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

Author

Listed:
  • Xianglong Xu

    (School of Public Health and Management, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Ying Liu

    (School of the Second Clinical, Chongqing Medical University, Chongqing 400016, China; lyniniy @163.com)

  • Dengyuan Liu

    (School of Public Health and Management, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Xiaoming Li

    (School of Public Health and Management, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Yunshuang Rao

    (School of Public Health and Management, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Manoj Sharma

    (Department of Behavioral and Environmental Health, Jackson State University, Jackson, MS 39213, USA)

  • Yong Zhao

    (School of Public Health and Management, Chongqing Medical University, No. 1 Yixueyuan Road, Yuzhong District, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

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.

Suggested Citation

  • Xianglong Xu & Ying Liu & Dengyuan Liu & Xiaoming Li & Yunshuang Rao & Manoj Sharma & Yong Zhao, 2017. "Prevalence and Determinants of Gestational Diabetes Mellitus: A Cross-Sectional Study in China," IJERPH, MDPI, vol. 14(12), pages 1-13, December.
  • Handle: RePEc:gam:jijerp:v:14:y:2017:i:12:p:1532-:d:122168
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    References listed on IDEAS

    as
    1. Xianglong Xu & Sheng Liu & Yunshuang Rao & Zumin Shi & LianLian Wang & Manoj Sharma & Yong Zhao, 2016. "Prevalence and Sociodemographic and Lifestyle Determinants of Anemia during Pregnancy: A Cross-Sectional Study of Pregnant Women in China," IJERPH, MDPI, vol. 13(9), pages 1-9, September.
    2. Xianglong Xu & Dengyuan Liu & Zhangyi Zhang & Manoj Sharma & Yong Zhao, 2017. "Sleep Duration and Quality in Pregnant Women: A Cross-Sectional Survey in China," IJERPH, MDPI, vol. 14(7), pages 1-14, July.
    3. Lianlian Wang & Xianglong Xu & Philip Baker & Chao Tong & Lei Zhang & Hongbo Qi & Yong Zhao, 2016. "Patterns and Associated Factors of Caesarean Delivery Intention among Expectant Mothers in China: Implications from the Implementation of China’s New National Two-Child Policy," IJERPH, MDPI, vol. 13(7), pages 1-11, July.
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    Cited by:

    1. Jigen Na & Huiting Chen & Hang An & Mengyuan Ren & Xiaoqian Jia & Bin Wang & Zhiwen Li & Xiaohong Liu & Rongwei Ye & Nan Li, 2022. "Passive Smoking and Risk of Gestational Diabetes Mellitus among Nonsmoking Women: A Prospective Cohort Study in China," IJERPH, MDPI, vol. 19(8), pages 1-8, April.
    2. Juan Juan & Huixia Yang, 2020. "Prevalence, Prevention, and Lifestyle Intervention of Gestational Diabetes Mellitus in China," IJERPH, MDPI, vol. 17(24), pages 1-14, December.

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