Citation
Bittner, Julia M. P.; Gilman, Stephen E.; Zhang, Cuilin; Chen, Zhen; & Cheon, Bobby K. (2023). Relationships between early-life family poverty and relative socioeconomic status with gestational diabetes, preeclampsia, and hypertensive disorders of pregnancy later in life. Annals of Epidemiology. vol. 86 pp. 8-15Abstract
Purpose Low early-life absolute and relative socioeconomic status (SES) may contribute to socioeconomic disparities in pregnancy complications (i.e., gestational diabetes [GDM], preeclampsia-eclampsia [PE], hypertensive disorders of pregnancy [HDP; preeclampsia-eclampsia, gestational hypertension, chronic hypertension]) but their independent associations with pregnancy complications have not been studied. This study investigated associations of early-life poverty and relative SES with risks of GDM, PE, and HDP. Methods National Longitudinal Study of Adolescent to Adult Health data were used (GDM n=802; PE n=813; HDP n=801). Objective poverty was defined as Wave I low-income or receipt of federal nutrition assistance benefits. Relative SES was self-reported at Wave V (ages 33-39) by asking whether the participant’s family was financially worse off than average when growing up. Logistic regressions assessed relationships between poverty, relative SES, and self-reported lifetime diagnoses of GDM, PE, or HDP. Results Lifetime prevalences of GDM, PE, and HDP were 9.23%, 12.00%, and 21.93%, respectively. Low relative SES (OR: 2.04 [1.07, 3.89]) and poverty (OR: 1.81 [0.97, 3.38]) were independently associated with GDM but not with PE or HDP. Conclusions Early-life poverty and relative SES are associated with GDM; understanding mechanisms underlying these associations may help identify novel intervention targets to reduce socioeconomic disparities in GDM.URL
https://doi.org/10.1016/j.annepidem.2023.08.002Keyword(s)
Socioeconomic statusReference Type
Journal ArticleJournal Title
Annals of EpidemiologyAuthor(s)
Bittner, Julia M. P.Gilman, Stephen E.
Zhang, Cuilin
Chen, Zhen
Cheon, Bobby K.