Gestational diabetes & diabetes in pregnancy
Association of cumulative social risk and gestational diabetes mellitus in the US, 2007–2018
Main finding · GDMResult — go to the resultOdds ratio 1.64 95% CI 1.22–2.1Authors' conclusion
Women with a greater burden of social risk factors are more likely to have GDM, thus should be the focus of interventions to prevent and treat GDM.
Study context
- Population
- Women aged ≥20 years, US NHANES 2007–2018; 8% with history of gestational diabetes mellitus (GDM)
- Participants
- 10,439 women
- Exposure
- Cumulative social risk score and individual social risk factors vs reference
- Outcome
- History of GDM
Methodological detailsNational Health and Nutrition Examination Surveys 2007-2018, logistic regression, adjusted for age, parity, insurance status, care access, smoking, diet, physical activity and BMI
- National Health and Nutrition Examination Surveys 2007-2018
- Logistic regression
- Adjusted for age, parity, insurance status, care access, smoking, diet, physical activity and BMI
Main finding
GDM
Odds ratio
1.64
95% CI 1.22–2.1
CSR score ≥3vs CSR score 0
OR 1.64 (95% CI 1.22–2.1)
As reported in the abstract
Observational data: associations, not effects.
Further findings
GDM by individual social risk factors
- Non-U.S. citizen, OR
- 1.51 (1.06-2.15) (95% CI)
- Minority racial/ethnic group, OR
- 1.30 (1.04-1.59) (95% CI)
Original publication
Association of cumulative social risk and gestational diabetes mellitus in the US, 2007–2018. Diabetes Res Clin Pract. Published 21 July 2023. doi:10. 1016/ j. diabres. 2023. 110840
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