CitationBittner, 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. 8-15
AbstractPurpose 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.
Reference TypeJournal Article
Journal TitleAnnals of Epidemiology
Author(s)Bittner, Julia M. P.
Gilman, Stephen E.
Cheon, Bobby K.