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APHA Scientific Session and Event Listing

Chetna Mehrotra, MPH, Diabetes Prevention Program, Pueblo of Zuni, P.O.BOX 465, Zuni, NM 87327, 505-782-2594, bfz1@cdc.gov and Ruby Wolf, Pueblo of Zuni, Special Diabetes Prevention Program for Indians, P.O.BOX 339, Zuni, NM 87327.

OBJECTIVE: To assess the trends and prevalence of teenage pregnancy in Zuni and its association with weight gained during pregnancy, post partum weight retention and breastfeeding practices, and diabetes prevalence in later life among Zuni women.

STUDY DESIGN: A retrospective study of 1560 Zuni women from the Zuni Indian Health Service Hospital, Registered Patient Management System database between 1990 and 2005.

RESULTS: Zuni Pueblo is located in the western New Mexico, with high prevalence of diabetes (36%), and obesity (57%)among Zuni women. The teenage pregnacy rate was 98 per 1,000 Zuni women age 19 years and younger, copmared with 46 per 1,000 in the U.S. A multivariate analysis also showed that women with first pregnancy at a younger age were more likely to retain weight gained during the pregnancy and were more likely to develop diabetes at a younger age.Age of first pregnancy also was associated with shorter time period (6 months or less) of breatsfeeding and late access to prenatal care. Covariates assessed were educational status, breastfeeding status, and family history, and gestational diabetes. Exclusive breastfeeding had a protective effect on age at diagnosis of diabetes. CONCLUSION: Teenage pregnancy has social, economical and physical consequences for women and for the entire community. Community based culturally appropriate interventions to educate Native Indian adolescents on safe sex practices, nutrition and healthy lifestyles is strongly needed.

Learning Objectives:

• To understand the relationship between teenage pregnancy, post partum weight retention, breastfeeding status and risk of developing diabetes among Native Indian Women

Keywords: Diabetes, Obesity

Presenting author's disclosure statement:

Not Answered