Gestationsdiabetes bei Migrantinnen
摘要
Although awareness has increased, the incidence of gestational diabetes mellitus (GDM) among women with a migration background continues to rise. At the same time, particularly among war refugees, the number of women of childbearing age is increasing significantly. The reasons migrant women are at a higher risk of GDM than native women are multifaceted, including genetic predisposition, cultural and traditional influences, and system-related barriers in the healthcare systems of their countries of residence. Certain ethnic groups have a generally higher risk of complications during pregnancy and childbirth. Higher bodyweight is significantly associated with an increased risk of GDM and other adverse pregnancy outcomes. Migrant women of childbearing age are often more likely to be affected by overweight and obesity than native women. A higher weight gain during pregnancy can also be due to cultural influences: while controlled weight gain is strived for in western societies, in many West and Central African countries, South East Asia, Latin America, the Near East, and India, weight gain during pregnancy is associated with a strong child and therefore desired. However, there are exceptions. For example, women from Southeast Asia have an increased GDM risk even with a normal weight. An often-underestimated factor is the contradictory information women receive—both from their personal environment and from the healthcare system in their country of residence. What is lacking, however, is a comprehensive joint analysis of the key influencing factors, where the interaction of these factors is also examined to determine their amplifying or attenuating effects. Although nearly all migrant women share some commonalities, they differ greatly depending on their cultural background. This diversity must be taken into account in all measures aimed at reducing the risk of GDM.