Sociodemographic Correlates of the Increasing Trend in Prevalence of Gestational Diabetes Mellitus in a Large Population of Women Between 1995 and 2005

Vibeke Anna; Hidde P. van der Ploeg; N. Wah Cheung; Rachel R. Huxley; Adrian E. Bauman

doi:10.2337/dc08-1038

journal article Dec 01, 2008

Sociodemographic Correlates of the Increasing Trend in Prevalence of Gestational Diabetes Mellitus in a Large Population of Women Between 1995 and 2005

Vibeke Anna Hidde P. van der Ploeg N. Wah Cheung

Rachel R. Huxley Adrian E. Bauman

Diabetes Care Vol. 31 No. 12 pp. 2288-2293 · American Diabetes Association

View at Publisher Save 10.2337/dc08-1038

Abstract

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 &gt;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.

Topics

No keywords indexed for this article. Browse by subject →

References

25

[1]

International Diabetes Federation: Diabetes Atlas 2006. 3rd ed. Brussels, International Diabetes Federation, 2006

[2]

Huxley R, Barzi F, Woodward M: Excess risk of fatal coronary heart diseases associated with diabetes in men and women: meta-analysis of 37 prospective cohort studies. BMJ 332: 73–78, 2006 10.1136/bmj.38678.389583.7c

[3]

Cheung NW, Byth K: Population health significance of gestational diabetes. Diabetes Care 26:2005–2009, 2003 10.2337/diacare.26.7.2005

[4]

Hunt KJ, Schuller KL: The increasing prevalence of diabetes in pregnancy. Obstet Gynecol Clin North Am 34:173–199, 2007 10.1016/j.ogc.2007.03.002

[5]

Ben-Haroush A, Yogev Y, Hod M: Epidemiology of gestational diabetes mellitus and its association with type 2 diabetes. Diabet Med 21:103–113, 2004 10.1046/j.1464-5491.2003.00985.x

[6]

HAPO Study Cooperative Research Group: Hyperglycemia and adverse pregnancy outcomes. N Engl J Med 358:1991–2002, 2008 10.1056/nejmoa0707943

[7]

Hoffman L, Nolan C, Wilson JD, Oats JJN, Simmons D: Gestational diabetes mellitus—management guidelines: the Australasian Diabetes in Pregnancy Society. Med J Aust 169:93–97, 1998 10.5694/j.1326-5377.1998.tb140192.x

[8]

Muscatello D, Travis S: Using the International Classification of Diseases with HOIST. NSW Pub Health Bull 12:289–293, 2001 10.1071/nb01097

[9]

Australian Bureau of Statistics: Socioeconomic Indexes for Areas. Canberra, Australian Bureau of Statistics, 2001

[10]

Epidemiology and Health Services Evaluation Branch: Public Health Bulletin Suppl. no. 8. Sydney, NSW Department of Health, 1993

[11]

Taylor L, Pym M, Bajuk B, Sutton L, Travis S, Banks C: Part 8: Validation Study of NSW Midwives Data Collection 1998 [article online]. 2000. Available from http://www.health.nsw.gov.au/pubs/2000/mdc98.html. Accessed 28 November 2007

[12]

Thow AM, Waters A-M: Diabetes in Culturally and Linguistically Diverse Australians: Identification of Communities at High Risk. Canberra, Australian Institute of Health and Welfare, 2005

[13]

Bo S, Menato G, Bardelli C, Lezo A, Signorile A, Repetti E, Massobrio M, and Pagano G: Low socioeconomic status as a risk factor for gestational diabetes. Diabetes Metab 28:139–140, 2002

[14]

Janghorbani M, Stenhouse EA, Jones RB, Millward BA: Is neighbourhood deprivation a risk factor for gestational diabetes mellitus? Diabet Med 23:313–317, 2006 10.1111/j.1464-5491.2006.01774.x

[15]

Berkowitz GS, Lapinski RH, Wein R, Lee D: Race/ethnicity and other risk factors for gestational diabetes. Am J Epidemiol 135:965–973, 1992 10.1093/oxfordjournals.aje.a116408

[16]

Ishak M, Petocz P: Gestational diabetes among Aboriginal Australians: prevalence, time trend, and comparisons with non-Aboriginal Australians. Ethn Dis 13:55–60, 2003

[17]

Popkin BM, Gordon-Larsen P: The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes 28:S2–S9, 2004 10.1038/sj.ijo.0802804

[18]

