Factors influencing gestational diabetes self-care among pregnant women in a Syrian Refugee Camp in Jordan

PLoS One. 2024 Feb 15;19(2):e0297051. doi: 10.1371/journal.pone.0297051. eCollection 2024.

Abstract

Aim: The main objective of this study is to identify the level of self-care practices and the determinants of Gestational Diabetes Mellitus (GDM) among pregnant women residing in one of the refugee camps in Jordan.

Method: A cross-sectional study was conducted on a convenient sample of forty women diagnosed with GDM from the high-risk maternity clinic in one of the Syrian refugee camps in Jordan. The study used the Gestational Diabetes Management Self-Efficacy Scale (GDMSES), Diabetes Knowledge (DMK) assessment, and Diabetes Self-Care Activities Questionnaire (SDSCA) to measure the variables of interest. Descriptive analysis and Multiple logistic regression were used to assess for significant factors.

Results: Significant associations were found between the subcategories of diet, exercise, and blood sugar control in both the self-efficacy and self-activity scales (p < 0.01, p < 0.01, p < 0.05), respectively. Two factors were associated with higher GDM self-care: diabetes knowledge and higher self-efficacy toward GDM self-care (p < 0.05).

Conclusion: The findings of this study highlight that pregnant women with GDM who have higher levels of self-efficacy and diabetes knowledge are more likely to achieve higher levels of GDM self-care. Beside developing health promotion programs to enhance women's self-efficacy in adhering to GDM care, adequate support and relevant resources to facilitate GDM management among refugee women are recommended. Future research for identifying other potential factors affecting GDM self-care among refugees is highly recommended.

MeSH terms

  • Cross-Sectional Studies
  • Diabetes, Gestational* / epidemiology
  • Diabetes, Gestational* / therapy
  • Female
  • Humans
  • Jordan / epidemiology
  • Pregnancy
  • Pregnant Women*
  • Refugee Camps
  • Self Care
  • Syria

Grants and funding

The authors received no specific funding for this work.