An Equity Audit of a Statewide Cardiometabolic Risk Reduction Pilot Programme for Women with a History of Gestational Diabetes
Rattachement africain : au, ca. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: This equity audit assessed enrolment and completion of a state-funded cardiometabolic risk-reduction programme for women with prior gestational diabetes in Victoria, Australia. The analyses compared completion rates between the standard prevention programme Life! with one specifically adapted for women with prior gestational diabetes (Life! GDM) using the PROGRESS equity framework. Methods: Women with a history of GDM in the Life! GDM or the mainstream Life! programme in 2022–2025 were included. Multinomial logistic regression was used to impute categorical variables, logistic regression for binary variables, and linear regression for continuous variables. Estimates were combined across imputed datasets using Rubin’s rules. Results: A total of 2261 women were included: 370 in Life! GDM, and 1891 in Life! from 2022 to 2025, with completion rates of 36.7% and 52.2%, respectively. Compared with women in Life!, women in Life! GDM were more likely to come from non-English-speaking backgrounds, particularly South and Central Asian (30.5% vs. 17.0%) and South-East Asian backgrounds (13.0% vs. 4.3%). After multiple imputation, multivariable logistic regression showed that none of the examined participant characteristics were significantly associated with programme completion in Life! GDM. In the Life! cohort, completion was significantly associated with marital status, with single participants having lower odds of completion (OR = 0.59, 95% CI: 0.41–0.85), and with referral channel, with self-referral associated with higher odds of completion (OR = 1.71, 95% CI: 1.39–2.12). Conclusions: The adapted programme appeared to have reached more culturally and linguistically diverse women; however, lower completion among those experiencing disadvantage highlights the need for enhanced support and retention strategies to ensure equitable postpartum diabetes prevention.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- An Equity Audit of a Statewide Cardiometabolic Risk Reduction Pilot Programme for Women with a History of Gestational Diabetes
- Date Crossref
- 02/02/2026
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Eastern Health pays non établi dans la noticeÉtablissement de santé
-
Diabetes Australia pays non établi dans la noticeOrganisation à but non lucratif
-
Deakin University pays non établi dans la noticeUniversité ou école supérieure
-
Baker Heart and Diabetes Institute pays non établi dans la noticeOrganisation à but non lucratif
-
University of Ottawa Exercise Physiology and Cardiovascular Health Lab pays non établi dans la noticeUniversité ou école supérieure
-
The University of Melbourne pays non établi dans la noticeUniversité ou école supérieure
-
Melbourne Health pays non établi dans la noticeÉtablissement de santé
-
Monash University Eastern Health Clinical School pays non établi dans la noticeUniversité ou école supérieure
-
Diabetes Victoria pays non établi dans la noticeInstitution
-
School of Psychology and Institute for Health Transformation pays non établi dans la noticeUniversité ou école supérieure
-
The Australian Centre for Behavioural Research in Diabetes pays non établi dans la noticeInstitution
-
School of Exercise and Nutrition Sciences Institute for Physical Activity and Nutrition pays non établi dans la noticeUniversité ou école supérieure
Eastern Health, Diabetes Australia et Deakin University, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.