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Int. J. Environ. Res. Public Health 2017, 14(12), 1532; doi:10.3390/ijerph14121532

Prevalence and Determinants of Gestational Diabetes Mellitus: A Cross-Sectional Study in China

1,2,3
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4, 1,2,3
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5
and
1,2,3,*
1
School of Public Health and Management, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China
2
Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
3
Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China
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School of the Second Clinical, Chongqing Medical University, Chongqing 400016, China; lyniniy @163.com
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Department of Behavioral and Environmental Health, Jackson State University, Jackson, MS 39213, USA
*
Author to whom correspondence should be addressed.
Received: 3 October 2017 / Revised: 25 November 2017 / Accepted: 30 November 2017 / Published: 8 December 2017
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
View Full-Text   |   Download PDF [308 KB, uploaded 8 December 2017]

Abstract

Objectives: This study aimed to identify the prevalence of gestational diabetes mellitus (GDM) and to examine its associations with social and behavioral factors, maternal body mass index (BMI), anemia, and hypertension. Methods: A cross-sectional analysis was performed on data collected from 2345 pregnant women from 16 hospitals in five selected provinces in mainland China. Results: Prevalence of GDM was as follows: overall: 3.7%; pregnant women in the first pregnancy: 3.4%; pregnant women in the second pregnancy: 4.6%. Compared with early pregnancy women, late-stage pregnant women were more likely to have GDM (OR = 4.32, 95% CI (1.82, 10.27)). Compared with 18–25 years old pregnant women, women aged 36–45 years were more likely to have GDM (OR = 3.98, 95% CI (1.41, 11.28). Compared with non-hypertensive patients, hypertensive patients were more likely to have GDM (OR = 6.93, 95% CI (1.28, 37.64)). However, second pregnancy, high maternal BMI, prolonged screen time (TV-viewing time, computer-using time, and mobile-phone using time), insufficient and excessive sleep duration, poor sleep quality, smoking, and secondhand smoke exposure were not significantly associated with an increased risk of GDM. Conclusions: Women in the second pregnancy do not appear to predict an increased risk for developing GDM than women in the first pregnancy. High-risk groups of GDM included women in their late pregnancy, aged 36–45 years old, and with hypertension. The findings will contribute to an improved understanding of social and behavioral determinants of GDM in Chinese population and contribute to the development of health-prevention promotion interventions to address GDM. View Full-Text
Keywords: gestational diabetes mellitus; prevalence; social and behavioral determinants; China gestational diabetes mellitus; prevalence; social and behavioral determinants; China
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Xu, X.; Liu, Y.; Liu, D.; Li, X.; Rao, Y.; Sharma, M.; Zhao, Y. Prevalence and Determinants of Gestational Diabetes Mellitus: A Cross-Sectional Study in China. Int. J. Environ. Res. Public Health 2017, 14, 1532.

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