Beyond individual-level factors that influence family planning uptake among women with diabetes mellitus: a systematic literature review

Abstract Background The prevalence of diabetes mellitus among women increased consistently together with the increase in the overall prevalence of diabetes mellitus globally. One of the components in holistic diabetes care among women are preconception interventions. Family planning usage has been o...

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Main Authors: Idayu Badilla Idris, Sarah Awang Dahlan, Rahana Abd Rahman, Azmawati Mohammed Nawi
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-024-20784-3
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author Idayu Badilla Idris
Sarah Awang Dahlan
Rahana Abd Rahman
Azmawati Mohammed Nawi
author_facet Idayu Badilla Idris
Sarah Awang Dahlan
Rahana Abd Rahman
Azmawati Mohammed Nawi
author_sort Idayu Badilla Idris
collection DOAJ
description Abstract Background The prevalence of diabetes mellitus among women increased consistently together with the increase in the overall prevalence of diabetes mellitus globally. One of the components in holistic diabetes care among women are preconception interventions. Family planning usage has been one of the components in preconception care among this group of population, especially among women with unoptimised diabetes mellitus, where family planning may allow disease optimisation prior to pregnancy. This systematic review thus aimed to synthesise evidences and improve understanding on the non-individual factors in influencing family planning practice among women with diabetes mellitus. Methods PubMed, Web of Science and EBSCOHost was systematically searched for empirical studies between 2000 and 2023 that discussed on factors that influenced family planning usage among women with diabetes. This systematic literature review was conducted in accordance to Joanna Briggs Institute’s approach for conducting systematic review of associations. Factors were categorised to either individual and non-individual factors. Narrative synthesis approach was adopted that appropriately accommodates the heterogeneity of the reviewed studies. Results A total of 29 studies met the inclusion criteria. Studies included in this review mostly reported individual-level factors that influence family planning practice among women with diabetes mellitus which were mainly the presence of diseases and other sociodemographic characteristics. Only six studies reported factors beyond individual variables which include geographic region, access to care, opinion of significant others, healthcare providers’ perception, role of doctors and types of service providers. Conclusions This systematic review provides evidences that highlighted the gap in knowledge on variables that were beyond individual-level factors which influence family planning practice among women with diabetes mellitus. Further studies that explored structural and systemic factors may benefit future program planning to identify and target modifiable factors.
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spelling doaj-art-1afcf8a34a934a6c96c5211c2d7be1972025-01-26T12:55:30ZengBMCBMC Public Health1471-24582025-01-0125112110.1186/s12889-024-20784-3Beyond individual-level factors that influence family planning uptake among women with diabetes mellitus: a systematic literature reviewIdayu Badilla Idris0Sarah Awang Dahlan1Rahana Abd Rahman2Azmawati Mohammed Nawi3Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaAbstract Background The prevalence of diabetes mellitus among women increased consistently together with the increase in the overall prevalence of diabetes mellitus globally. One of the components in holistic diabetes care among women are preconception interventions. Family planning usage has been one of the components in preconception care among this group of population, especially among women with unoptimised diabetes mellitus, where family planning may allow disease optimisation prior to pregnancy. This systematic review thus aimed to synthesise evidences and improve understanding on the non-individual factors in influencing family planning practice among women with diabetes mellitus. Methods PubMed, Web of Science and EBSCOHost was systematically searched for empirical studies between 2000 and 2023 that discussed on factors that influenced family planning usage among women with diabetes. This systematic literature review was conducted in accordance to Joanna Briggs Institute’s approach for conducting systematic review of associations. Factors were categorised to either individual and non-individual factors. Narrative synthesis approach was adopted that appropriately accommodates the heterogeneity of the reviewed studies. Results A total of 29 studies met the inclusion criteria. Studies included in this review mostly reported individual-level factors that influence family planning practice among women with diabetes mellitus which were mainly the presence of diseases and other sociodemographic characteristics. Only six studies reported factors beyond individual variables which include geographic region, access to care, opinion of significant others, healthcare providers’ perception, role of doctors and types of service providers. Conclusions This systematic review provides evidences that highlighted the gap in knowledge on variables that were beyond individual-level factors which influence family planning practice among women with diabetes mellitus. Further studies that explored structural and systemic factors may benefit future program planning to identify and target modifiable factors.https://doi.org/10.1186/s12889-024-20784-3Family planningContraceptionDiabetes mellitusMultilevel factors
spellingShingle Idayu Badilla Idris
Sarah Awang Dahlan
Rahana Abd Rahman
Azmawati Mohammed Nawi
Beyond individual-level factors that influence family planning uptake among women with diabetes mellitus: a systematic literature review
BMC Public Health
Family planning
Contraception
Diabetes mellitus
Multilevel factors
title Beyond individual-level factors that influence family planning uptake among women with diabetes mellitus: a systematic literature review
title_full Beyond individual-level factors that influence family planning uptake among women with diabetes mellitus: a systematic literature review
title_fullStr Beyond individual-level factors that influence family planning uptake among women with diabetes mellitus: a systematic literature review
title_full_unstemmed Beyond individual-level factors that influence family planning uptake among women with diabetes mellitus: a systematic literature review
title_short Beyond individual-level factors that influence family planning uptake among women with diabetes mellitus: a systematic literature review
title_sort beyond individual level factors that influence family planning uptake among women with diabetes mellitus a systematic literature review
topic Family planning
Contraception
Diabetes mellitus
Multilevel factors
url https://doi.org/10.1186/s12889-024-20784-3
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