Gestational diabetes & diabetes in pregnancy

The association between immigration status and the development of type 2 diabetes in women with a prior diagnosis of gestational diabetes: A population‐based study

Diabet MedPublished Retrospective cohort study

Main finding · T2DResult — go to the resultAdjusted hazard ratio 1.19 95% CI 1.13–1.26

Authors' conclusion

Immigration is associated with a significantly higher risk of type 2 diabetes after GDM, particularly for women from certain low- and middle-income countries. Diabetes prevention strategies will need to consider the unique needs of immigrants from these regions.

Study context

Population
Women with GDM aged 16 to 50 years in Ontario, Canada, who gave birth between 2006 and 201442% immigrants
Participants
38,515 women
Exposure
Immigrants vs long-term residents
Outcome
Incidence of T2D after delivery
Methodological detailspopulation-based, Cox regression adjusted for age, year, neighbourhood income, rurality, infant birth weight and hypertensive disorders of pregnancy (HDP)
  • Population-based
  • Cox regression adjusted for age, year, neighbourhood income, rurality, infant birth weight and HDP

Main finding

T2D

Adjusted hazard ratio

1.19

95% CI 1.13–1.26

Immigrantsvs Long-term residents
aHR 1.19 (95% CI 1.13–1.26)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
T2D by region of origin (highest adjusted risks)Immigrants from Sub-Saharan Africavs Long-term residentsAdjusted1.63 (1.40–1.90)
T2D by region of origin (highest adjusted risks)Immigrants from Latin America/Caribbeanvs Long-term residentsAdjusted1.44 (1.28–1.62)
T2D by region of origin (highest adjusted risks)Immigrants from South Asiavs Long-term residentsAdjusted1.34 (1.25–1.44)

Original publication

The association between immigration status and the development of type 2 diabetes in women with a prior diagnosis of gestational diabetes: A population‐based study. Diabet Med. Published 15 May 2023. doi:10.1111/dme.15128

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.