Neighborhood Deprivation and Racial Disparities in Early Pregnancy Impaired Glucose Tolerance.

ABSTRACT:

Objective

There is mounting evidence that neighborhoods contribute to perinatal health inequity. We aimed (1) to determine whether neighborhood deprivation (a composite marker of area-level poverty, education, and housing) is associated with early pregnancy impaired glucose intolerance (IGT) and pre-pregnancy obesity and (2) to quantify the extent to which neighborhood deprivation may explain racial disparities in IGT and obesity.

Study design

This was a retrospective cohort study of non-diabetic patients with singleton births ≥ 20 weeks' gestation from 1 January 2017-31 December 2019 in two Philadelphia hospitals. The primary outcome was IGT (HbA1c 5.7-6.4%) at <20 weeks' gestation. Addresses were geocoded and census tract neighborhood deprivation index (range 0-1, higher i

SUBMITTER: Dolin CD 

PROVIDER: S-EPMC10298257 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature