Preconception care in managed care: The translating research into action for diabetes study

Catherine Kim, Assiamira Ferrara, Laura N. McEwen, David Marrero, Robert B. Gerzoff, William H. Herman

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

This study was undertaken to examine the rates of preconception counseling in managed care for women with diabetes and associated patient and physician characteristics. Participants included women aged 18 to 45 years enrolled in a study of diabetes care in managed care. Women were asked if they recalled discussions regarding glucose control before conception (n = 236) and use of family planning until glucose control was achieved (n = 227). Hierarchical logistic regression models accounted for patient and physician characteristics. Fifty-two percent of women recalled being counseled about glucose control and 37% recalled family planning advice. In adjusted models, patient age (years) (odds ratio [OR] 0.91, 95% CI 0.86-0.96) and body mass index (BMI) (kg/m 2) (OR 0.96, 95% CI 0.93-0.99) remained significant predictors of glucose control counseling. Similarly, patient age (years) (OR 0.94, 95% CI 0.89-0.99) and BMI (kg/m2) (0.96, 95% CI 0.93-0.99) remained significant predictors of family planning counseling. Preconception counseling rates for diabetic women are low and associated with younger age and lower BMI.

Original languageEnglish
Pages (from-to)227-232
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Volume192
Issue number1
DOIs
StatePublished - Jan 2005

Fingerprint

Preconception Care
Managed Care Programs
Counseling
Family Planning Services
Glucose
Research
Body Mass Index
Odds Ratio
Logistic Models
Physicians

Keywords

  • Diabetes
  • Prepregnancy counseling

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Preconception care in managed care : The translating research into action for diabetes study. / Kim, Catherine; Ferrara, Assiamira; McEwen, Laura N.; Marrero, David; Gerzoff, Robert B.; Herman, William H.

In: American Journal of Obstetrics and Gynecology, Vol. 192, No. 1, 01.2005, p. 227-232.

Research output: Contribution to journalArticle

Kim, Catherine ; Ferrara, Assiamira ; McEwen, Laura N. ; Marrero, David ; Gerzoff, Robert B. ; Herman, William H. / Preconception care in managed care : The translating research into action for diabetes study. In: American Journal of Obstetrics and Gynecology. 2005 ; Vol. 192, No. 1. pp. 227-232.
@article{1406b3c9804045a483cb79741559c96e,
title = "Preconception care in managed care: The translating research into action for diabetes study",
abstract = "This study was undertaken to examine the rates of preconception counseling in managed care for women with diabetes and associated patient and physician characteristics. Participants included women aged 18 to 45 years enrolled in a study of diabetes care in managed care. Women were asked if they recalled discussions regarding glucose control before conception (n = 236) and use of family planning until glucose control was achieved (n = 227). Hierarchical logistic regression models accounted for patient and physician characteristics. Fifty-two percent of women recalled being counseled about glucose control and 37{\%} recalled family planning advice. In adjusted models, patient age (years) (odds ratio [OR] 0.91, 95{\%} CI 0.86-0.96) and body mass index (BMI) (kg/m 2) (OR 0.96, 95{\%} CI 0.93-0.99) remained significant predictors of glucose control counseling. Similarly, patient age (years) (OR 0.94, 95{\%} CI 0.89-0.99) and BMI (kg/m2) (0.96, 95{\%} CI 0.93-0.99) remained significant predictors of family planning counseling. Preconception counseling rates for diabetic women are low and associated with younger age and lower BMI.",
keywords = "Diabetes, Prepregnancy counseling",
author = "Catherine Kim and Assiamira Ferrara and McEwen, {Laura N.} and David Marrero and Gerzoff, {Robert B.} and Herman, {William H.}",
year = "2005",
month = "1",
doi = "10.1016/j.ajog.2004.06.105",
language = "English",
volume = "192",
pages = "227--232",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Preconception care in managed care

T2 - The translating research into action for diabetes study

AU - Kim, Catherine

AU - Ferrara, Assiamira

AU - McEwen, Laura N.

AU - Marrero, David

AU - Gerzoff, Robert B.

AU - Herman, William H.

PY - 2005/1

Y1 - 2005/1

N2 - This study was undertaken to examine the rates of preconception counseling in managed care for women with diabetes and associated patient and physician characteristics. Participants included women aged 18 to 45 years enrolled in a study of diabetes care in managed care. Women were asked if they recalled discussions regarding glucose control before conception (n = 236) and use of family planning until glucose control was achieved (n = 227). Hierarchical logistic regression models accounted for patient and physician characteristics. Fifty-two percent of women recalled being counseled about glucose control and 37% recalled family planning advice. In adjusted models, patient age (years) (odds ratio [OR] 0.91, 95% CI 0.86-0.96) and body mass index (BMI) (kg/m 2) (OR 0.96, 95% CI 0.93-0.99) remained significant predictors of glucose control counseling. Similarly, patient age (years) (OR 0.94, 95% CI 0.89-0.99) and BMI (kg/m2) (0.96, 95% CI 0.93-0.99) remained significant predictors of family planning counseling. Preconception counseling rates for diabetic women are low and associated with younger age and lower BMI.

AB - This study was undertaken to examine the rates of preconception counseling in managed care for women with diabetes and associated patient and physician characteristics. Participants included women aged 18 to 45 years enrolled in a study of diabetes care in managed care. Women were asked if they recalled discussions regarding glucose control before conception (n = 236) and use of family planning until glucose control was achieved (n = 227). Hierarchical logistic regression models accounted for patient and physician characteristics. Fifty-two percent of women recalled being counseled about glucose control and 37% recalled family planning advice. In adjusted models, patient age (years) (odds ratio [OR] 0.91, 95% CI 0.86-0.96) and body mass index (BMI) (kg/m 2) (OR 0.96, 95% CI 0.93-0.99) remained significant predictors of glucose control counseling. Similarly, patient age (years) (OR 0.94, 95% CI 0.89-0.99) and BMI (kg/m2) (0.96, 95% CI 0.93-0.99) remained significant predictors of family planning counseling. Preconception counseling rates for diabetic women are low and associated with younger age and lower BMI.

KW - Diabetes

KW - Prepregnancy counseling

UR - http://www.scopus.com/inward/record.url?scp=12844263034&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=12844263034&partnerID=8YFLogxK

U2 - 10.1016/j.ajog.2004.06.105

DO - 10.1016/j.ajog.2004.06.105

M3 - Article

C2 - 15672029

AN - SCOPUS:12844263034

VL - 192

SP - 227

EP - 232

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 1

ER -