Annals of Epidemiology
Volume 28, Issue 4, 2018, Pages 242-248

The role of obesity in the risk of gestational diabetes among immigrant and U.S.-born women in New York City (Article)

Janevic T.* , Zeitlin J. , Egorova N. , Balbierz A. , Howell E.A.
  • a Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, United States, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States, Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States
  • b Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States, Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Biostatistics Sorbonne Paris Cité, DHU Risks in Pregnancy, Paris Descartes University, Paris, France
  • c Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States
  • d Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States
  • e Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, United States, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States, Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States

Abstract

Purpose: To examine if the role of obesity in the risk of gestational diabetes differs between immigrant and U.S.-born women. Methods: We used New York City–linked 2010–2014 birth certificate and hospital data. We created four racial/ethnic groups (non-Hispanic black, Hispanic, non-Hispanic white, and Asian) and three subgroups (Mexican, Indian, and Chinese). Gestational diabetes mellitus (GDM) was ascertained by the birth certificate checkbox and discharge ICD-9 codes. We calculated relative risks for immigrant status and body mass index with GDM using covariate-adjusted log-binomial regression. We calculated multivariable population attributable risk to estimate the proportion of GDM that could be eliminated if overweight/obesity were eliminated by immigrant status. Results: Immigrant women had higher risk of GDM than U.S.-born women, with adjusted relative risks ranging from 1.2 among non-Hispanic black women (95% confidence interval, 1.2–1.3) to 1.6 among Hispanic women (95% confidence interval, 1.4–1.8). Increasing body mass index was associated with GDM risk in all groups, but relative risks were weaker among immigrants (P for interaction <.05). The population attributable risk for overweight/obesity was lower in immigrant women than in U.S.-born women in all racial/ethnic groups. Conclusions: The lower proportion of GDM attributable to overweight/obesity among immigrant women may point to early life and migration influences on risk of GDM. © 2018 Elsevier Inc.

Author Keywords

Obesity Immigrant disparities Ethnicity Life course gestational diabetes

Index Keywords

immigrant Caucasian attributable risk race difference complication hospital discharge Continental Population Groups ancestry group human Asian continental ancestry group Overweight Ethnic Groups statistics and numerical data obesity priority journal ethnic group controlled study ethnology Hispanic Americans Young Adult Humans migrant Hispanic New York Black person African Continental Ancestry Group Emigrants and Immigrants female risk factor Risk Factors ICD-9 pregnancy prevalence birth certificate Article major clinical study adult New York City European Continental Ancestry Group hospital body mass high risk patient Body Mass Index Diabetes, Gestational pregnancy diabetes mellitus
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042627719&doi=10.1016%2fj.annepidem.2018.02.006&partnerID=40&md5=9e0f786f2f2e259ab77d66aae73954ad
DOI: 10.1016/j.annepidem.2018.02.006
ISSN: 10472797
Cited by: 3
Original Language: English