Characterizing sociodemographic disparities and predictors of Gestational Diabetes Mellitus among Asian and Native Hawaiian or other Pacific Islander pregnant people: an analysis of PRAMS data, 2016–2022
Abstract Background Gestational Diabetes Mellitus (GDM) affects between 2 and 10% of pregnancies in the United States, with trends of increasing prevalence and a significant amount of variability across race and ethnicity, maternal age, and insurance status. Asian and Native Hawaiian or Other Pacifi...
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2024-12-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-024-07034-5 |
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| author | Mallory Go Natasha Sokol L. G. Ward Micheline Anderson Shufang Sun |
| author_facet | Mallory Go Natasha Sokol L. G. Ward Micheline Anderson Shufang Sun |
| author_sort | Mallory Go |
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| description | Abstract Background Gestational Diabetes Mellitus (GDM) affects between 2 and 10% of pregnancies in the United States, with trends of increasing prevalence and a significant amount of variability across race and ethnicity, maternal age, and insurance status. Asian and Native Hawaiian or Other Pacific Islanders (NHOPI) have been documented to have a higher prevalence and risk of developing GDM compared to non-Hispanic white populations and have been under-studied in health disparities research. Methods Using data from the Pregnancy Risk Assessment Monitoring System (PRAMS) 2016–2022 surveys, we conducted analyses for the overall PRAMS sample as well as within-group analyses among participants who identify as Asian and NHOPI to identify risk factors for GDM. Descriptive statistics were also collected in the Asian and NHOPI subsample, stratified by Asian and NHOPI ethnicity. Bivariate analyses were performed to explore the relationship between potential GDM risk factors among the overall analytic sample and within the Asian and NHOPI subsample, and multivariable logistic regression was used to investigate potential predictors of GDM. Results Asian and NHOPI ethnicities differed by prevalence of GDM at 17.2%, 19.56%, 10.8%, 10.71%, and 18.49% for Chinese, Filipino, Japanese, Native Hawaiian/Other Pacific Islander, and Other Asian, respectively. Compared to White individuals (reference group), the odds of GDM were higher for Asian and Native Hawaiian/Other Pacific Islander individuals in the adjusted model (adjusted odds ratio (aOR) = 2.19, 95% CI: 2.62–2.9). Native mothers also demonstrated significantly elevated odds (aOR = 1.48, 95% CI: 1.4–1.6), while Mixed-race individuals exhibited slightly increased odds (OR = 1.22, 95% CI: 1.14–1.29). The findings revealed notable variability in GDM risk factors across ANHOPI subgroups. Obesity emerged as a consistent and strong predictor of GDM across all groups, while other factors such as interpersonal violence exposure and prenatal depression demonstrated limited or subgroup specific effects. Conclusion This analysis of 2016 to 2022 PRAMS data illustrated significant variations of GDM predictors between the general population and the Asian and NHOPI population, as well as differences between Asian and NHOPI ethnicities. |
| format | Article |
| id | doaj-art-958fae01d33949968ce78c52cb25a49c |
| institution | Kabale University |
| issn | 1471-2393 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj-art-958fae01d33949968ce78c52cb25a49c2024-12-22T12:54:17ZengBMCBMC Pregnancy and Childbirth1471-23932024-12-0124111910.1186/s12884-024-07034-5Characterizing sociodemographic disparities and predictors of Gestational Diabetes Mellitus among Asian and Native Hawaiian or other Pacific Islander pregnant people: an analysis of PRAMS data, 2016–2022Mallory Go0Natasha Sokol1L. G. Ward2Micheline Anderson3Shufang Sun4Department of Epidemiology, Brown University School of Public HealthDepartment of Psychiatry and Human Behavior, Brown University Warren Alpert Medical SchoolDepartment of Psychiatry and Human Behavior, Brown University Warren Alpert Medical SchoolDepartment of Psychiatry and Human Behavior, Brown University Warren Alpert Medical SchoolDepartment of Behavioral and Social Sciences, Brown University School of Public HealthAbstract Background Gestational Diabetes Mellitus (GDM) affects