Tanaka M, Jaamaa G, Kaiser M, Hills E, Soim A, Zhu M, Shcherbatykh IY, Samelson R, Bell E, Zdeb M, McNutt LA: Racial disparity in hypertensive disorders of pregnancy in New York state: a 10-year longitudinal population-based study. Am J Public Health 97:163–170, 2007 10.2105/ajph.2005.068577

[19]

Clausen T, Øyen N, Henriksen T: Pregnancy complications by overweight and residential area: a prospective study of an urban Norwegian cohort. Acta Obstet Gynecol Scand 85:526–533, 2006 10.1080/00016340500523644

[20]

Shen JJ, Tymkow C, MacMullen N: Disparities in maternal outcomes among four ethnic populations. Ethn Dis 15:492–497, 2005

[21]

Australian Institute of Health and Welfare: Australia's Health 2006. Canberra, Australian Institute of Health and Welfare, 2006

[22]

Hanley AJG, McKeown-Eyssen G, Harris SB, Hegele RA, Wolever T, Kwan J, Zinman B: Association of parity with risk of type 2 diabetes and related metabolic disorders. Diabetes Care 25:690–695, 2002 10.2337/diacare.25.4.690

[23]

Ferrara A: Increasing prevalence of gestational diabetes mellitus: a public health perspective. Diabetes Care 30 (Suppl 2):S141–S146, 2007 10.2337/dc07-s206

[24]

Moses RG, Webb AJ, Comber CD, Moses RG, Webb AJ, Comber CD: Gestational diabetes mellitus: accuracy of Midwives Data Collection. Med J Aust 179:218–219, 2003 10.5694/j.1326-5377.2003.tb05507.x

[25]

Dunstan DW, Zimmet PZ, Welborn TA, de Courten MP, Cameron AJ, Sicree RA, Dwyer T, Colagiuri S, Jolley D, Knuiman M, Atkins R, Shaw JE: The rising prevalence of diabetes and impaired glucose tolerance: The Australian Diabetes, Obesity and Lifestyle Study. Diabetes Care 25:829–834, 2002 10.2337/diacare.25.5.829

Cited By

260

Predicting recurrent gestational diabetes mellitus using artificial intelligence models: a retrospective cohort study

Min Chen, Weijiao Xu · 2024

Archives of Gynecology and Obstetri...

A Clinical Update on Gestational Diabetes Mellitus

Arianne Sweeting, Jencia Wong · 2022

Endocrine Reviews

Gestational diabetes mellitus

H. David McIntyre, Patrick Catalano · 2019

Nature Reviews Disease Primers

The impact of diagnostic criteria for gestational diabetes on its prevalence: a systematic review and meta-analysis

Samira Behboudi-Gandevani, Mina Amiri · 2019

Diabetology & Metabolic Syndrom...

Gestational weight gain targets during the second and third trimesters of pregnancy for women with gestational diabetes mellitus in China

Jiang-Nan Wu, Wei-Rong Gu · 2018

European Journal of Clinical Nutrit...

Prevalence of Gestational Diabetes and Risk of Progression to Type 2 Diabetes: a Global Perspective

Yeyi Zhu, Cuilin Zhang · 2016

Current Diabetes Reports

Metrics

260

Citations

25

References

Details

Published: Dec 01, 2008
Vol/Issue: 31(12)
Pages: 2288-2293

Authors

V

Vibeke Anna

The George Institute for International Health and School of Public Health, University of Sydney, Sydney, Australia

H

Hidde P. van der Ploeg

Centre for Physical Activity and Health, School of Public Health, University of Sydney, Sydney, Australia

N

N. Wah Cheung

Centre for Diabetes and Endocrinology Research, Westmead Hospital and University of Sydney, Sydney, Australia

R

Rachel R. Huxley

The George Institute for International Health and School of Public Health, University of Sydney, Sydney, Australia

A

Adrian E. Bauman

Centre for Physical Activity and Health, School of Public Health, University of Sydney, Sydney, Australia

Cite This Article

Vibeke Anna, Hidde P. van der Ploeg, N. Wah Cheung, et al. (2008). Sociodemographic Correlates of the Increasing Trend in Prevalence of Gestational Diabetes Mellitus in a Large Population of Women Between 1995 and 2005. Diabetes Care, 31(12), 2288-2293. https://doi.org/10.2337/dc08-1038

Sociodemographic Correlates of the Increasing Trend in Prevalence of Gestational Diabetes Mellitus in a Large Population of Women Between 1995 and 2005

You May Also Like