Abstract：
PURPOSE:To examine if the role of obesity in the risk of gestational diabetes differs between immigrant and U.S.-born women. METHODS:We used New York City-linked 2010-2014 birth certificate and hospital data. We created four racial/ethnic groups (non-Hispanic black, Hispanic, non-Hispanic white, and Asian) and three subgroups (Mexican, Indian, and Chinese). Gestational diabetes mellitus (GDM) was ascertained by the birth certificate checkbox and discharge ICD-9 codes. We calculated relative risks for immigrant status and body mass index with GDM using covariate-adjusted log-binomial regression. We calculated multivariable population attributable risk to estimate the proportion of GDM that could be eliminated if overweight/obesity were eliminated by immigrant status. RESULTS:Immigrant women had higher risk of GDM than U.S.-born women, with adjusted relative risks ranging from 1.2 among non-Hispanic black women (95% confidence interval, 1.2-1.3) to 1.6 among Hispanic women (95% confidence interval, 1.4-1.8). Increasing body mass index was associated with GDM risk in all groups, but relative risks were weaker among immigrants (P for interaction <.05). The population attributable risk for overweight/obesity was lower in immigrant women than in U.S.-born women in all racial/ethnic groups. CONCLUSIONS:The lower proportion of GDM attributable to overweight/obesity among immigrant women may point to early life and migration influences on risk of GDM.
journal_name
Ann Epidemioljournal_title
Annals of epidemiologyauthors
Janevic T,Zeitlin J,Egorova N,Balbierz A,Howell EAdoi
10.1016/j.annepidem.2018.02.006subject
Has Abstractpub_date
2018-04-01 00:00:00pages
242-248issue
4eissn
1047-2797issn
1873-2585pii
S1047-2797(17)30992-4journal_volume
28pub_type
杂志文章abstract：PURPOSE:Poor and disparate reproductive health outcomes in the United States may be related to inadequate and differential receipt of women's health care. We investigated trends in and determinants of adult U.S. women's health service use, 2006-2010. METHODS:We analyzed population data from 7897 women aged 25-44 years...
journal_title：Annals of epidemiology
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journal_title：Annals of epidemiology
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journal_title：Annals of epidemiology
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pub_type： 杂志文章
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pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章
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journal_title：Annals of epidemiology
pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1016/1047-2797(92)90099-c
更新日期：1992-07-01 00:00:00
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更新日期：2000-08-01 00:00:00
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更新日期：2002-07-01 00:00:00
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journal_title：Annals of epidemiology
pub_type： 杂志文章
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更新日期：2008-09-01 00:00:00
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pub_type： 杂志文章
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更新日期：1996-11-01 00:00:00
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journal_title：Annals of epidemiology
pub_type： 杂志文章
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更新日期：2005-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2004-08-01 00:00:00
