Journal article
Association between Food Deserts and Gestational Diabetes Mellitus in a Large Metropolitan Area
American journal of perinatology, Vol.38(S 01), pp.E39-E45
01 Aug 2021
PMID: 32120416
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective The aim of this study is to determine the relationship between urban food deserts and frequency and obstetric outcomes related to gestational diabetes.
Study Design We conducted a retrospective cohort study of singleton births in Chicago from 2010 to 2014. Birth certificate data were analyzed and geomapped by census tract. Census tracts were categorized as "food deserts" according to the USDA Food Access Research Atlas. The primary outcome was frequency of gestational diabetes. Secondary outcomes were assessed among women with gestational diabetes and their neonates.
Results Of the 191,947 eligible women, 8,709 (4.5%) were diagnosed with gestational diabetes. Those in food deserts were more likely to be younger, obese, minority race/ethnicity, and multiparous. Women in food deserts were less likely to develop gestational diabetes (3.8 vs. 4.8%, p <0.01; adjusted odds ratio 0.91, 95% confidence interval 0.86-0.96). Women with gestational diabetes did not experience worse maternal and neonatal outcomes after controlling for potential confounders.
Conclusion In contrast to prior work, women in Chicago living within food deserts were less likely to develop gestational diabetes and did not experience poorer outcomes, suggesting environmental factors other than food access contribute to perinatal outcomes.
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Details
- Title
- Association between Food Deserts and Gestational Diabetes Mellitus in a Large Metropolitan Area
- Creators
- Grace C. Banner - Rush University Medical CenterKingsley N. Weaver - Chicago Department of Public HealthTamara Rushovich - Chicago Department of Public HealthSloane L. York - Rush University Medical CenterLynn M. Yee - Northwestern University
- Publication Details
- American journal of perinatology, Vol.38(S 01), pp.E39-E45
- Publisher
- Thieme Medical Publishers
- Number of pages
- 7
- Grant note
- K12 HD050121 / NICHD NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000690384400006
- Scopus ID
- 2-s2.0-85114083833
- Other Identifier
- 991022052305004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Pediatrics