Diabetes during pregnancy and birthweight trends among Aboriginal and non-Aboriginal people in the Northern Territory of Australia over 30 years
| Autor: | Federica Barzi, Jacqueline Boyle, Vanya Webster, Elizabeth L M Barr, Gurmeet Singh, Jonathan E. Shaw, Louise J. Maple-Brown, Henrik Falhammar, Matthew J.L. Hare, Roland Dyck, Steven Guthridge |
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| Rok vydání: | 2020 |
| Předmět: |
Pregnancy
business.industry lcsh:Public aspects of medicine Health Policy Public Health Environmental and Occupational Health Ethnic group Obstetrics and Gynecology lcsh:RA1-1270 Retrospective cohort study medicine.disease Logistic regression Gestational diabetes Psychiatry and Mental health Infectious Diseases Diabetes mellitus Pediatrics Perinatology and Child Health Internal Medicine medicine Gestation Geriatrics and Gerontology Northern territory business Research Paper Demography |
| Zdroj: | The Lancet Regional Health. Western Pacific, Vol 1, Iss, Pp 100005-(2020) The Lancet Regional Health: Western Pacific |
| ISSN: | 2666-6065 |
| DOI: | 10.1016/j.lanwpc.2020.100005 |
| Popis: | Background: Early-life risk factors, including maternal hyperglycaemia and birthweight, are thought to contribute to the high burden of cardiometabolic disease experienced by Indigenous populations. We examined rates of pre-existing diabetes in pregnancy, gestational diabetes mellitus (GDM) and extremes of birthweight over three decades in the Northern Territory (NT) of Australia. Methods: We performed a retrospective cohort analysis of the NT Perinatal Data Collection from 1987 to 2016, including all births >20 weeks gestation, stratified by maternal Aboriginal identification. Key outcomes were annual rates of pre-existing diabetes, GDM, small-for-gestational-age, large-for-gestational-age, low birthweight (4000 g). Logistic regression was used to assess trends and interactions. Findings: 109 349 babies were born to 64 877 mothers, 36% of whom identified as Aboriginal ethnicity. Among Aboriginal women, rates of GDM and pre-existing diabetes, respectively, were 3 · 4% and 0 · 6% in 1987 and rose to 13% and 5 · 7% in 2016 (both trends p |
| Databáze: | OpenAIRE |
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