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AJPH First Look, published online ahead of print Jul 28, 2005
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American Journal of Public Health, 10.2105/AJPH.2005.066100

Research and Practice

Trends and Racial/Ethnic Disparities in Gestational Diabetes Among Pregnant Women in New York City, 1990-2001

Lorna E. Thorpe 1*, Diana Berger 1, Jennifer A. Ellis 1, Vani Bettegowda 1, Gina Brown 2, Thomas Matte 1, Mary Bassett 1, Thomas R. Frieden 1

1 NYC Dept of Health and Mental Hygiene
2 gbrown@health.nyc.gov

* To whom correspondence should be addressed. E-mail: lthorpe{at}health.nyc.gov.


  Abstract

We analyzed gestational diabetes mellitus trends in New York City between 1990 and 2001 by using information obtained from birth certificates. Gestational diabetes diagnoses among women who delivered babies increased 46%, from 2.6% (95% confidence interval [CI]=2.5, 2.7)to 3.8% (95% CI=3.7, 3.9) of births. Prevalence was highest among South and Central Asian women (11%). Given risks for adverse fetal outcomes and maternal chronic diabetes, prompt screening is critical. Metabolic control should be maintained during pregnancy and assessed postpartum for women with gestational diabetes. (Am J Public Health. 2005;95:xxxx-xxxx. doi:10.2105/AJPH.2005.066100)

Key Words: Diabetes, Epidemiology, Maternal and Infant Health, Race/Ethnicity, Surveillance




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