Sociodemographic correlates of the increasing trend in prevalence of gestational diabetes mellitus in a large population of women between 1995 and 2005.
Sociodemographic correlates of the increasing trend in prevalence of gestational diabetes mellitus in a large population of women between 1995 and 2005.
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DOI：
10.2337/dc08-1038
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发表时间：
2008-12
期刊：
影响因子：
16.2
通讯作者：
Bauman, Adrian E.
中科院分区：
文献类型：
--
作者：
Anna, Vibeke;van der Ploeg, Hidde P.;Cheung, N. Wah;Huxley, Rachel R.;Bauman, Adrian E.
目的：妊娠期糖尿病(GDM)是母亲发生2型糖尿病的一个日益普遍的危险因素，也是儿童发病率的主要原因。为了更好地识别有患妊娠期糖尿病风险的妇女，我们研究了1995年至2005年在澳大利亚最大的州出生的所有新生儿中GDM患病率的社会人口学相关性和变化。研究设计和方法--澳大利亚新南威尔士州1995年至2005年所有出生人口(n=956,738)的计算机数据库被用于多元Logistic回归，以检验社会人口特征与妊娠期糖尿病发生之间的联系。结果--1995至2005年间，妊娠期糖尿病的患病率增加了45%，从3.0%上升到4.4%。与澳大利亚出生的女性相比，南亚出生的女性调整后的优势比(OR)最高(4.33[95%可信区间4.12-4.55])。生活在社会经济地位最低的三个四分位数的女性相对于社会经济地位最高的四分位数的女性，患妊娠期糖尿病的调整OR值更高(1.54[1.50-1.59]，1.74[1.69-1.8]和1.65[1.60-1.70])。年龄增长与妊娠期糖尿病密切相关，40岁的女性与20岁出头的女性相比，调整后的OR为6.13(95%可信区间为5.79-6.49)。平价与较小的风险降低有关。吸烟和妊娠期糖尿病之间没有关联。结论--母亲年龄、社会经济地位和种族是妊娠期糖尿病的重要相关因素。未来针对文化的干预措施应针对这些高危人群的妊娠期糖尿病的预防。
OBJECTIVE—Gestational diabetes mellitus (GDM) is an increasingly prevalent risk factor for the development of type 2 diabetes in the mother and is responsible for morbidity in the child. To better identify women at risk of developing GDM we examined sociodemographic correlates and changes in the prevalence of GDM among all births between 1995 and 2005 in Australia's largest state. RESEARCH DESIGN AND METHODS—A computerized database of all births (n = 956,738) between 1995 and 2005 in New South Wales, Australia, was used in a multivariate logistic regression that examined the association between sociodemographic characteristics and the occurrence of GDM. RESULTS—Between 1995 and 2005, the prevalence of GDM increased by 45%, from 3.0 to 4.4%. Women born in South Asia had the highest adjusted odds ratio (OR) of any region (4.33 [95% CI 4.12–4.55]) relative to women born in Australia. Women living in the three lowest socioeconomic quartiles had higher adjusted ORs for GDM relative to women in the highest quartile (1.54 [1.50–1.59], 1.74 [1.69–1.8], and 1.65 [1.60–1.70] for decreasing socioeconomic status quartiles). Increasing age was strongly associated with GDM, with women aged >40 years having an adjusted OR of 6.13 (95% CI 5.79–6.49) relative to women in their early 20s. Parity was associated with a small reduced risk. There was no association between smoking and GDM. CONCLUSIONS—Maternal age, socioeconomic position, and ethnicity are important correlates of GDM. Future culturally specific interventions should target prevention of GDM in these high-risk groups.
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影响因子：
16.2
作者：
Hanley, AJG;McKeown-Eyssen, G;Zinman, B
通讯作者：
Zinman, B
影响因子：
105.7
作者：
Huxley, R;Barzi, F;Woodward, M
通讯作者：
Woodward, M
影响因子：
4.3
作者：
Clausen, Torun;Oyen, Nina;Henriksen, Tore
通讯作者：
Henriksen, Tore
DOI：
10.1071/nb01097
发表时间：
2001-11-01
期刊：
New South Wales public health bulletin
影响因子：
--
作者：
Muscatello, David;Travis, Susan
通讯作者：
Travis, Susan
影响因子：
16.2
作者：
Dunstan, DW;Zimmet, PZ;Shaw, JE
通讯作者：
Shaw, JE