Community-level social determinants of health and pregestational and gestational diabetes.

ABSTRACT:

Background

Individual adverse social determinants of health are associated with increased risk of diabetes in pregnancy, but the relative influence of neighborhood or community-level social determinants of health is unknown.

Objective

This study aimed to determine whether living in neighborhoods with greater socioeconomic disadvantage, food deserts, or less walkability was associated with having pregestational diabetes and developing gestational diabetes.

Study design

We conducted a secondary analysis of the prospective Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be. Home addresses in the first trimester were geocoded at the census tract level. The exposures (modeled separately) were the following 3 neighborhood-level measures of adverse social determi

SUBMITTER: Field C 

PROVIDER: S-EPMC11184512 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature