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Effect of Maternal Birthplace on Gestational Diabetes Prevalence in Colorado Hispanics

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Abstract

(1) Describe gestational diabetes mellitus (GDM) prevalence time trends in USborn (USWH) and Mexico-born (MWH), white Hispanic Colorado women and (2) Determine effect of maternal birthplace on GDM prevalence. Retrospective population-based study of 1995–2004 Colorado birth certificate data for live, singleton births to white, Hispanic mothers estimated prevalence, trends, and association of GDM and maternal birthplace. Univariate, bivariate and logistic regression analyses were conducted. GDM prevalence in 154,957 births increased in both USWH (1.77–2.53%, P < 0.0001) and MWH (2.38–3.08%, P < 0.0001). Over study years, MWH had higher crude odds (OR = 1.30; 95% CI = 1.22–1.38) for developing GDM than USWH. Adjustment for maternal age and maternal education reduced GDM risk by birth country (OR = 1.05; 95% CI = 0.98–1.13, P = ns). GDM prevalence increased in both US-born and Mexico-born, white, Hispanic Colorado women. Mexico-born immigrant women may have increased risk for GDM compared with their USborn counterparts. Lower education attainment may be determinant of disease risk.

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Authors and Affiliations

  1. Department of Pediatrics, University of Colorado Denver-School of Medicine, Denver Health and Hospitals, 501 28th St., Denver, CO, 80205, USA

    Patricia A. Braun

  2. Department of Internal Medicine, University of Colorado Denver-School of Medicine, 13001 East 17th Place, Aurora, CO, 80045, USA

    Amy G. Huebschmann

  3. Department of Pediatrics, University of Colorado Denver-School of Medicine, 13001 East 17th Place, Aurora, CO, 80045, USA

    Christina A. Kim

  4. Department of Epidemiology, University of Colorado School of Public Health, 13001 East 17th Place, Aurora, CO, 80045, USA

    Dennis C. Lezotte & Dana Dabelea

  5. Colorado Department of Public Health and Epidemiology, 4300 Cherry Creek Dr. South, Denver, CO, 80246, USA

    Alyson Shupe

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  1. Patricia A. Braun
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  2. Amy G. Huebschmann
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  6. Dana Dabelea
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Correspondence to Patricia A. Braun.

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Braun, P.A., Huebschmann, A.G., Kim, C.A. et al. Effect of Maternal Birthplace on Gestational Diabetes Prevalence in Colorado Hispanics. J Immigrant Minority Health 13, 426–433 (2011). https://doi.org/10.1007/s10903-010-9370-4

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  • DOI: https://doi.org/10.1007/s10903-010-9370-4

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