Influence of Acculturation on Risk for Gestational Diabetes Among Asian Women
| Autor: | Shin Margaret Chao, Donglan Zhang, Lu Shi, Liwei Chen |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Cross-sectional study
Ethnic group Reproductive health and childbirth 01 natural sciences California 0302 clinical medicine Risk Factors Pregnancy Prevalence 030212 general & internal medicine Original Research African Americans Pediatric Health Policy Diabetes Prenatal Care Hispanic or Latino Acculturation Gestational diabetes Asians Gestational Public Health and Health Services Marital status Female Adult Prenatal care White People 03 medical and health sciences Asian People Clinical Research Behavioral and Social Science medicine Humans 0101 mathematics Risk factor Metabolic and endocrine business.industry Whites Prevention 010102 general mathematics Public Health Environmental and Occupational Health Odds ratio medicine.disease Black or African American Diabetes Gestational Cross-Sectional Studies Socioeconomic Factors business Demography |
| Zdroj: | Preventing Chronic Disease |
| Popis: | Author(s): Chen, Liwei; Shi, Lu; Zhang, Donglan; Chao, Shin Margaret | Abstract: INTRODUCTION:Asian women have a higher prevalence of gestational diabetes mellitus than women of other races/ethnicities. We aimed to compare the prevalence of gestational diabetes among Asian American women to other racial/ethnic groups and explore whether the higher occurrence of the disorder among Asian women can be explained by acculturation. METHODS:We conducted a population-based, cross-sectional study among 5,562 women who participated in the 2007 Los Angeles Mommy and Baby Study (LAMB) in Los Angeles County, California. All women included in this study had a live delivery in 2007 and did not have pre-pregnancy type I or II diabetes. We applied multivariate, weighted logistic regressions to compare gestational diabetes prevalence among racial/ethnic groups, adjusting for its known risk factors. We conducted mediation analysis to test whether the difference in prevalence across racial/ethnic groups could be explained by acculturation. RESULTS:Among the 5,562 women studied, the weighted prevalence of gestational diabetes was 15.5% among Asian American women, followed by 9.0% among non-Hispanic black women, 10.7% among Hispanic women, and 7.9% among non-Hispanic white women. Compared with non-Hispanic white women, Asian women had 2.44 (95% confidence interval [CI], 1.81-3.29; P l .001) times the odds of having gestational diabetes, independent of maternal age, education, marital status, income, prenatal care adequacy, prepregnancy BMI, and physical activity. Acculturation was negatively associated with having gestational diabetes (odds ratio [OR] = 0.93; 95% CI, 0.86-0.99) and explained 15.9% (95% CI, 11.38%-25.08%; P l .001) of the association between Asian race and the condition. CONCLUSION:We found that Asian race was an independent risk factor for gestational diabetes, and higher acculturation may play a protective role against it in Asian American women. |
| Databáze: | OpenAIRE |
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