between 2 and 10% of pregnancies in the United States, with trends of increasing prevalence and a significant amount of variability across race and ethnicity, maternal age, and insurance status. Asian and Native Hawaiian or Other Pacific Islanders (NHOPI) have been documented to have a higher prevalence and risk of developing GDM compared to non-Hispanic white populations and have been under-studied in health disparities research. Methods Using data from the Pregnancy Risk Assessment Monitoring System (PRAMS) 2016–2022 surveys, we conducted analyses for the overall PRAMS sample as well as within-group analyses among participants who identify as Asian and NHOPI to identify risk factors for GDM. Descriptive statistics were also collected in the Asian and NHOPI subsample, stratified by Asian and NHOPI ethnicity. Bivariate analyses were performed to explore the relationship between potential GDM risk factors among the overall analytic sample and within the Asian and NHOPI subsample, and multivariable logistic regression was used to investigate potential predictors of GDM. Results Asian and NHOPI ethnicities differed by prevalence of GDM at 17.2%, 19.56%, 10.8%, 10.71%, and 18.49% for Chinese, Filipino, Japanese, Native Hawaiian/Other Pacific Islander, and Other Asian, respectively. Compared to White individuals (reference group), the odds of GDM were higher for Asian and Native Hawaiian/Other Pacific Islander individuals in the adjusted model (adjusted odds ratio (aOR) = 2.19, 95% CI: 2.62–2.9). Native mothers also demonstrated significantly elevated odds (aOR = 1.48, 95% CI: 1.4–1.6), while Mixed-race individuals exhibited slightly increased odds (OR = 1.22, 95% CI: 1.14–1.29). The findings revealed notable variability in GDM risk factors across ANHOPI subgroups. Obesity emerged as a consistent and strong predictor of GDM across all groups, while other factors such as interpersonal violence exposure and prenatal depression demonstrated limited or subgroup specific effects. Conclusion This analysis of 2016 to 2022 PRAMS data illustrated significant variations of GDM predictors between the general population and the Asian and NHOPI population, as well as differences between Asian and NHOPI ethnicities.https://doi.org/10.1186/s12884-024-07034-5Gestational Diabetes MellitusPRAMSSocial determinants of healthAsian and NHOPIPregnancy |
| spellingShingle | Mallory Go Natasha Sokol L. G. Ward Micheline Anderson Shufang Sun Characterizing sociodemographic disparities and predictors of Gestational Diabetes Mellitus among Asian and Native Hawaiian or other Pacific Islander pregnant people: an analysis of PRAMS data, 2016–2022 BMC Pregnancy and Childbirth Gestational Diabetes Mellitus PRAMS Social determinants of health Asian and NHOPI Pregnancy |
| title | Characterizing sociodemographic disparities and predictors of Gestational Diabetes Mellitus among Asian and Native Hawaiian or other Pacific Islander pregnant people: an analysis of PRAMS data, 2016–2022 |
| title_full | Characterizing sociodemographic disparities and predictors of Gestational Diabetes Mellitus among Asian and Native Hawaiian or other Pacific Islander pregnant people: an analysis of PRAMS data, 2016–2022 |
| title_fullStr | Characterizing sociodemographic disparities and predictors of Gestational Diabetes Mellitus among Asian and Native Hawaiian or other Pacific Islander pregnant people: an analysis of PRAMS data, 2016–2022 |
| title_full_unstemmed | Characterizing sociodemographic disparities and predictors of Gestational Diabetes Mellitus among Asian and Native Hawaiian or other Pacific Islander pregnant people: an analysis of PRAMS data, 2016–2022 |
| title_short | Characterizing sociodemographic disparities and predictors of Gestational Diabetes Mellitus among Asian and Native Hawaiian or other Pacific Islander pregnant people: an analysis of PRAMS data, 2016–2022 |
| title_sort | characterizing sociodemographic disparities and predictors of gestational diabetes mellitus among asian and native hawaiian or other pacific islander pregnant people an analysis of prams data 2016 2022 |
| topic | Gestational Diabetes Mellitus PRAMS Social determinants of health Asian and NHOPI Pregnancy |
| url | https://doi.org/10.1186/s12884-024-07034-5 |
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