Racial/Ethnic Differences in the Prevalence of Gestational Diabetes Mellitus and Maternal Overweight and Obesity, by Nativity, Florida, 2004–2007

Details

• Alternative Title:
  Obesity (Silver Spring)
• Personal Author:
  Kim, Shin Y. ; Sappenfield, William ; Sharma, Andrea J. ; Wilson, Hoyt G. ; Bish, Connie L. ; Salihu, Hamisu M. ; England, Lucinda J.
• Description:
  Objective
  
  We examined the risk of gestational diabetes mellitus (GDM) among foreign-born and U.S.-born mothers by race/ethnicity and BMI category.
  
  Design and Method
  
  We used 2004–2007 linked birth certificate and maternal hospital discharge data of live, singleton deliveries in Florida to compare GDM risk among foreign-born and U.S.-born mothers by race/ ethnicity and BMI category. We examined maternal BMI and controlled for maternal age, parity, and height.
  
  Results
  
  Overall, 22.4% of the women in our study were foreign born. The relative risk (RR) of GDM among women who were overweight or obese (BMI ≥ 25.0 kg m−2) was higher than among women with normal BMI (18.5–24.9 kg m−2) regardless of nativity, ranging from 1.3 (95% confidence interval (CI) = 1.0, 1.9) to 3.8 (95% CI = 2.1, 7.2). Foreign-born women also had a higher GDM risk than U.S.-born women, with RR ranging from 1.1 (95% CI = 1.1, 1.2) to 2.1 (95% CI = 1.4, 3.1). This finding was independent of BMI, age, parity, and height for all racial/ethnicity groups.
  
  Conclusions
  
  Although we found differences in age, parity, and height by nativity, these differences did not substantially reduce the increased risk of GDM among foreign-born mothers. Health practitioners should be aware of and have a better understanding of how race/ethnicity and nativity can affect women with a high risk of GDM. Although BMI is a major risk factor for GDM, it does not appear to be associated with race/ethnicity or nativity.
  
  
• Subjects:
  Adolescent Adult Body Mass Index Diabetes, Gestational Emigrants And Immigrants Female Humans Obesity Overweight Pregnancy Prevalence Young Adult

  More +
• Source:
  Obesity (Silver Spring). 2012; 21(1):E33-E40.
• Pubmed ID:
  23404915
• Pubmed Central ID:
  PMC4392762
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Place as Subject:
  Florida
• Volume:
  21
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:3fec0f4674c5f506bef6f94ae0506943ebbc0443ce7291ac0e43dd6e629e286e
• Download URL:
  https://stacks.cdc.gov/view/cdc/30377/cdc_30377_DS1.pdf
• File Type:
  [PDF - 469.12 KB ]