Trends in Selected Chronic Conditions and Related Risk Factors Among Women of Reproductive Age: Behavioral Risk Factor Surveillance System, 2011–2017

Details

• Alternative Title:
  J Womens Health (Larchmt)
• Personal Author:
  Hayes, Donald K. ; Robbins, Cheryl L. ; Ko, Jean Y.
• Description:
  Introduction:
  
  Chronic diseases in the United States are the leading drivers of disability, death, and health care costs. In women of reproductive age (WRA), chronic disease and related risk factors can also affect fertility and reproductive health outcomes. This analysis of trends from 2011 to 2017 adds additional indicators and updates an analysis covering 2001–2009.
  
  Methods:
  
  Data from the 2011–2017 Behavioral Risk Factor Surveillance System were analyzed for 265,544 WRA (18–44 years). To assess trends in 12 chronic conditions and related risk factors, we calculated annual prevalence estimates and adjusted prevalence ratios (APRs) with predicted marginals accounting for age, race, Hispanic ethnicity, education, and health care coverage.
  
  Results:
  
  From 2011 to 2017, prevalence decreased for current smoking (20.7%–15.9%; p < 0.001), gestational diabetes (3.1%–2.7%; p = 0.003), and high cholesterol (19.0%–16.7%; p < 0.001); prevalence increased for depression (20.4%–24.9%; p < 0.001) and obesity (24.6%–27.6%; p < 0.001). After adjustment, in 2017 WRA were more likely to report asthma (APR = 1.06; 95% confidence interval [CI] = 1.01–1.11), physical inactivity (APR = 1.08; 95% CI = 1.04–1.12), obesity (APR = 1.15; 95% CI = 1.11–1.19), and depression (APR = 1.29; 95% CI = 1.25–1.34) compared with 2011. They were less likely to report high cholesterol (APR = 0.89; 95% CI = 0.85–0.94) in 2015 compared with 2011, and current smoking (APR = 0.86; 95% CI = 0.82–0.89) and gestational diabetes (APR = 0.84; 95% CI = 0.75–0.94) in 2017 compared with 2011.
  
  Conclusions:
  
  Some chronic conditions and related risk factors improved, whereas others worsened over time. Research clarifying reasons for these trends may support the development of targeted interventions to promote improvements, potentially preventing adverse reproductive outcomes and promoting long-term health.
  
  
• Subjects:
  Antigens, Viral Antiviral Agents Clinical Trials As Topic Humans Influenza, Human Influenza Vaccines Orthomyxoviridae Vaccination
• Keywords:
  Chronic Conditions Preconception Health Pregnancy-related Chronic Conditions Risk Factors Women Of Reproductive Age
• Source:
  J Womens Health (Larchmt). 29(12):1576-1585
• Pubmed ID:
  32456604
• Pubmed Central ID:
  PMC8039859
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  29
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:f7462fc47794eff74cf82e91f1b19315587e22061a2aa3dfdb489a18df463ed111c47df96437c0b193b3d6b10c9927098b19f0c12b99820142166a0cf6e982d5
• Download URL:
  https://stacks.cdc.gov/view/cdc/105256/cdc_105256_DS1.pdf
• File Type:
  [PDF - 247.63 KB ]