Intimate partner violence: a risk factor for gestational diabetes

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dc.contributor.authorPheiffer, Carmenen_ZA
dc.contributor.authorDias, Stephanieen_ZA
dc.contributor.authorAdam, Sumaiyaen_ZA
dc.date.accessioned2022-09-05T07:26:33Zen_ZA
dc.date.available2022-09-05T07:26:33Zen_ZA
dc.date.issued2020-10en_ZA
dc.descriptionCITATION: Pheiffer, C., Dias, S., & Adam, S. 2020. Intimate Partner Violence: A Risk Factor for Gestational Diabetes. International journal of environmental research and public health, 17(21). doi:10.3390/ijerph17217843en_ZA
dc.descriptionThe original publication is available at https://www.mdpi.com/journal/ijerphen_ZA
dc.description.abstractThe early detection and management of gestational diabetes mellitus (GDM) is an important public health goal. GDM, which is defined as a glucose intolerance that develops during pregnancy, affects about 14% of pregnancies globally, and without effective treatment, it is associated with adverse short- and long-term maternal and neonatal outcomes. Risk-factor screening is an acceptable and affordable strategy to enable risk stratification and intervention. However, common biological risk factors such as overweight or obesity, excessive gestational weight gain, and family history of diabetes often have poor predictive ability, failing to identify a large proportion of women at risk of developing GDM. Accumulating evidence implicate psychosocial factors in contributing to GDM risk. As such, intimate partner violence (IPV), through its contributing effects on maternal stress and depression, presents a plausible risk factor for GDM. Experiencing IPV during pregnancy may dysregulate the hypothalamus-pituitary-adrenal (HPA) axis, leading to increased cortisol secretion and insulin resistance. These effects may exacerbate the insulin-resistant environment characteristic of pregnancy, thus increasing GDM risk. This review explores the relationship between IPV and GDM. We highlight studies that have linked IPV with GDM and propose a biological mechanism that connects IPV and GDM. Recommendations for IPV screening strategies to prevent GDM are discussed.en_ZA
dc.description.urihttps://www.mdpi.com/1660-4601/17/21/7843en_ZA
dc.description.versionPublishers versionen_ZA
dc.format.extent17 pagesen_ZA
dc.identifier.citationPheiffer, C., Dias, S., & Adam, S. 2020. Intimate Partner Violence: A Risk Factor for Gestational Diabetes. International journal of environmental research and public health, 17(21). doi:10.3390/ijerph17217843en_ZA
dc.identifier.issn1660-4601 (online)en_ZA
dc.identifier.issn1661-7827 (print)en_ZA
dc.identifier.otherdoi:10.3390/ijerph17217843en_ZA
dc.identifier.urihttp://hdl.handle.net/10019.1/125685en_ZA
dc.language.isoen_ZAen_ZA
dc.publisherMDPIen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectDiabetes in pregnancyen_ZA
dc.subjectIntimate partner violenceen_ZA
dc.subjectInsulin resistanceen_ZA
dc.subjectIntimate partner violenceen_ZA
dc.subjectPregnant women -- Abuse ofen_ZA
dc.subjectDepression in womenen_ZA
dc.titleIntimate partner violence: a risk factor for gestational diabetesen_ZA
dc.typeArticleen_ZA
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