The authors report no conflict of interest or relevant financial relationships.
Cardiometabolic Risk, Knowledge, Risk Perception, and Self-Efficacy among American Indian Women with Previous Gestational Diabetes
Article first published online: 16 MAR 2012
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 41, Issue 2, pages 246–257, March/April 2012
How to Cite
Jones, E. J., Appel, S. J., Eaves, Y. D., Moneyham, L., Oster, R. A. and Ovalle, F. (2012), Cardiometabolic Risk, Knowledge, Risk Perception, and Self-Efficacy among American Indian Women with Previous Gestational Diabetes. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41: 246–257. doi: 10.1111/j.1552-6909.2012.01339.x
- Issue published online: 16 MAR 2012
- Article first published online: 16 MAR 2012
- Manuscript Accepted: SEP 2011
- cardiometabolic risk;
- gestational diabetes;
- risk perception;
- American Indian women
To describe cardiometabolic risk among a sample of American Indian women with previous gestational diabetes and describe the women's knowledge, risk perception for type 2 diabetes and cardiovascular disease, and self-efficacy beliefs related to preventing these diseases.
Mixed methods, cross-sectional, exploratory, descriptive.
Four campuses within one American Indian tribal health care system in a southwestern state.
A purposeful sample of 22 self-identified American Indian women with a history of gestational diabetes.
Qualitative interview data were subjected to content analysis, and descriptive statistics were used to analyze quantitative questionnaire data and biophysiologic data.
The majority of participants (13 of 21) were classified as having metabolic syndrome, and 13 of 18 women were found to be insulin resistant. In general, the women had high levels of knowledge related to type 2 diabetes and cardiovascular disease and high risk perception, but low self-efficacy related to preventing cardiometabolic disease. The overarching theme from the in-depth interviews, struggling to change lifestyle behaviors while doubting prevention is possible, encompassed four categories that provided further illumination into participants’ risk perceptions and self-efficacy beliefs: concerns, control, beliefs/attitudes, and prevention.
High levels of knowledge and risk perception do not necessarily promote increased self-efficacy to prevent cardiometabolic disease among American Indian women with previous gestational diabetes. Findings indicate the need to further explore women's self-efficacy beliefs in the context of American Indian culture prior to developing interventions aimed at increasing self-efficacy to prevent or delay type 2 diabetes and cardiovascular disease.
Women with previous gestational diabetes are at increased risk for developing cardiovascular disease, independent of a diagnosis of type 2 diabetes.