THE RELATIONSHIP BETWEEN KNOWLEDGE AND PREVENTION BEHAVIOR OF GESTATIONAL DIABETES MELLITUS AMONG PREGNANT WOMEN IN BOGOR, WEST JAVA, INDONESIA
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Abstract
Background: Gestational Diabetes Mellitus (GDM) is one of the complications of pregnancy that significantly contributes to maternal and infant morbidity and mortality rates. Although the prevalence of GDM is relatively low in Indonesia, the actual number may be higher due to underdiagnosis. There are limited previous studies on knowledge and preventive practices related to Gestational Diabetes Mellitus, particularly in Indonesia.
Objective: To analyze the relationship between knowledge and preventive behavior of Gestational Diabetes Mellitus among pregnant women.
Methods: A quantitative research study with a cross-sectional design involving 83 pregnant women in Bogor, West Java, Indonesia, selected through accidental sampling. The inclusion criteria were pregnant women in their first to third trimesters, while the exclusion criteria were those who had mental disorders. Data were collected using a questionnaire developed by Nanyangwe Siuluta, consisting of 31 items on knowledge and 5 items on preventive practices of Gestational Diabetes Mellitus. The multivariate Logistic regression was performed to analyze the data.
Results: The findings showed that 51.8% of pregnant women had good knowledge, and 54.2% had poor preventive behaviors. There is a significant relationship between age (p = 0.019), family history of diabetes (p = 0.021), knowledge (p < 0.001), and preventive practices of Gestational Diabetes Mellitus. Multivariate analysis showed that knowledge (p < 0.001) is a significant factor related to preventive practice after controlling for age (p = 0.169) and family history of diabetes (p = 0.428).
Conclusion: These findings highlight the importance of educational interventions to enhance the knowledge of pregnant women to promote good prevention behavior.
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References
Anggraini, N., & Haiti, M. (2024). Deteksi Dini Diabetes Mellitus Gestasional. Jurnal Kesehatan Dan Pembangunan, 14(27), 88–93. https://doi.org/10.52047/jkp.v14i27.302 DOI: https://doi.org/10.52047/jkp.v14i27.302
Aspilayuli, Suhartatik, & Mato. Rusni. (2023). Literatur Review: Faktor Yang Mempengaruhi Diabetes Mellitus Gestasional. JIMPK : Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 3(4), 111–120.
Badan Pusat Statistik. (2020). Mortalitas Di Indonesia (Hasil Long Form Sensus Penduduk 2020). Jakarta: Badan Pusat Statistik Indonesia.
Badan Pusat Statistik. (2024). Survei Kesehatan Indonesia (SKI) 2023 dalam Angka. Jakarta: BKPK Kementerian Kesehatan RI.
Baharuddin, S. A., Sumsusdin, M. H., Dong, L. N., Lim, P. S., Hameed, N. S., Nawawi, N. A. M., Affan, N. A., Kanapathy, S. K., Mohamad, F., & Cheong, A. T. (2024). Factors associated with the intention to practise family planning among antenatal women with risk of gestational diabetes mellitus in Klang Health District: A cross-sectional study. Malaysian Family Physician, 19, 1–9. https://doi.org/10.51866/oa.487 DOI: https://doi.org/10.51866/oa.487
Dinkes Provinsi Jawa Barat. (2023). Profil Kesehatan Jawa Barat 2023. In Dinas Kesehatan Provinsi Jawa Barat. Bandung: Dinas Kesehatan Provinsi Jawa Barat.
Hassan, A. M., Alghamdi, G. S., Alfantoukh, A. M., Aljohani, A., Alzahrani, F. A., Eissa, G. A., Alkhedewi, L. A., Aloufi, L., Khawaji, O. A., & Khurmi, R. (2023). Evaluation of Knowledge About Gestational Diabetes Among Primigravidae Versus Multigravidae in Saudi Arabia: A Quantitative Cross-Sectional Study. Cureus, 15(12). https://doi.org/10.7759/cureus.50458 DOI: https://doi.org/10.7759/cureus.50458
International Diabetes Federation. (2024). IDF Diabetes Atlas 10th Edition 2021.
Irwan. (2017). ETIKA DAN PERILAKU KESEHATAN. Yogyakarta: CV. Absolute Media.
Kementrian Kesehatan RI. (2024). Profil Kesehatan Indonesia 2023. Jakarta: Pusat Data dan Teknologi Informasi Kementerian Kesehatan RI.
