{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T20:43:21Z","timestamp":1784753001820,"version":"3.55.0"},"reference-count":66,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T00:00:00Z","timestamp":1746316800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72204064"],"award-info":[{"award-number":["72204064"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gestational diabetes mellitus (GDM) presents significant risks to both maternal and infant health, making adherence to health\u2010promoting behaviours crucial for optimal maternal outcomes. Identifying distinct health behaviour patterns and understanding their association with prenatal depression can offer important insights for targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study classifies health\u2010promoting behaviour patterns among women with GDM and examines their association with prenatal depression to inform tailored interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional study with latent class analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A total of 570 women with GDM participated in this study. Data were collected through structured questionnaires, including the Health\u2010Promoting Lifestyle Profile (HPLP) and the Edinburgh Postnatal Depression Scale (EPDS) to assess health\u2010promoting behaviours and prenatal depression levels. Latent class analysis was used to identify distinct health\u2010promoting behaviour patterns, while logistic regression was conducted to identify factors influencing behaviour classification. A comparative analysis of prenatal depression scores across different behaviour subgroups was also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      Four distinct health\u2010promoting behaviour patterns were identified: Comprehensive Health Promotion type, health neglect type, psychologically vulnerable type and lifestyle improvement needed type. Factors influencing behaviour patterns included region, education level, working hours, income, primiparity, adherence to prenatal check\u2010ups and partner support. Significant differences in prenatal depression scores were observed across the behaviour patterns (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study reveals the heterogeneity in health\u2010promoting behaviours among women with GDM and underscores the link between these behaviour patterns and prenatal depression. Targeted interventions addressing socio\u2010economic and psychosocial factors can improve adherence to health\u2010promoting behaviours and mitigate prenatal depression risks. Strengthening prenatal care adherence and encouraging partner involvement are effective strategies for improving maternal well\u2010being in women with GDM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Participants were involved in providing data for this study through self\u2010reports on health\u2010promoting behaviours and prenatal depression. No other contributions from patients or the public were made.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.17809","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T01:00:01Z","timestamp":1746406801000},"page":"133-146","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Health\u2010Promoting Behaviour Patterns in Women With Gestational Diabetes Mellitus: A Latent Class Analysis and Association With Prenatal Depression"],"prefix":"10.1111","volume":"35","author":[{"given":"Zhang","family":"Jiayuan","sequence":"first","affiliation":[{"name":"Department of Psychological Nursing Harbin Medical University  Daqing Heilongjiang Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luo","family":"Xiaoxi","sequence":"additional","affiliation":[{"name":"Department of Psychological Nursing Harbin Medical University  Daqing Heilongjiang Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Dan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Daqing Oilfield General Hospital  Daqing Heilongjiang Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3951-8213","authenticated-orcid":false,"given":"Zhou","family":"Yuqiu","sequence":"additional","affiliation":[{"name":"Department of Psychological Nursing Harbin Medical University  Daqing Heilongjiang Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,4]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010015\u20101713\u20102"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0216454"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14\u2010S014"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13857"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0033\u2010295x.84.2.191"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.3388"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13668\u2010015\u20100135\u20105"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.2147\/ijwh.S361643"},{"issue":"3","key":"e_1_2_14_10_1","first-page":"286","article-title":"Development and Performance Test of the Chinese Version of HPLP\u2010II Health Promotion Lifestyle Scale","volume":"20","author":"Cao W.","year":"2016","journal-title":"Chinese Journal of Disease Control"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010024\u201018573\u2010z"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201011190\u20100"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.6.782"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0954579418000494"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.101016"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k2486"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2016.1201175"},{"key":"e_1_2_14_18_1","volume-title":"Health Promotion Planning: An Educational and Environmental Approach","author":"Green L. 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