263992 Prevalence of Preconception Lifestyle Behaviors Between Women With and Without Diabetes

Monday, October 29, 2012

Pamela Xaverius, PhD , Department of Epidemiology, St. Louis University, School of Public Health, St. Louis, MO
Joanne Salas, MPH , Dept of Family and Community Medicine, Saint Louis University, St. Louis, MO
Deborah Kiel, PhD, PHCNS-BC , College of Nursing, University of Missouri-St. Louis, Saint Louis, MO
Objective: The purpose of this paper is to describe lifestyle and reproductive behaviors of preconception women and determine if the likelihood of healthy preconception behaviors differs between women with and without diabetes.

Methods: Secondary analysis of cross-sectional data from the Behavioral Risk Factor Surveillance System (2002 and 2004) was conducted. Subjects were 18-44 year old, non-pregnant, fertile women (n=60,365), grouped into one of two categories: not pregnant- without diabetes (Non-Diabetic; n=57,436), and not pregnant - with diabetes (Diabetic; n=2,929). Logistic regression was used to estimate adjusted prevalence odds ratios (aPOR) and 95% confidence intervals (CI) for behavioral characteristics using non-pregnant, non-diabetic women as the referent group.

Results: When compared to non-diabetic women, diabetic women were significantly more likely not to use any birth control (40.5, 95% CI: 37.3, 43.8 versus 33.4, 95% CI: 32.7, 34.1) and significantly less likely to use more effective birth control (i.e., hormonal) methods (26.8, 95% CI: 23.9, 30.0 versus 34.5, 95% CI: 33.8, 35.2). After adjusting for demographic characteristics, significant differences between birth control use between diabetic and non-diabetic women disappeared (aPOR 1.12, 95% CI: 0.97, 1.29). Diabetic women were also less likely than non-diabetic women to drink any alcohol (aPOR 0.65, 95% CI: 0.56, 0.76), and binge drink (aPOR 0.73, 95% CI: 0.58, 0.91), although 2.7 times more likely to be obese (aPOR 2.70, 95% CI: 2.30, 3.14).

Conclusions: Public health campaigns and clinical practices need to address this important concern, with additional research needed regarding inequities between women with and without diabetes.

Learning Areas:
Public health or related education
Public health or related research

Learning Objectives:
Describe the relationship between diabetes and preconception lifestyle behaviors. Compare preconception life style behaviors between women with and without diabetes. Assess the implications of these findings on population level indicators.

Keywords: Family Planning, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal investigator or co-investigator of several funded grants focusing on obesity and preconception health behaviors. I have also investigated and published on obesity and pregnancy outcomes. Among my scientific interests has been gestational weight gain in obese women, provider and patient attitudes about obesity and preconception health behaviors in women and provider practices around preconception health.
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.

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