Pamela K Xaverius1, Joanne Salas, Deborah Kiel. 1. Saint Louis University, School of Public Health, Department of Epidemiology, Saint Louis, MO 63104, United States. pxaveriu@slu.edu
Abstract
AIM: Assess differences in pregnancy planning and behavioral risk factors among women of reproductive age, by diabetes status. METHODS: A secondary analysis of cross-sectional data from the Behavioral Risk Factor Surveillance System (2002 and 2004) was conducted. Subjects were 18-44-year-old, non-pregnant, fertile women, grouped into two categories: non-diabetes (n=57,436), and diabetes (n=2929). Multivariable logistic regression was used to estimate adjusted prevalence odds ratios and 95% confidence intervals. RESULTS: Approximately 93% of women of reproductive age with or without diabetes are not intending a pregnancy, and yet among them, women with diabetes are 22% more likely not to use any birth control at all. Women with diabetes are 3.4 times more likely to be obese, 1.4 times more likely to be overweight, 35% less likely to drink any alcohol, and 27% less likely to binge drink alcohol, than women without diabetes. There were no differences in risk factors between women with diabetes that were and were not intending a pregnancy. CONCLUSIONS: Birth control nonuse for women with diabetes not intending a pregnancy and lack of behavioral change for women with diabetes intending a pregnancy, combined with an increasing prevalence in diabetes, will likely result in significant economic and social tolls on society.
AIM: Assess differences in pregnancy planning and behavioral risk factors among women of reproductive age, by diabetes status. METHODS: A secondary analysis of cross-sectional data from the Behavioral Risk Factor Surveillance System (2002 and 2004) was conducted. Subjects were 18-44-year-old, non-pregnant, fertile women, grouped into two categories: non-diabetes (n=57,436), and diabetes (n=2929). Multivariable logistic regression was used to estimate adjusted prevalence odds ratios and 95% confidence intervals. RESULTS: Approximately 93% of women of reproductive age with or without diabetes are not intending a pregnancy, and yet among them, women with diabetes are 22% more likely not to use any birth control at all. Women with diabetes are 3.4 times more likely to be obese, 1.4 times more likely to be overweight, 35% less likely to drink any alcohol, and 27% less likely to binge drink alcohol, than women without diabetes. There were no differences in risk factors between women with diabetes that were and were not intending a pregnancy. CONCLUSIONS: Birth control nonuse for women with diabetes not intending a pregnancy and lack of behavioral change for women with diabetes intending a pregnancy, combined with an increasing prevalence in diabetes, will likely result in significant economic and social tolls on society.
Authors: Regina M Simeone; Owen J Devine; Jessica A Marcinkevage; Suzanne M Gilboa; Hilda Razzaghi; Barbara H Bardenheier; Andrea J Sharma; Margaret A Honein Journal: Am J Prev Med Date: 2014-10-14 Impact factor: 5.043
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