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Associations Between Rurality, pre-pregnancy Health Status, and Macrosomia in American Indian/Alaska Native Populations.
Hiratsuka, Vanessa Y; Reid, Margaret; Chang, Jenny; Jiang, Luohua; Brega, Angela G; Fyfe-Johnson, Amber L; Huyser, Kimberly R; Johnson-Jennings, Michelle; Conway, Cheryl; Steiner, John F; Rockell, Jennifer; Dillard, Denise A; Moore, Kelly; Manson, Spero M; O'Connell, Joan.
Afiliación
  • Hiratsuka VY; Research Department, Southcentral Foundation, 4501 Diplomacy Drive, 99508, Anchorage, AK, USA. vyhiratsuka@alaska.edu.
  • Reid M; Center for Human Development, University of Alaska Anchorage, 3211 Providence Drive, 99508, 99504, Anchorage, AK, USA. vyhiratsuka@alaska.edu.
  • Chang J; Department of Health Systems, Management, and Policy, Colorado School of Public Health, University of Colorado Denver, Denver, USA.
  • Jiang L; Department of Medicine, School of Medicine, University of California, 301 Medical Surge II, 92697-7550, Irvine, CA, USA.
  • Brega AG; Department of Epidemiology, University of California, Irvine, 3076 AIRB, 92697-7550, Irvine, CA, USA.
  • Fyfe-Johnson AL; School of Public Health, Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, 13055 East 17th Avenue, 80045, Aurora, Colorado, CO, USA.
  • Huyser KR; Institute for Research and Education to Advance Community Health (IREACH), Department of Medical Education and Clinical Sciences, Washington State University, 1100 Olive Way, Ste 1200, 98101, Seattle, WA, USA.
  • Johnson-Jennings M; Department of Sociology, The University of British Columbia, Vancouver, USA.
  • Conway C; Canada Research Chair for Indigenous Community Engaged Research for Indigenous Community Engaged Research, LE Clinical Health Psychologist, University of Saskatchewan, University of Colorado- Associate Professor, University of Washington- Associate Professor, Washington, USA.
  • Steiner JF; NE-BC; Quality Consultant, Charles George Veterans Medical Center, Asheville, NC, USA.
  • Rockell J; Institute for Health Research, Department of Medicine, Kaiser Permanente Colorado, University of Colorado Anschutz Medical Campus, Aurora, USA.
  • Dillard DA; Telligen, Inc. Greenwood Village, 7730 E. Belleview Ave Suite 300 Greenwood, 80111, Village, CO, USA.
  • Moore K; Research Department, Southcentral Foundation, 4501 Diplomacy Drive, 99508, Anchorage, AK, USA.
  • Manson SM; Centers for American Indian and Alaska Native Health, University of Colorado, Anschutz Medical Campus, Mail Stop F800, 13055 E. 17th Avenue, 80045, Aurora, CO, USA.
  • O'Connell J; Centers for American Indian and Alaska Native Health, University of Colorado, Anschutz Medical Campus, Mail Stop F800, 13055 E. 17th Avenue, 80045, Aurora, CO, USA.
Matern Child Health J ; 26(12): 2454-2465, 2022 Dec.
Article en En | MEDLINE | ID: mdl-36346567
OBJECTIVES: To examine the relationships between pre-pregnancy diabetes mellitus (DM), gestational diabetes mellitus (GDM), pre-pregnancy body mass index (BMI) and county-level social determinants of health, with infant macrosomia within a sample of American Indian/Alaska Native (AI/AN) women receiving Indian Health Service (IHS) care. METHODS: The sample included women-infant dyads representing 1,136 singleton births from fiscal year 2011 (10/1/2019-9/30/2011). Data stemmed from the IHS Improving Health Care Delivery Data Project. Multivariate generalized linear mixed models were fitted to assess the association of macrosomia with pre-pregnancy health status and social determinants of health. RESULTS: Nearly half of the women in the sample were under age 25 years (48.6%), and most had Medicaid health insurance coverage (76.7%). Of those with a pre-pregnancy BMI measure, 66.2% were overweight or obese. Although few women had pre-pregnancy DM (4.0%), GDM was present in 12.8% of women. Most women had a normal term delivery (85.4%). Overweight, obesity, pre-pregnancy DM, and county-level rurality were all significantly associated with higher odds of infant macrosomia.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Gestacional Tipo de estudio: Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Adult / Female / Humans / Infant / Pregnancy Idioma: En Revista: Matern Child Health J Asunto de la revista: PERINATOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Gestacional Tipo de estudio: Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Límite: Adult / Female / Humans / Infant / Pregnancy Idioma: En Revista: Matern Child Health J Asunto de la revista: PERINATOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos