Simulated estimates of pre-pregnancy and gestational diabetes mellitus in the US: 1980 to 2008

To simulate national estimates of prepregnancy and gestational diabetes mellitus (GDM) in non-Hispanic white (NHW) and non-Hispanic black (NHB) women. Prepregnancy diabetes and GDM were estimated as a function of age, race/ethnicity, and body mass index (BMI) using South Carolina live singleton birt...

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Bibliographic Details
Published in:PloS one 2013-09, Vol.8 (9), p.e73437
Main Authors: Mayorga, Maria E, Reifsnider, Odette S, Neyens, David M, Gebregziabher, Mulugeta G, Hunt, Kelly J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Black or African American
Black People
Body mass
Body Mass Index
Body size
Childrens health
Cost analysis
Diabetes
Diabetes mellitus
Diabetes, Gestational - epidemiology
Epidemics
Estimates
Ethnicity
Female
Gestational diabetes
Health risk assessment
Health risks
Health sciences
Health surveys
Humans
Industrial engineering
Insulin
Medical diagnosis
Minority & ethnic groups
Models, Statistical
Natality
Nutrition
Obesity
Population
Pregnancy
Pregnancy in Diabetics - epidemiology
Pregnant women
Prevalence
Public health
Race
Risk Factors
Simulation
Studies
Trends
Type 2 diabetes
United States - epidemiology
White People
Womens health
Young Adult
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Summary:To simulate national estimates of prepregnancy and gestational diabetes mellitus (GDM) in non-Hispanic white (NHW) and non-Hispanic black (NHB) women. Prepregnancy diabetes and GDM were estimated as a function of age, race/ethnicity, and body mass index (BMI) using South Carolina live singleton births from 2004-2008. Diabetes risk was applied to a simulated population. Age, natality and BMI were assigned to women according to race- and age-specific US Census, Natality and National Health and Nutrition Examination Surveys (NHANES) data, respectively. From 1980-2008, estimated GDM prevalence increased from 4.11% to 6.80% [2.68% (95% CI 2.58%-2.78%)] and from 3.96% to 6.43% [2.47% (95% CI 2.39%-2.55%)] in NHW and NHB women, respectively. In NHW women prepregnancy diabetes prevalence increased 0.90% (95% CI 0.85%-0.95%) from 0.95% in 1980 to 1.85% in 2008. In NHB women from 1980 through 2008 estimated prepregnancy diabetes prevalence increased 1.51% (95% CI 1.44%-1.57%), from 1.66% to 3.16%. Racial disparities in diabetes prevalence during pregnancy appear to stem from a higher prevalence of prepregnancy diabetes, but not GDM, in NHB than NHW.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0073437