{"id":"https://openalex.org/W7201969232","doi":"https://doi.org/10.64450/njsh.v4i1.007","title":"SOCIO-CULTURAL BARRIERS AND FACILITATORS OF ADHERENCE TO GESTATIONAL DIABETES MANAGEMENT AMONG PREGNANT WOMEN IN OSUN STATE, NIGERIA","display_name":"SOCIO-CULTURAL BARRIERS AND FACILITATORS OF ADHERENCE TO GESTATIONAL DIABETES MANAGEMENT AMONG PREGNANT WOMEN IN OSUN STATE, NIGERIA","publication_year":2026,"publication_date":"2026-08-08","ids":{"openalex":"https://openalex.org/W7201969232","doi":"https://doi.org/10.64450/njsh.v4i1.007"},"language":"en","primary_location":{"id":"doi:10.64450/njsh.v4i1.007","doi":"https://doi.org/10.64450/njsh.v4i1.007","is_oa":true,"landing_page_url":"https://doi.org/10.64450/njsh.v4i1.007","pdf_url":"https://njsh.org.ng/index.php/njsh-journal/article/download/62/45","source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nigerian Journal of Social Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://njsh.org.ng/index.php/njsh-journal/article/download/62/45","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5116215755","display_name":"Yetunde Abiola Samuel-Ajayi","orcid":"https://orcid.org/0000-0002-6209-6330","observed_orcids":["https://orcid.org/0000-0002-6209-6330"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Samuel-Ajayi Yetunde Abiola","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-6209-6330","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5093234688","display_name":"Olufunmilayo Kunbi Amoo","orcid":"https://orcid.org/0009-0009-7453-501X","observed_orcids":["https://orcid.org/0009-0009-7453-501X"]},"institutions":[{"id":"https://openalex.org/I200433483","display_name":"Bowen University","ror":"https://ror.org/02avtbn34","country_code":"NG","type":"education","lineage":["https://openalex.org/I200433483"]}],"countries":["NG"],"is_corresponding":false,"raw_author_name":"Olufunmilayo Kunbi Amoo","raw_affiliation_strings":["Directorate of Educational Services Bowen University Iwo , Osun State , Nigeria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Directorate of Educational Services Bowen University Iwo , Osun State , Nigeria","institution_ids":["https://openalex.org/I200433483"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":12.2575,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.96790338,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":96},"biblio":{"volume":"4","issue":"1","first_page":"85","last_page":"102"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10673","display_name":"Gestational Diabetes Research and Management","score":0.725600004196167,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10673","display_name":"Gestational Diabetes Research and Management","score":0.725600004196167,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.17810000479221344,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.0658000037074089,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/gestational-diabetes-mellitus","display_name":"gestational diabetes mellitus","score":0.9710000157356262},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.8980000019073486},{"id":"https://openalex.org/keywords/sociocultural-barriers","display_name":"socio-cultural barriers","score":0.7799999713897705},{"id":"https://openalex.org/keywords/pregnant-women","display_name":"pregnant women","score":0.7429999709129333},{"id":"https://openalex.org/keywords/food-practices","display_name":"food practices","score":0.7229999899864197},{"id":"https://openalex.org/keywords/stigma","display_name":"stigma","score":0.8920000195503235},{"id":"https://openalex.org/keywords/religious-beliefs","display_name":"religious beliefs","score":0.7039999961853027},{"id":"https://openalex.org/keywords/traditional-medicine","display_name":"traditional medicine","score":0.8939999938011169},{"id":"https://openalex.org/keywords/cultural-beliefs","display_name":"cultural beliefs","score":0.8240000009536743},{"id":"https://openalex.org/keywords/family-pressure","display_name":"family pressure","score":0.9990000128746033},{"id":"https://openalex.org/keywords/facilitators-of-adherence","display_name":"facilitators of adherence","score":0.6909999847412109},{"id":"https://openalex.org/keywords/prenatal-care","display_name":"prenatal care","score":0.8220000267028809},{"id":"https://openalex.org/keywords/osun-state","display_name":"Osun State","score":0.8769999742507935},{"id":"https://openalex.org/keywords/financial-support","display_name":"financial support","score":0.4569999873638153},{"id":"https://openalex.org/keywords/health-education","display_name":"health education","score":0.7289999723434448},{"id":"https://openalex.org/keywords/community-support","display_name":"community support","score":0.7279999852180481},{"id":"https://openalex.org/keywords/family-support","display_name":"family support","score":0.5920000076293945},{"id":"https://openalex.org/keywords/religious-support","display_name":"religious support","score":0.6129999756813049},{"id":"https://openalex.org/keywords/predictors-of-non-adherence","display_name":"predictors of non-adherence","score":0.6320000290870667},{"id":"https://openalex.org/keywords/maternal-and-neonatal-outcomes","display_name":"maternal and neonatal outcomes","score":0.5540000200271606}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8252000212669373},{"id":"https://openalex.org/C2779434492","wikidata":"https://www.wikidata.org/wiki/Q126691","display_name":"Gestational diabetes","level":4,"score":0.8180999755859375},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.6377999782562256},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5863999724388123},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.43209999799728394},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.423799991607666},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.4000000059604645},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.39320001006126404},{"id":"https://openalex.org/C2776217022","wikidata":"https://www.wikidata.org/wiki/Q1100933","display_name":"Diabetes management","level":4,"score":0.38989999890327454},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.383899986743927},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.38019999861717224},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.375},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.3698999881744385},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.367000013589859},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.33869999647140503},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.33230000734329224},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.33219999074935913},{"id":"https://openalex.org/C2910910449","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postnatal Care","level":3,"score":0.3246000111103058},{"id":"https://openalex.org/C2779703513","wikidata":"https://www.wikidata.org/wiki/Q34581","display_name":"Childbirth","level":3,"score":0.3138999938964844},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.2863999903202057},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.2856999933719635},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.28369998931884766},{"id":"https://openalex.org/C2779017400","wikidata":"https://www.wikidata.org/wiki/Q5433390","display_name":"Family support","level":2,"score":0.27869999408721924},{"id":"https://openalex.org/C2778376644","wikidata":"https://www.wikidata.org/wiki/Q2253111","display_name":"Gestational age","level":3,"score":0.26910001039505005},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.2669999897480011},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2639999985694885},{"id":"https://openalex.org/C2781437451","wikidata":"https://www.wikidata.org/wiki/Q1137326","display_name":"Social stigma","level":3,"score":0.25929999351501465},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.25780001282691956},{"id":"https://openalex.org/C34320749","wikidata":"https://www.wikidata.org/wiki/Q17087302","display_name":"Weight management","level":4,"score":0.2542000114917755}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64450/njsh.v4i1.007","doi":"https://doi.org/10.64450/njsh.v4i1.007","is_oa":true,"landing_page_url":"https://doi.org/10.64450/njsh.v4i1.007","pdf_url":"https://njsh.org.ng/index.php/njsh-journal/article/download/62/45","source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nigerian Journal of Social Health","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.64450/njsh.v4i1.007","doi":"https://doi.org/10.64450/njsh.v4i1.007","is_oa":true,"landing_page_url":"https://doi.org/10.64450/njsh.v4i1.007","pdf_url":"https://njsh.org.ng/index.php/njsh-journal/article/download/62/45","source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nigerian Journal of