Jump to content

  • Set Your Location
  • Sign in or Enroll
Set Your LocationSet Your Location
  • Sign in or Enroll
    • Open I want to choose my medical group or hospital
    • Clear my location
Change Location
Sutter Health
  • Book Appointment
  • Find Doctors
  • Find Locations
  • Treatments & Services
    • Book Appointment
    • Find Doctors
    • Find Locations
    • Treatments & Services
    • COVID-19 Resources
    • Pay a Bill
    • Symptom Checker
    • Get Care Today
    • Health & Wellness
    • Classes & Events
    • Research & Clinical Trials
    • For Patients
    • About Sutter Health
    • Giving
    • Volunteering
    • Careers
    • News
    • For Medical Professionals
    • Other Business Services
Close Search
  • Home
  • Research
  • Medical Informatics
Content

Racial/ethnic differences in gestational diabetes prevalence and contribution of common risk factors.

Description

Pu J, Zhao B, Wang EJ, Nimbal V, Osmundson S, Kunz L, Popat RA, Chung S, Palaniappan LP., Paediatr Perinat Epidemiol. doi: 10.1111/ppe.12209. [Epub ahead of print], 2015 Jul 22

Abstract

BACKGROUND: The White House, the American Heart Association, the Agency for Healthcare Research and Quality, and the National Heart, Lung and Blood Institute have all recently acknowledged the need to disaggregate Asian American subgroups to better understand this heterogeneous racial group. This study aims to assess racial/ethnic differences in relative contribution of risk factors of gestational diabetes mellitus (GDM) among Asian subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese), Hispanics, non-Hispanic blacks, and non-Hispanic whites.

METHODS: Pregnant women in 2007-2012 were identified through California state birth certificate records and linked to the electronic health records in a large mixed-payer ambulatory care organization in Northern California (n = 24 195). Relative risk and population attributable fraction (PAF) for specific racial/ethnic groups were calculated to assess the contributions of advanced maternal age, overweight/obesity (Centers for Disease Control and Prevention (CDC) standards and World Health Organization (WHO)/American Diabetes Association (ADA) body mass index cut-offs for Asians), family history of type 2 diabetes, and foreign-born status.

RESULTS: GDM was most prevalent among Asian Indians (19.3%). Relative risks were similar across all race/ethnic groups. Advanced maternal age had higher PAFs in non-Hispanic whites (22.5%) and Hispanics (22.7%). Meanwhile family history (Asian Indians 22.6%, Chinese 22.9%) and foreign-born status (Chinese 40.2%, Filipinos 30.2%) had higher PAFs in Asian subgroups. Overweight/obesity was the most important GDM risk factor for non-Hispanic whites, Hispanics, Asian Indians, and Filipinos when the WHO/ADA cut-off points were applied. Advanced maternal age was the only risk factor studied that was modified by race/ethnicity, with non-Hispanic white and Hispanic women being more adversely affected than other racial/ethnic groups.

CONCLUSIONS: Overweight/obesity, advanced maternal age, family history of type 2 diabetes, and foreign-born status are important risk factors for GDM. The relative contributions of these risk factors differ by race/ethnicity, mainly due to differences in population prevalence of these risk factors.

Pubmed Abstract

Pubmed AbstractOpens New Window

Associated Topics

  • Gestational Diabetes
  • Medical Informatics

Related Publications

Clinician Perceptions of Receiving Different Forms of Feedback on their Opioid Prescribing


American Journal of Medical Quality
2022 Dec 29

Impact of implementing electronic prior authorization on medication filling in an electronic health record system in a large healthcare system

Lauffenburger JC, Stults CD, Mudiganti S, Yan X, Dean-Gilley LM, He M, Tong A, Fischer MA
J Am Med Inform Assoc.ocab119. doi: 10.1093/jamia/ocab119. Online ahead of print.
2021 Jul 19

Machine learning and atherosclerotic cardiovascular disease risk prediction in a multi-ethnic population.

Ward A, Sarraju A, Chung S, Li J, Harrington R, Heidenreich P, Palaniappan L, Scheinker D, Rodriguez F.
NPJ Digit Med. 3:125. doi: 10.1038/s41746-020-00331-1. eCollection 2020.
2020 Sep 23

Primary care nurse practitioner management of adolescent behavioral health.

Dillon EC, Erlich KJ, Li J, Li M, Becker DF.
Am J Manag Care. 2020 Sep 1;26(9):e295-e299. doi: 10.37765/ajmc.2020.88495.
2020 Sep 01

Revaccination management of a large cohort of pediatric patients following a potential lapse in cold storage.

Martin V, Copeland E, Fazilat R, Cronin J, Johnson C, Frosch DL.
Vaccine. S0264-410X(20)31017-3. doi: 10.1016/j.vaccine.2020.07.073. Online ahead of print.
2020 Sep 09
The Sutter Health Network of Care
Expertise to fit your needs
Primary Care

Check-ups, screenings and sick visits for adults and children.

Specialty Care

Expertise and advanced technologies in all areas of medicine.

Emergency Care

For serious accidents, injuries and conditions that require immediate medical care.

Urgent Care

After-hours, weekend and holiday services.

Walk-In Care

Convenient walk-in care clinics for your non-urgent health needs.

  • Contact Us
  • Find Doctors
  • Find Locations
  • Book Appointment
  • Request Medical Records
  • Donate Now
Sign in to My Health Online

Billing and Insurance

  • Pay a Bill
  • Accepted Health Plans
  • Estimate Costs
  • Medicare Advantage

About Sutter

  • About Our Network
  • Community Benefit
  • Annual Report
  • News and Media

Our Team

  • For Employees
  • For Medical Professionals
  • For Vendors
  • For Volunteers

Careers

  • Jobs at Sutter
  • Physician Jobs
  • Graduate Medical Education

Copyright © 2023 Sutter Health. All rights reserved. Sutter Health is a registered trademark of Sutter Health ®, Reg. U.S. Patent & Trademark office.

  • ADA Accessibility
  • Privacy
  • Do Not Sell My Personal Information
  • LinkedIn Opens new window
  • YouTube Opens new window
  • Facebook Opens new window
  • Twitter Opens new window
  • Instagram Opens new window
  • Glassdoor Opens new window

Cookie Policy

We use cookies to give you the best possible user experience. By continuing to use the site, you agree to the use of cookies. Privacy Policy Cookie Preferences

Privacy Policy Cookie Preferences