Abstract
The prevalence of gestational diabetes mellitus (GDM) is dramatically higher in Indigenous
compared with non-Indigenous populations in Canada. In this scoping review we synthesize
the existing literature regarding GDM among Indigenous peoples in Canada, including
social and structural determinants that contribute to its higher prevalence in this
population. Seven themes related to GDM in Indigenous populations emerged from a synthesis
of the 44 included articles. The themes were GDM prevalence and trends; risk factors;
screening; diagnosis and treatment; maternal outcomes; child outcomes; systemic barriers;
and Indigenous perceptions, concerns and health behaviours. The findings from this
review suggest culturally appropriate health care and improved screening practices
may help to mitigate the high prevalence and poor health outcomes associated with
GDM in Indigenous communities across Canada. More community-driven, participatory
research that includes the social determinants of health and a culturally safe lens
is required to assess the effects and reduce the impact of GDM in this population.
Résumé
La prévalence du diabète sucré gestationnel (DSG) est nettement plus élevée au sein
des populations autochtones que des populations non autochtones du Canada. Dans la
présente étude de portée, nous avons fait la synthèse de la littérature existante
sur le DSG au sein des personnes autochtones du Canada, notamment les déterminants
sociaux et structurels qui contribuent à sa plus grande prévalence au sein de cette
population. Sept thèmes liés au DSG au sein des populations autochtones sont ressortis
de la synthèse des 44 articles retenus. Les thèmes étaient la prévalence et les tendances
du DSG; les facteurs de risque; le dépistage; le diagnostic et le traitement; les
issues maternelles; les issues de l’enfant; les obstacles systémiques; les perceptions,
les préoccupations et les comportements de santé des Autochtones. Les conclusions
de cette revue suggèrent que l’adaptation des soins de santé culturellement appropriés
à la culture et l’amélioration des pratiques de dépistage peuvent aider à atténuer
la forte prévalence et les mauvais résultats cliniques associés au DSG au sein de
toutes les communautés autochtones du Canada. Davantage de recherches participatives
communautaires qui tiennent compte des déterminants sociaux de la santé et offrent
une perspective culturellement sécuritaire sont nécessaires pour évaluer les effets
et réduire les répercussions du DSG au sein de cette population.
Keywords
Mots clés
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Article Info
Publication History
Published online: May 24, 2022
Accepted:
May 12,
2022
Received in revised form:
March 31,
2022
Received:
October 18,
2021
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Canadian Diabetes Association.
