Foreign-born status and risk of gestational diabetes mellitus by years of residence in the United States.
Foreign-born status and risk of gestational diabetes mellitus by years of residence in the United States.
复制标题
DOI：
10.1038/s41598-023-36789-8
复制
发表时间：
2023-06-21
影响因子：
4.6
通讯作者：
Taylor, Brandie DePaoli
中科院分区：
文献类型：
--
作者：
Noah, Akaninyene I.;Perez-Patron, Maria J.;Gongalla, Megha;Hill, Ashley V.;Taylor, Brandie DePaoli
为了探讨外国出生（FB）妇女的文化适应、妊娠期糖尿病（GDM）和GDM相关不良出生结局之间的关系，我们对2011年至2022年期间来自德克萨斯州休斯顿的34，696例单胎妊娠进行了回顾性队列研究。FB女性（n = 18，472）根据在美国的居住年数（0-5，6-10和> 10年）进行分类，而美国出生的女性（n = 16，224）是参考组。改良泊松回归模型确定了整个队列中文化适应水平与GDM之间的相关性，并按种族/民族分层。与美国出生的女性相比，0-5岁的FB女性[校正的相对风险（RRadj.）1.27，95%置信区间[CI] 1.14-1.42）]，6-10年（RRadj. 1.89，95%CI 1.68-2.11）和美国> 10年（RRadj. 1.85，95%CI 1.69-2.03）有较高的GDM风险。所有种族/民族的结果是一致的，尽管在0-5岁时相关性不显著。FB女性发生其他不良妊娠结局的风险较低，但在文化适应水平较高时具有严重特征的先兆子痫除外。结果与GDM和非GDM患者相似。总之，FB状态在所有种族/民族中增加GDM的风险，但随着文化适应水平的提高而升高。
To explore the association between acculturation among foreign-born (FB) women, gestational diabetes (GDM) and GDM-associated adverse birth outcomes, we conducted a retrospective cohort study of 34,696 singleton pregnancies from Houston, TX, between 2011 and 2022. FB women (n = 18,472) were categorized based on years of residence in US (0–5, 6–10, and > 10 years), while US-born women (n = 16,224) were the reference group. A modified Poisson regression model determined the association between acculturative level and GDM within the entire cohort and stratified by race/ethnicity. Compared to US-born women, FB women with 0–5 years [adjusted relative risk (RRadj.) 1.27, 95% confidence interval [CI] 1.14–1.42)], 6–10 years (RRadj. 1.89, 95%CI 1.68–2.11) and > 10 years in the US (RRadj. 1.85, 95%CI 1.69–2.03) had higher risk of GDM. Results were consistent for all racial/ethnic groups, although associations were not significant at 0–5 years. FB women had lower risk of other adverse pregnancy outcomes, except for preeclampsia with severe features at higher levels of acculturation. Results were similar among those with and without GDM. In conclusion, FB status increases risk of GDM among all racial/ethnic groups but is elevated with higher acculturation levels.
登录
查看更多内容
影响因子：
3.5
作者：
Riosmena F;Kuhn R;Jochem WC
通讯作者：
Jochem WC
影响因子：
2.8
作者：
Callaghan, Timothy;Washburn, David J.;Burdine, James
通讯作者：
Burdine, James
影响因子：
2.8
作者：
Pu J;Zhao B;Wang EJ;Nimbal V;Osmundson S;Kunz L;Popat RA;Chung S;Palaniappan LP
通讯作者：
Palaniappan LP
影响因子：
5.5
作者：
Chen, Liwei;Shi, Lu;Chao, Shin Margaret
通讯作者：
Chao, Shin Margaret
影响因子：
--
作者：
Blau, Francine D.
通讯作者：
Blau, Francine D.