Neighborhood Deprivation and Racial Disparities in Early Pregnancy Impaired Glucose Tolerance

There is mounting evidence that neighborhoods contribute to perinatal health inequity. We aimed (1) to determine whether neighborhood deprivation (a composite marker of area-level poverty, education, and housing) is associated with early pregnancy impaired glucose intolerance (IGT) and pre-pregnancy...

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Bibliographic Details
Published in:International journal of environmental research and public health 2023-06, Vol.20 (12), p.6175
Main Authors: Dolin, Cara D, Mullin, Anne M, Ledyard, Rachel F, Bender, Whitney R, South, Eugenia C, Durnwald, Celeste P, Burris, Heather H
Format: Article
Language:English
Subjects:
Births
Black or African American
Black people
Body mass index
Childbirth & labor
Deprivation
Diabetes
Diabetes mellitus
Electronic health records
Ethnicity
Female
Gestation
Gestational age
Glucose
Glucose Intolerance - epidemiology
Glucose tolerance
Government programs
Health disparities
Hemoglobin
Hispanic people
Humans
Inequality
Intolerance
Neighborhoods
Obesity
Patients
Poverty
Pregnancy
Race
Race factors
Racial differences
Regression analysis
Residence Characteristics
Retrospective Studies
Segregation
United States
White
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Summary:There is mounting evidence that neighborhoods contribute to perinatal health inequity. We aimed (1) to determine whether neighborhood deprivation (a composite marker of area-level poverty, education, and housing) is associated with early pregnancy impaired glucose intolerance (IGT) and pre-pregnancy obesity and (2) to quantify the extent to which neighborhood deprivation may explain racial disparities in IGT and obesity. This was a retrospective cohort study of non-diabetic patients with singleton births ≥ 20 weeks' gestation from 1 January 2017-31 December 2019 in two Philadelphia hospitals. The primary outcome was IGT (HbA1c 5.7-6.4%) at
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph20126175