Secular trend in prevalence and socioeconomic correlates of diabetes in pregnancy in Taiwan

• Main Authors: Chin-Li Lu, -, Jia-Ling Wu, -, Hung-Yuan Li, -, Santi Martini, -, Chung-Yi Li, -
• Format: Article PeerReviewed
• Language: English; English; English
• Published: John Wiley and Sons Ltd 2022
• Subjects: R Medicine
• Online Access: https://repository.unair.ac.id/125183/1/28%20all%20article%20secular%20tren.pdf; https://repository.unair.ac.id/125183/2/Bukti%20turnitin%2028%20Secular%20trend%20in%20prevalence%20and%20socioeconomic%20correlates%20of%20diabetes%20in%20pregnancy%20in%20Taiwan.pdf; https://repository.unair.ac.id/125183/3/28%20VALIDASI%20KADEP%20PER%20REVIEW.pdf; https://repository.unair.ac.id/125183/; https://obgyn.onlinelibrary.wiley.com; https://doi.org/10.1002/ijgo.14560
• Institution: Universitas Airlangga

Objective: To assess the trend in prevalence and socioeconomic correlates of diabetes in pregnancy (DIP) in Taiwan from 2007 to 2014. Methods: In all, 1 606 344 pregnancies, including 199 383 DIP (1693 with pre-pregnancy type 1 diabetes [T1DM], 17 171 with pre-pregnancy type 2 diabetes [T2DM], and 180 519 with gestational diabetes mellitus [GDM]) were investigated. Logistic regression models were performed to identify the covariates significantly associating with DIP. Results: Over the study period, the prevalence of pre-pregnancy T2DM increased by 568.44%; the prevalence of T1DM and GDM also increased but with a smaller magnitude. However, only the prevalence of pre-pregnancy T2DM showed an increase after socioeconomic variables were considered. Compared with immigrant mothers, native-born mothers had a significantly higher adjusted odds ratio of DIP, particularly pre-pregnancy T1DM (3.33, 95% confidence interval 1.57–7.05). Additionally, indigenous mothers and those from rural areas had a higher prevalence of pre-pregnancy T2DM but lower prevalence of GDM. Lower maternal education and income were associated with higher prevalence of pre-pregnancy T1DM but lower prevalence of pre-pregnancy T2DM and GDM. Conclusion: Socioeconomic variables largely accounted for the increased secular trend in pre-pregnancy T1DM and GDM, but the prevalence of pre-pregnancy T2DM still doubled, which was independent of socioeconomic covariates. K E Y W O R D S diabetes in pregnancy, epidemiology, prevalence, socioeconomic status