary care provider and 71% had HbA1c testing in the 2 years after pregnancy.This is the first analysis of outcomes among women with diabetes in pregnancy in Navajo Nation, the largest reservation and tribal health system in the United States. Our findings demonstrate the positive impact of specialized prenatal care in achieving glycemic control during pregnancy, while highlighting the challenges in maintaining glycemic control and continuity of healthcare after pregnancy.
Databáze: OpenAIRE
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