Disparities in the risk of gestational diabetes by race-ethnicity and country of birth
Disparities in the risk of gestational diabetes by race-ethnicity and country of birth
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DOI：
10.1111/j.1365-3016.2010.01140.x
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发表时间：
2010-09-01
影响因子：
2.8
通讯作者：
Ferrara, Assiamira
中科院分区：
文献类型：
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作者：
Hedderson, Monique M.;Darbinian, Jeanne A.;Ferrara, Assiamira
P>Hedderson MM、Darbinian JA、Ferrara A。不同种族和出生国家的妊娠糖尿病风险存在差异。 2010 年儿科和围产期流行病学。关于母亲出生国与妊娠期糖尿病 (GDM) 风险之间关系的信息很少。我们在每个种族群体中检查了美国境内和境外出生的女性患 GDM 的风险是否存在差异。该研究是一项队列研究，纳入了 216 089 名在 1995 年至 2004 年间分娩的妇女，其血浆葡萄糖数据来自筛选 50 克葡萄糖激发试验和诊断性 100 克、3 小时口服葡萄糖耐量试验。年龄调整后的 GDM 患病率因种族而异，非西班牙裔白人最低（4.1%），亚裔印度人最高（11.1%）。在多变量模型中，在美国境外出生的黑人、亚裔印度人、菲律宾人、太平洋岛民、中国人、墨西哥人和非西班牙裔白人女性患 GDM 的风险增加，而日本和韩国出生的外国女性患 GDM 的风险较低。临床医生应该意识到，在某些种族群体中，在美国以外出生的女性患 GDM 的风险可能会增加，并且可能需要特殊的预防性和文化敏感护理。
P>Hedderson MM, Darbinian JA, Ferrara A. Disparities in the risk of gestational diabetes by race-ethnicity and country of birth. Paediatric and Perinatal Epidemiology 2010.Little information exists on the association between maternal country of birth and risk of gestational diabetes (GDM). We examined within each race-ethnicity group whether the risk of GDM differs between women born inside and outside the US. The study was a cohort study of 216 089 women who delivered an infant between 1995 and 2004 with plasma glucose data from the screening 50-g glucose challenge test and the diagnostic 100-g, 3-h oral glucose tolerance test. The age-adjusted prevalence of GDM varied by race-ethnicity and was lowest for non-Hispanic white (4.1%) and highest among Asian Indians (11.1%). In multivariable models, being born outside of the US was associated with an increased risk of GDM among black, Asian Indian, Filipina, Pacific Islanders, Chinese, Mexicans and non-Hispanic white women, whereas, Japanese and Korean foreign-born women had a decreased risk of GDM. Clinicians should be aware that among certain race-ethnicity groups women born outside the US may be at increased risk of GDM and may warrant special preventive and culturally sensitive care.