Social Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.5676000118255615}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7201969232.pdf","grobid_xml":"https://content.openalex.org/works/W7201969232.grobid-xml"},"referenced_works_count":32,"referenced_works":["https://openalex.org/W161016116","https://openalex.org/W2110356839","https://openalex.org/W2115543812","https://openalex.org/W2125070970","https://openalex.org/W2126586044","https://openalex.org/W2158089900","https://openalex.org/W2169899814","https://openalex.org/W2793937234","https://openalex.org/W3108147209","https://openalex.org/W3185274863","https://openalex.org/W3187896137","https://openalex.org/W3194276878","https://openalex.org/W3210851365","https://openalex.org/W3216618445","https://openalex.org/W4309510359","https://openalex.org/W4360612721","https://openalex.org/W4388632231","https://openalex.org/W4389052326","https://openalex.org/W4401900457","https://openalex.org/W4403399973","https://openalex.org/W4405347404","https://openalex.org/W4405789126","https://openalex.org/W4406140480","https://openalex.org/W4409486373","https://openalex.org/W4409694989","https://openalex.org/W4410919359","https://openalex.org/W4411735232","https://openalex.org/W4414588733","https://openalex.org/W4414919733","https://openalex.org/W4416543353","https://openalex.org/W6949547468","https://openalex.org/W7117999882"],"related_works":["https://openalex.org/W4367043191","https://openalex.org/W3165422489","https://openalex.org/W4320011401","https://openalex.org/W3152783848","https://openalex.org/W4411920859","https://openalex.org/W6982563464","https://openalex.org/W2973745360","https://openalex.org/W4412951621","https://openalex.org/W4223475607","https://openalex.org/W4411701623"],"abstract_inverted_index":{"Gestational":[0],"diabetes":[1,147,314],"mellitus":[2],"(GDM)":[3],"is":[4,29,48],"a":[5],"growing":[6],"burden":[7],"on":[8,285],"public":[9],"health":[10,106,202,209,308,320],"and":[11,21,36,62,68,111,140,149,180,231,270,297,316],"has":[12],"been":[13],"linked":[14],"to":[15,38,93,117,145,192,241,245,312],"adverse":[16],"outcomes":[17],"for":[18,85],"both":[19],"mother":[20],"neonate,":[22],"especially":[23],"when":[24],"compliance":[25],"with":[26],"recommended":[27],"management":[28,40,148],"suboptimal.":[30],"Socio-cultural":[31],"factors":[32,64],"may":[33],"influence":[34],"adherence":[35,61,67,139,144,244,311],"non-adherence":[37,69],"GDM":[39,246],"among":[41,70],"pregnant":[42,71,98],"women":[43,72,99],"in":[44,73],"Nigeria,":[45],"but":[46],"there":[47],"limited":[49],"empirical":[50],"evidence":[51],"from":[52,96,195],"Osun":[53,74],"State.":[54],"This":[55],"study":[56],"investigated":[57],"the":[58,86,119,131],"extent":[59],"of":[60,130,282],"socio-cultural":[63,190],"influencing":[65],"gestational":[66,146,313],"State,":[75],"Nigeria.":[76],"A":[77,88],"descriptive":[78],"cross-":[79],"sectional":[80],"survey":[81],"design":[82],"was":[83,91,126],"adopted":[84],"study.":[87],"structured":[89],"questionnaire":[90],"used":[92,116],"collect":[94],"data":[95,120],"128":[97],"attending":[100],"antenatal":[101,299],"care":[102,210,300],"at":[103,121],"purposively":[104],"selected":[105],"facilities.":[107],"Descriptive":[108],"statistics,":[109],"Chi-square":[110],"binary":[112],"logistic":[113,249],"regression":[114,250],"were":[115,151,186,239,279],"analyse":[118],"P":[122],"<":[123],"0.05.":[124],"It":[125],"found":[127,240],"that":[128,253,302],"36.7%":[129],"respondents":[132],"had":[133,137,142],"poor":[134],"adherence,":[135],"33.6%":[136],"moderate":[138],"29.7%":[141],"good":[143],"53.9%":[150],"grouped":[152],"as":[153,188],"non-adherent.":[154],"Food":[155],"practices":[156],"(=2.75":[157],"\u00b1":[158,162,167,172,178,184,207,215,222,229,237],"0.83),":[159],"stigma":[160],"(=2.73":[161],"0.81),":[163,216],"religion/spiritual":[164],"beliefs":[165,175,255,272],"(=2.71":[166],"0.80),":[168],"traditional":[169],"medicine":[170],"(=2.70":[171],"0.79),":[173,208],"cultural":[174,254],"(=2.":[176],"68":[177],"0.78),":[179],"family":[181,196,262],"pressure":[182,263],"(=2.66":[183],"0.80)":[185,230],"considered":[187],"key":[189],"barriers":[191],"adherence.":[193],"Support":[194],"(Mean":[197,204,212,219,226,234],"=":[198,205,213,220,227,235,257,260,265,268,274,277],"3.01":[199],"\u00b1\u00b0":[200],"0.76),":[201],"education":[203],"2.95":[206],"workers":[211],"2.91":[214],"religious":[217],"support":[218,225,233,305],"2.83":[221],"0.82),":[223],"community":[224],"2.78":[228],"financial":[232],"2.74":[236],"0.84)":[238],"significantly":[242],"facilitate":[243],"management.":[247],"Binary":[248],"analysis":[251],"showed":[252],"(OR":[256,264,273],"4.10,":[258],"p":[259,267,276],"0.016),":[261],"2.95,":[266],"0.033),":[269],"religious/spiritual":[271],"2.57,":[275],"0.047)":[278],"significant":[280],"predictors":[281],"non-adherence.":[283],"Based":[284],"these":[286],"findings,":[287],"intervention":[288],"should":[289],"be":[290],"delivered":[291],"through":[292],"family-centered,":[293],"group-based,":[294],"culturally":[295],"sensitive,":[296],"community-integrated":[298],"framework":[301],"strengthens":[303],"social":[304],"networks,":[306],"enhances":[307],"education,":[309],"promotes":[310],"management,":[315],"ultimately":[317],"improves":[318],"maternal":[319],"outcomes.":[321]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-08-09T00:00:00"}