Characteristics of Women with Urinary Tract Infection in Pregnancy

Details

• Personal Author:
  Ailes EC ; Arnold KE ; Chiu SK ; Howley MM ; Johnson CY ; Rocheleau CM
• Description:
  Background: Urinary tract infection (UTI) is the most common bacterial infection in pregnancy. Known risk factors for UTI in pregnancy include diabetes and certain urologic conditions. Other maternal characteristics might also be associated with risk and could provide clues to the etiology of UTI in pregnancy. Our objective was to identify maternal characteristics associated with UTI in pregnancy. Materials and Methods: We used data from pregnant women participating in the National Birth Defects Prevention Study, a population-based study of risk factors for major structural birth defects in 10 U.S. sites, from 1997 to 2011. In cross-sectional analyses, we used multivariable log-binomial regression to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) for associations between self-reported maternal characteristics and UTI in pregnancy. Results: In our sample of 41,869 women, the overall prevalence of reported UTI in pregnancy was 18%, but ranged from 11% to 26% between study sites. In adjusted models, diabetes was moderately associated with higher UTI prevalence (PR 1.39, 95% CI: 1.24-1.57). Higher UTI prevalence was associated even more strongly with low educational attainment (PR 2.06, 95% CI: 1.77-2.40 for some high school vs. graduate school), low household income (PR 1.64, 95% CI: 1.46-1.84 for <$10,000 vs. ≥$50,000), and race/ethnicity (PR 1.45, 95% CI: 1.13-1.80 for American Indian or Alaska Native vs. White women). Conclusions: About one in six women reported UTI in pregnancy but the prevalence varied markedly by geography and maternal characteristics. This variability could provide clues to the causes of UTI in pregnancy. [Description provided by NIOSH]
• Subjects:
  Occupational Health Pregnancy Safety
• Keywords:
  Author Keywords: Cystitis Bacterial Infections Population Based Studies Pregnancy Complications Pyelonephritis Socioeconomic Factors Socioeconomics Urinary Tract Infections Urogenital System Disorders
• ISSN:
  1540-9996
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; New York ; North Carolina ; Ohio ; OSHA Region 2 ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DFSE - Division of Field Studies and Engineering
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  30
• Issue:
  11
• NIOSHTIC Number:
  nn:20063583
• Citation:
  J Womens Health 2021 Nov; 30(11):1556-1564
• Contact Point Address:
  Candice Y. Johnson, PhD, Department of Family Medicine and Community Health, Duke University, 2200 W. Main Street, Suite 600, Durham, NC 27705, USA
• Email:
  candice.y.johnson@duke.edu
• Federal Fiscal Year:
  2022
• NORA Priority Area:
  Services
• Peer Reviewed:
  True
• Source Full Name:
  Journal of Women's Health
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0b67b9c915244a34e4438d3f97edac70e9e8750fcedb0e6e1fbcdf372eb63d9d8333adcb42e6232d32213b8c8c61f9a2eba255e1d748fd382807553be490875e
• Download URL:
  https://stacks.cdc.gov/view/cdc/222167/cdc_222167_DS1.pdf
• File Type:
  [PDF - 119.16 KB ]