Racial/ethnic disparities in gestational diabetes mellitus: findings from a population-based survey.

Publisher: Elsevier Science Publishing Country of Publication: United States NLM ID: 9101000 Publication Model: Print Cited Medium: Internet ISSN: 1878-4321 (Electronic) Linking ISSN: 10493867 NLM ISO Abbreviation: Womens Health Issues Subsets: MEDLINE

Publication: New York, NY : Elsevier Science Publishing
Original Publication: New York, NY : Elsevier, c1990-

Health Status*; Diabetes, Gestational/*ethnology ; Ethnicity/*statistics & numerical data ; Health Behavior/*ethnology ; Maternal Behavior/*ethnology; Adult ; Black or African American/statistics & numerical data ; Asian/statistics & numerical data ; Cohort Studies ; Diabetes, Gestational/prevention & control ; Female ; Hispanic or Latino/statistics & numerical data ; Humans ; Native Hawaiian or Other Pacific Islander/statistics & numerical data ; Oregon/epidemiology ; Population Surveillance ; Pregnancy ; Prenatal Care/statistics & numerical data ; Risk Assessment ; White People/statistics & numerical data ; Young Adult

Purpose: We sought to explore racial/ethnic disparities in the prevalence of gestational diabetes mellitus (GDM) in a population-based sample.
Methods: Data from the Oregon Pregnancy Risk Assessment Monitoring System (PRAMS), a stratified, random sample of postpartum women who delivered in Oregon in 2004 and 2005 (n = 3,883; weighted response rate, 75.2%) and linked birth certificates were analyzed. Hispanic, non-Hispanic Black, non-Hispanic American Indian, and non-Hispanic Asian/Pacific Islander (API) women were oversampled. We categorized women as having had GDM if they gave an affirmative answer on the birth certificate or the PRAMS survey.
Results: Non-Hispanic API women had the highest prevalence of GDM (14.8%); this was true for women with both a normal and a high body mass index (BMI). Asian women were more likely to have had GDM than Pacific Islander women. On multivariate analysis, non-Hispanic APIs were significantly more likely to have a pregnancy complicated by GDM (adjusted odds ratio, 2.26; 95% confidence interval, 1.23-4.13) than non-Hispanic White women.
Conclusion: Non-Hispanic API women, especially Asian women with both normal and high BMI, have increased risk of GDM. Future research should examine the unique risk factors experienced by Asians and health practitioners should be vigilant in screening for GDM regardless of BMI.
(2010 Jacobs Institute of Women)

Date Created: 20100831 Date Completed: 20101206 Latest Revision: 20221207

20240513

10.1016/j.whi.2010.06.003

20800768