Sociodemographic Correlates of the Increasing Trend in Prevalence of Gestational Diabetes Mellitus in a Large Population of Women Between 1995 and 2005
Epidemiology/Health Services Research ORIGINAL ARTICLE Sociodemographic Correlates of the Increasing Trend in Prevalence of Gestational Diabetes Mellitus in a Large Population of Women Between 1995 and 2005 1 1 VIBEKE ANNA, MIPH RACHEL R. HUXLEY, DPHIL dictor of type 2 diabetes. Women with 2 2 HIDDE P. VAN DER PLOEG, PHD ADRIAN E. BAUMAN, PHD GDM are up to six times more likely to 3 N. WAH CHEUNG, PHD develop type 2 diabetes than women with normal glucose tolerance in pregnancy (3). The incidence of GDM varies among OBJECTIVE — Gestational diabetes mellitus (GDM) is an increasingly prevalent risk factor populations, similar to the variation of for the development of type 2 diabetes in the mother and is responsible for morbidity in the child. type 2 diabetes, with recent prevalence To better identify women at risk of developing GDM we examined sociodemographic correlates estimates ranging from 2.8% of pregnant and changes in the prevalence of GDM among all births between 1995 and 2005 in Australia’s women in Washington, DC, to 18.9% in largest state. India and 22% in Sardinia, Italy (4). The RESEARCH DESIGN AND METHODS — A computerized database of all births (n ϭ risk for GDM increases with age, and in- 956,738) between 1995 and 2005 in New South Wales, Australia, was used in a multivariate cidence rates vary by ethnicity within a logistic regression that examined the association between sociodemographic characteristics and population, again similar to the risk for the occurrence of GDM. type 2 diabetes (4,5). There is also evi- dence that obesity, parity, smoking, and RESULTS — Between 1995 and 2005, the prevalence of GDM increased by 45%, from 3.0 to family history are risk factors for GDM 4.4%.
[Show full text]