193773 Asian-American is an independent risk factor for Gestational Diabetes Mellitus

Sunday, November 8, 2009

Akiko S. Hosler, PhD , Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Rensselaer, NY
Seema Nayak, MBBS, MPH , Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Rensselaer, NY
Background: Asian-American women are at high risk for developing gestational diabetes (GDM), but little is known if their elevated risk is confounded by other risk factors and/or prenatal care practice. Objective: This study investigated the role of race/ethnicity as well as other risk factors associated with GDM in a population-based sample of women. Methods: We analyzed data of 2,062 women who had live births and responded to a questionnaire from the New York State Pregnancy Risk Assessment Monitoring System (PRAMS), 2004-2006. The effects of race/ethnicity, age, pre-pregnancy BMI, hypertension, stress, and smoking exposure on GDM were assessed using univariate and multivariate logistic regression analyses. Control variables used were education, time of first prenatal care, and place of prenatal care. Results: In the multivariate model with controls, odds ratios for GDM were 4.72 (95% CI, 2.70, 8.24) for Asian, 2.61 (95% CI, 1.24, 5.48) for other races, 2.59 (95% CI 1.65, 4.04) for age 25-34 years, 4.84 (95% CI, 3.00, 7.79) for age ³35 years, 2.39 (95% CI, 1.72, 3.32) for pre-pregnancy BMI ³30 kg/m2, 2.08 (95% CI, 1.52, 2.85) for hypertension, and 1.47 (95% CI, 1.11, 1.94) for stressful life events ³2 during pregnancy. The odds ratio for Asian increased incrementally with additions of other risk factors and control variables. Discussion/Conclusions: Being Asian-American is an independent risk factor for GDM. Other risk factors associated with GDM includ increased maternal age, pre-pregnancy obesity, hypertension, and stressful life events during pregnancy.

Learning Objectives:
Identify risks associated with gestational diabetes among Asian Americans Describe the PRAMS data's strengths and weakness for research related to Asian American women’s health Formulate public health strategies for decreasing gestational diabetes among Asian American women

Keywords: Maternal Health, Asian and Pacific Islander Women

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator of this study. I planned, analyzed and wrote the entirety of this study. I am currently a full-time Assistant Professor of Epidemiology and Biostatistics at the University at Albany, and have 20 years of working experience as a researcher at universities and government organizations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.