Racial/Ethnic Differences in Diabetes Screening and Hyperglycemia Among US Women After Gestational Diabetes

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Bower, Julie K. ; Butler, Brittney N. ; Bose-Brill, Seuli ; Kue, Jennifer ; Wassel, Christina L.
• Description:
  Introduction
  
  Gestational diabetes mellitus (GDM) is the most common complication of pregnancy and is associated with an increased risk for type 2 diabetes. Racial/ethnic minority populations are at a higher risk than non-Hispanic white populations of developing type 2 diabetes after GDM. The aim of this study was to describe racial/ethnic differences in hyperglycemia and receipt of screening services in a nationally representative sample of women with a history of GDM.
  
  Methods
  
  Our sample included 765 women from the US National Health and Nutrition Examination Survey (2007–2016) with a history of GDM. We used logistic, multinomial, linear, and proportional hazards regression to evaluate racial/ethnic differences in development of diabetes after GDM, hyperglycemia (measured by HbA1c), and receipt of diabetes screening services.
  
  Results
  
  Non-Hispanic black women had 63% higher risk and Hispanic women and “other” racial/ethnic women had more than double the risk for diabetes compared with non-Hispanic white women. Among women with a GDM history who did not receive a diagnosis of diabetes by the time of the study examination, both non-Hispanic black women and Hispanic women were more likely than non-Hispanic white women to be in the prediabetes or diabetes range (measured HbA1c ≥5.7%). However, non-Hispanic black women had 2.07 (95% confidence interval, 1.29–3.81) times the odds of being screened for diabetes compared with non-Hispanic white women (P = .02).
  
  Conclusion
  
  Delays in identification of hyperglycemia and diagnosis of diabetes in racial/ethnic minority women may reflect differential delivery of guideline-based care or poor follow-up of abnormal screening test results.
  
  
• Subjects:
  Original Research
• Source:
  Prev Chronic Dis. 16
• ISSN:
  1545-1151
• Pubmed ID:
  31651379
• Pubmed Central ID:
  PMC6824147
• Document Type:
  Journal Article
• Volume:
  16
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:e579485a0cdffe18d91636b5788f81221a28670f4bd4b867151e4b6bc3d8c1ec54f7bc3d0897d2930f109d8d1adf76bfc683c9bd7bd356746917d8c1a1f52ebd
• Download URL:
  https://stacks.cdc.gov/view/cdc/83345/cdc_83345_DS1.pdf
• File Type:
  [PDF - 332.85 KB ]