Author(s): Caughey AB, Cheng YW, Stotland NE, Washington AE, Escobar GJ
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Abstract OBJECTIVE: The objective of the study was to examine the rates of gestational diabetes mellitus (GDM) associated with both maternal and paternal race/ethnicity. STUDY DESIGN: This was a retrospective cohort study of all women delivered within a managed care network. Rates of GDM were calculated for maternal, paternal, and combined race/ethnicity. RESULTS: Among the 139,848 women with identified race/ethnicity, Asians had the highest rate (P < .001) of GDM (6.8\%) as compared with whites (3.4\%), African Americans (3.2\%), and Hispanics (4.9\%). When examining race/ethnicity controlling for potential confounders, we found that the rates of GDM were higher among Asian (adjusted odds ratio [aOR], 1.5; 95\% confidence interval [CI], 1.4-1.6) and Hispanic (aOR, 1.2; 95\% CI, 1.1-1.4) women as well as Asian (aOR, 1.4; 95\% CI, 1.3-1.5) and Hispanic (aOR, 1.3; 95\% CI, 1.2-1.4) men as compared with their white counterparts. CONCLUSION: We found that rates of GDM are affected by both maternal and paternal race/ethnicity. In both Asians and Hispanics, maternal and paternal race are equally associated with an increase in GDM. These differences may inform further investigation of the pathophysiology of GDM. Copyright 2010 Mosby, Inc. All rights reserved.
This article was published in Am J Obstet Gynecol
and referenced in Journal of Addiction Research & Therapy