Muflihah, D. I., & Nisa, A. A. (2024). Faktor yang Berhubungan dengan Perilaku Pencegahan Diabetes Mellitus di Kelurahan Mlatiharjo Kecamatan Semarang Timur Kota Semarang. DIAGNOSA: Jurnal Ilmu Kesehatan Dan Keperawatan, 2(3), 13–25. https://doi.org/10.59581/diagnosa-widyakarya.v2i3.3883 DOI: https://doi.org/10.59581/diagnosa-widyakarya.v2i3.3883
Polit, D. F., & Beck, C. T. (2006). The content validity index: are you sure you know what’s being reported? Critique and recommendations. Research in Nursing & Health, 20(5), 489–497. DOI: https://doi.org/10.1002/nur.20147
Rohati, E., & Siregar, R. U. P. (2023). Faktor-Faktor yang Berhubungan dengan Kejadian Kematian Ibu pada Masa Kehamilan, Persalinan dan Nifas di Kota Depok Tahun 2021. Jenggala: Jurnal Riset Pengembangan Dan Pelayanan Kesehatan, 2(1), 72–81. DOI: https://doi.org/10.59024/jikas.v2i3.734
Siuluta, N., Sato, M., Linh, L. K., Wanjihia, V., Changoma, M. S., Huy, N. T., & Kaneko, S. (2024). Assessment of gestational diabetes mellitus knowledge, attitudes, and practices and associated factors among pregnant women at a district hospital in Coastal Kenya. Tropical Medicine and Health, 52(1). https://doi.org/10.1186/s41182-024-00630-3 DOI: https://doi.org/10.1186/s41182-024-00630-3
Supardi, S. A., Mamlukah, M., Wahyuniar, L., & Iswarawanti, D. N. (2022). Analisis Determinan Kematian Ibu Di Kabupaten Indramayu Tahun 2020. Journal of Midwifery Care, 3(01), 64–74. https://doi.org/10.34305/jmc.v3i01.587 DOI: https://doi.org/10.34305/jmc.v3i01.587
Tan, J., Chen, L., Wu, Y., Zhu, X., & Fei, H. (2023). Knowledge, Attitude and Practice of Patients with Gestational Diabetes Mellitus Regarding Gestational Diabetes Mellitus: A Cross-Sectional Study. International Journal of General Medicine, Volume 16, 4365–4376. https://doi.org/10.2147/ijgm.s423565 DOI: https://doi.org/10.2147/IJGM.S423565
Wang, H., Li, N., Chivese, T., Werfalli, M., Sun, H., Yuen, L., Hoegfeldt, C. A., Elise Powe, C., Immanuel, J., Karuranga, S., Divakar, H., Levitt, Na. A., Li, C., Simmons, D., & Yang, X. (2022). IDF Diabetes Atlas: Estimation of Global and Regional Gestational Diabetes Mellitus Prevalence for 2021 by International Association of Diabetes in Pregnancy Study Group’s Criteria. Diabetes Research and Clinical Practice, 183, 109050. https://doi.org/10.1016/j.diabres.2021.109050 DOI: https://doi.org/10.1016/j.diabres.2021.109050
WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. In WHO.
Wimalajeewa T.M.D.Y.D., & Hettiaratchi U.P.K. (2021). Knowledge and Attitudes on Gestational Diabetes Mellitus and its Associated Factors among a Selected Population of Pregnant Mothers Attending Antenatal Clinics in Mathugama, Western Province of Sri Lanka. Journal of Health Sciences and Innovative Research, 2(01), 34–42. https://doi.org/10.31357/jhsir.v2i01.5420 DOI: https://doi.org/10.31357/jhsir.v2i01.5420
World Health Organization. (2024). World Health Statistics 2024: monitoring health for the SDGs, Sustainable Development Goals. Geneva: World Health Organization.
Yizukanji, S., & Mwanakasale, V. (2018). Knowledge, Attitude and Practices among Women Attending Antenatal Clinic towards Gestational Diabetes Mellitus in Mufulira Town, Zambia. International Journal of Current Innovations in Advanced Research, 1(7), 1–8.
Zahara, E., Raml, N., Yushida, Laili, F. J., & Zakiah. (2024). Hipnogravida Optimalkan Kesehatan Ibu dan Janin. Yogyakarta: Penerbit Deepublish Digital.
Salmah Nurrahmah
https://orcid.org/0000-0003-1989-4166