Gestational diabetes & diabetes in pregnancy
Socioeconomic status, maternal risk factors, and gestational diabetes mellitus across reproductive years: a Finnish register-based study
Authors' conclusion
There is a paradox that socioeconomic advantage increases the incidence of GDM at the population level while reducing the incidence of GDM within the population. Nevertheless, socioeconomic differences in GDM persist and widen with increasing maternal age, even after accounting for maternal risk factors.
Study context
- Population
- Women who gave birth in Finland 2008–2015, Finnish Medical Birth Register and Statistics Finland
- Participants
- 474,166 women
- Exposure
- Socioeconomic status categories and maternal age
- Outcome
- GDM (ICD-10 codes O24.4 and O24.9)
Methodological detailspopulation-based, multivariable models, interaction on multiplicative and additive scales
- Population-based
- Multivariable models
- Interaction on multiplicative and additive scales
Main finding
As reported in the abstract
GDM by socioeconomic status
Socioeconomic differences in gestational diabetes mellitus (GDM) attributed to BMI
Up to 64.0%
Socioeconomic differences in GDM attributed to smoking
5.5%
Observational data: associations, not effects.
Further findings
| Outcome | aOR (95% CI) | |
|---|---|---|
| GDM in women ≥35 years vs upper level women aged <19 yearsUpper level, ≥35 yearsvs Upper level, <19 years | 3.28 (2.08–5.18) | |
| GDM in women ≥35 years vs upper level women aged <19 yearsLong-term unemployed, ≥35 yearsvs Upper level, <19 years | 5.29 (3.35–8.35) | |
| 0.10.31310Adjusted odds ratio (log scale) |
GDM incidence by period
- GDM incidence 2008-2011
- 8.7%
- GDM incidence 2012-2015
- 12.5%
Original publication
Socioeconomic status, maternal risk factors, and gestational diabetes mellitus across reproductive years: a Finnish register-based study. BMJ Open Diabetes Res Care. Published 16 August 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →