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Increasing Prevalence of Diagnosed Gestational Diabetes in South Carolina: 2015-2021.
Hunt, Kelly J; Wen, Chun-Che; Neelon, Brian; Wilson, Dulaney A; Mateus, Julio; Pearce, John; Chundru, Kalyan; Simpson, Sarah; Korte, Jeffrey E; Florez, Hermes; Malek, Angela M.
Afiliación
  • Hunt KJ; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Wen CC; Health Equity and Rural Outreach Innovation Center, Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, South Carolina, USA.
  • Neelon B; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Wilson DA; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Mateus J; Health Equity and Rural Outreach Innovation Center, Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, South Carolina, USA.
  • Pearce J; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Chundru K; Maternal-Fetal Medicine Division, Department of Obstetrics & Gynecology, Atrium Health, Charlotte, North Carolina, USA.
  • Simpson S; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Korte JE; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Florez H; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Malek AM; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
J Womens Health (Larchmt) ; 2024 Sep 04.
Article en En | MEDLINE | ID: mdl-39229709
ABSTRACT

Objective:

To examine trends with a focus on racial and ethnic disparities in reported gestational diabetes mellitus (GDM) and related outcomes (macrosomia, large for gestational age infants) before and during the COVID-19 pandemic in South Carolina (SC).

Methods:

A retrospective cohort study of pregnancies resulting in livebirths from 2015 through 2021 was conducted in SC. Statewide maternal hospital and emergency department discharge codes were linked to birth certificate data. GDM was defined by ICD-9-CM (i.e., 648.01-648.02, 648.81-648.82) or ICD-10-CM codes (i.e., O24.4, O24.1, O24.9), or indication of GDM on the birth certificate without evidence of diabetes outside pregnancy (ICD-9-CM 250.xx; ICD-10-CM E10, E11, O24.0, O24.1, O24.3).

Results:

Our study included 194,777 non-Hispanic White (White), 108,165 non-Hispanic Black (Black), 25,556 Hispanic, and 16,344 other race-ethnic group pregnancies. The relative risk for GDM associated with a 1-year increase was 1.01 (95% confidence interval [CI] 1.01-1.02) before the pandemic and 1.12 (1.09-1.14) during the pandemic. While there were race-ethnic differences in the prevalence of GDM, increasing trends were similar across all race-ethnic groups before and during the pandemic. From quarter 1, 2020, to quarter 4, 2021, the prevalence of reported GDM increased from 8.92% to 10.85% in White, from 8.04% to 9.78% in Black, from 11.2% to 13.65% in Hispanic, and from 13.3% to 16.16% in other race-ethnic women.

Conclusion:

An increasing prevalence of diagnosed GDM was reported during the COVID-19 pandemic. Future studies are needed to understand the mechanisms underlying increasing trends, to develop interventions, and to determine whether the increasing trend continues in subsequent years.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Womens Health (Larchmt) Asunto de la revista: GINECOLOGIA / SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Womens Health (Larchmt) Asunto de la revista: GINECOLOGIA / SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos