Gestational diabetes & diabetes in pregnancy

Association of cumulative social risk and gestational diabetes mellitus in the US, 2007–2018

Diabetes Res Clin PractPublished Cross-sectional study

Main finding · GDMResult — go to the resultOdds ratio 1.64 95% CI 1.22–2.1

Authors' 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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