Date of Graduation

Summer 8-9-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Public Health (MPH)

College/School

School of Nursing and Health Professions

Department/Program

Public Health

First Advisor

Courtney Keeler

Abstract

Gestational Diabetes (GDM) is a preventable noncommunicable disease that has been on the rise over the last 60 years. Pregnant persons with gestational diabetes are 10 times higher of acquiring Type 2 Diabetes after pregnancy (Ionannou et al., 2024). There is an urgent need to address this public health threat because of its increase in mortality. To address this complex chronic disease, this literature review explored multi-level interventions using the socioecological model to mitigate GDM in the Central Valley’s, Tulare County. Tulare County is disproportionately affected by chronic diseases like diabetes especially among the Hispanic and Latinx communities. Therefore, it is the population of focus. The socioecological model helped illustrate and categorize the facilitators and barriers at each level. This literature review was able to identify ways to mitigate and improve GDM outcomes from different interventions levels. Furthermore, this review discovered gaps in current research to address environmental impacts on GDM and proposed recommendations to incorporate an environmental health assessment on all OB/GYN patients. The data collected from this scoping review can guide public health practitioners to implement effective programs and education supporting pregnant persons to reach a healthier lifestyle for themselves and their children.

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