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dc.contributor.authorAhmed, M.A.
dc.contributor.authorBailey, Helen
dc.contributor.authorPereira, Gavin
dc.contributor.authorWhite, S.W.
dc.contributor.authorWong, Kingsley
dc.contributor.authorShepherd, Carrington
dc.date.accessioned2023-09-07T01:43:34Z
dc.date.available2023-09-07T01:43:34Z
dc.date.issued2022
dc.identifier.citationAhmed, M.A. and Bailey, H.D. and Pereira, G. and White, S.W. and Wong, K. and Shepherd, C.C.J. 2022. Trends and burden of diabetes in pregnancy among Aboriginal and non-Aboriginal mothers in Western Australia, 1998–2015. BMC Public Health. 22 (1): ARTN 263.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/93234
dc.identifier.doi10.1186/s12889-022-12663-6
dc.description.abstract

Background: Diabetes in pregnancy (DIP), which includes pre-gestational and gestational diabetes, is more prevalent among Aboriginal women. DIP and its adverse neonatal outcomes are associated with diabetes and cardiovascular disease in the offspring. This study investigated the impact of DIP on trends of large for gestational age (LGA) in Aboriginal and non-Aboriginal populations, and added to the limited evidence on temporal trends of DIP burden in these populations. Methods: We conducted a retrospective cohort study that included all births in Western Australia between 1998 and 2015 using linked population health datasets. Time trends of age-standardised and crude rates of pre-gestational and gestational diabetes were estimated in Aboriginal and non-Aboriginal mothers. Mixed-effects multivariable logistic regression was used to estimate the association between DIP and population LGA trends over time. Results: Over the study period, there were 526,319 births in Western Australia, of which 6.4% were to Aboriginal mothers. The age-standardised annual rates of pre-gestational diabetes among Aboriginal mothers rose from 4.3% in 1998 to 5.4% in 2015 and remained below 1% in non-Aboriginal women. The comparable rates for gestational diabetes increased from 6.7 to 11.5% over the study period in Aboriginal women, and from 3.5 to 10.2% among non-Aboriginal mothers. LGA rates in Aboriginal babies remained high with inconsistent and no improvement in pregnancies complicated by gestational diabetes and pre-gestational diabetes, respectively. Regression analyses showed that DIP explained a large part of the increasing LGA rates over time in Aboriginal babies. Conclusions: There has been a substantial increase in the burden of pre-gestational diabetes (Aboriginal women) and gestational diabetes (Aboriginal and non-Aboriginal) in recent decades. DIP appears to substantially contribute to increasing trends in LGA among Aboriginal babies.

dc.languageEnglish
dc.publisherBMC
dc.relation.sponsoredbyhttp://purl.org/au-research/grants/nhmrc/1127265
dc.relation.sponsoredbyhttp://purl.org/au-research/grants/nhmrc/1099655
dc.relation.sponsoredbyhttp://purl.org/au-research/grants/nhmrc/1173991
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectPublic, Environmental & Occupational Health
dc.subjectAboriginal
dc.subjectTorres Strait islanders
dc.subjectIndigenous
dc.subjectDiabetes in pregnancy
dc.subjectPre-gestational diabetes
dc.subjectGestational diabetes
dc.subjectLarge for gestational age
dc.subjectNON-INDIGENOUS CHILDREN
dc.subject1ST NATIONS
dc.subjectBIRTH-WEIGHT
dc.subjectPREVALENCE
dc.subjectMELLITUS
dc.subjectWOMEN
dc.subjectRISK
dc.subjectIMPACT
dc.subjectASSOCIATION
dc.subjectEXPOSURE
dc.subjectAboriginal
dc.subjectDiabetes in pregnancy
dc.subjectGestational diabetes
dc.subjectIndigenous
dc.subjectLarge for gestational age
dc.subjectPre-gestational diabetes
dc.subjectTorres Strait islanders
dc.subjectDiabetes, Gestational
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant, Newborn
dc.subjectMothers
dc.subjectNative Hawaiian or Other Pacific Islander
dc.subjectPregnancy
dc.subjectRetrospective Studies
dc.subjectWestern Australia
dc.subjectHumans
dc.subjectDiabetes, Gestational
dc.subjectRetrospective Studies
dc.subjectMothers
dc.subjectPregnancy
dc.subjectInfant, Newborn
dc.subjectWestern Australia
dc.subjectFemale
dc.subjectNative Hawaiian or Other Pacific Islander
dc.titleTrends and burden of diabetes in pregnancy among Aboriginal and non-Aboriginal mothers in Western Australia, 1998–2015
dc.typeJournal Article
dcterms.source.volume22
dcterms.source.number1
dcterms.source.issn1471-2458
dcterms.source.titleBMC Public Health
dc.date.updated2023-09-07T01:43:34Z
curtin.departmentCurtin Medical School
curtin.departmentOffice of the Pro Vice Chancellor Health Sciences
curtin.accessStatusOpen access
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidBailey, Helen [0000-0002-1259-3793]
curtin.contributor.orcidPereira, Gavin [0000-0003-3740-8117]
curtin.contributor.orcidShepherd, Carrington [0000-0003-0043-7053]
curtin.contributor.researcheridBailey, Helen [G-6167-2017] [GXZ-8702-2022]
curtin.contributor.researcheridPereira, Gavin [D-7136-2014]
curtin.identifier.article-numberARTN 263
dcterms.source.eissn1471-2458
curtin.contributor.scopusauthoridBailey, Helen [7103338719]
curtin.contributor.scopusauthoridPereira, Gavin [35091486200]
curtin.contributor.scopusauthoridShepherd, Carrington [55012496100]
curtin.repositoryagreementV3


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