Journal of racial and ethnic health disparities · 2015
Risk of Gestational Diabetes Among South Asian Immigrants Living in New Jersey--a Retrospective Data Review.
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Sanchalika Acharyya, Teresa Janevic
Аннотация
BACKGROUND: We aimed to identify differences in distribution of risk factors, prevalence, and complications of gestational diabetes (GD) among South Asian (SA) immigrant women, separately for immigrants from India, Bangladesh, Pakistan, and Sri Lanka, relative to US-born non-Hispanic whites (NHW) living in New Jersey.
METHOD: We used NJ birth certificate data linked to hospitalization data from 1999 to 2002 (n = 327,069). We compared the distribution of risk factors among these groups using chi-squared test and calculated adjusted odds of GD for SA groups compared to NHW using logistic regression. Among women with GD, we further analyzed the odds of complications for SA groups relative to whites.
RESULTS: Sri Lankans were more likely to be of advanced maternal age. Pakistanis and Bangladeshis were more likely to start prenatal care late. Bangladeshis had the highest adjusted odds of GD (aOR = 4.3; 95 % confidence interval (CI) 3.5-5.3), followed by Indians (aOR = 3.9; 95 % CI 3.7-4.2), Sri Lankans (aOR = 3.6; 95 % CI 2.4-5.8), and Pakistanis (aOR = 3.4; 95 % CI 2.9-3.8) relative to NHW. Among women with GD, South Asian groups had lower odds of preterm birth and higher odds of having a small for gestational age infant than whites.
DISCUSSION: This study provided evidence of disproportionate risk of GD among four SA groups living in NJ.
METHOD: We used NJ birth certificate data linked to hospitalization data from 1999 to 2002 (n = 327,069). We compared the distribution of risk factors among these groups using chi-squared test and calculated adjusted odds of GD for SA groups compared to NHW using logistic regression. Among women with GD, we further analyzed the odds of complications for SA groups relative to whites.
RESULTS: Sri Lankans were more likely to be of advanced maternal age. Pakistanis and Bangladeshis were more likely to start prenatal care late. Bangladeshis had the highest adjusted odds of GD (aOR = 4.3; 95 % confidence interval (CI) 3.5-5.3), followed by Indians (aOR = 3.9; 95 % CI 3.7-4.2), Sri Lankans (aOR = 3.6; 95 % CI 2.4-5.8), and Pakistanis (aOR = 3.4; 95 % CI 2.9-3.8) relative to NHW. Among women with GD, South Asian groups had lower odds of preterm birth and higher odds of having a small for gestational age infant than whites.
DISCUSSION: This study provided evidence of disproportionate risk of GD among four SA groups living in NJ.