Rural-urban disparities in pregestational and gestational diabetes in pregnancy: Serial, cross-sectional analysis of over 12 million pregnancies.

ABSTRACT:

Objective

To compare trends in pregestational (DM) and gestational diabetes (GDM) in pregnancy in rural and urban areas in the USA, because pregnant women living in rural areas face unique challenges that contribute to rural-urban disparities in adverse pregnancy outcomes.

Design

Serial, cross-sectional analysis.

Setting

US National Center for Health Statistics (NCHS) Natality Files from 2011 to 2019.

Population

A total of 12 401 888 singleton live births to nulliparous women aged 15-44 years.

Methods

We calculated the frequency (95% confidence interval [CI]) per 1000 live births, the mean annual percentage change (APC), and unadjusted and age-adjusted rate ratios (aRR) of DM and GDM in rural compared with urban maternal residence (reference) per the NCH

SUBMITTER: Venkatesh KK 

PROVIDER: S-EPMC10751384 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature