Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Baraban, Elizabeth ; McCoy, Lucie ; Simon, Paul
Baraban, Elizabeth ; McCoy, Lucie ; Simon, Paul Less -
Description:
Introduction

Gestational diabetes and pregnancy-related hypertension can lead to adverse health effects in mothers and infants. We assessed recent trends in the rates of these conditions in Los Angeles County, California.

Methods

Hospital discharge data were used to identify all women aged 15–54 years who resided in the county, had a singleton delivery from 1991 through 2003, and had gestational diabetes or pregnancy-related hypertension listed as a discharge diagnosis at the time of delivery. The prevalence of each condition was calculated by calendar year, race/ethnicity, and age group. Temporal trends in the rates were assessed by using negative binomial regression models, controlling for race/ethnicity and age. Separate models were run for each racial/ethnic and age group.

Results

The age-adjusted prevalence of gestational diabetes increased more than threefold (from 14.5 cases per 1000 women in 1991 to 47.9 cases per 1000 in 2003). The age-adjusted prevalence of pregnancy-related hypertension also increased (from 40.5 cases per 1000 in 1991 to 54.4 cases per 1000 in 2003). In the multivariable regression analysis, the annual rate increase for gestational diabetes was 8.3% overall and was highest among Hispanics (9.9%). The annual rate increase for pregnancy-related hypertension was 2.8% overall and was highest among blacks (4.8%).

Conclusion

The rates of gestational diabetes and pregnancy-related hypertension are increasing in Los Angeles County. Further research is needed to determine the causes of the observed increases and the growing racial/ethnic disparities in those rates.


Subjects:
[+]
Adolescent Adult Diabetes, Gestational Female History, 20th Century History, 21st Century Humans Hypertension Middle Aged Pregnancy Pregnancy Complications, Cardiovascular Prevalence Racial Groups Registries Retrospective Studies
Source:
Prev Chronic Dis. 2008; 5(3).
Document Type:
Journal Article
Place as Subject:
California
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:6d2e567f65944f4fed663a836924bf6b52cd6a25fc3ec2e0a12a25466976b996
Download URL:
https://stacks.cdc.gov/view/cdc/20254/cdc_20254_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD53A77.nxml	txt
  	PCD53A77s01.gif	gif
  	PCD53A77s01.jpg	jpeg
  	PCD53A77s02.gif	gif
  	PCD53A77s02.jpg	jpeg

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