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Geospatial Analysis of Birth Records to Target Programming for Mothers With Gestational Diabetes Mellitus in Michigan, 2013
- Source :
- Public health reports (Washington, D.C. : 1974). 134(1)
- Publication Year :
- 2018
-
Abstract
- Objectives: The incidence of gestational diabetes mellitus (GDM) in the United States has increased during the past several decades. The objective of this study was to use birth records and a combination of statistical and geographic information system (GIS) analyses to evaluate GDM rates among subgroups of pregnant women in Michigan. Materials and Methods: We obtained data on maternal demographic and health-related characteristics and regions of residence from 2013 Michigan birth records. We geocoded (ie, matched to maternal residence) the birth data, calculated proportions of births to women with GDM, and used logistic regression models to determine predictors of GDM. We calculated odds ratios (ORs) from the exponentiated beta statistic of the logistic regression test. We also used kernel density estimations and local indicators of spatial association (LISA) analyses to determine GDM rates in regions in the state and identify GDM hot spots (ie, areas with a high GDM rate surrounded by areas with a high GDM rate). Results: We successfully geocoded 104 419 of 109 168 (95.6%) births in Michigan in 2013. Of the geocoded births, 5185 (5.0%) were to mothers diagnosed with GDM. LISA maps showed a hot spot of 8 adjacent counties with high GDM rates in southwest Michigan. Of 11 064 births in the Southwest region, 829 (7.5%) were to mothers diagnosed with GDM, the highest rate in the state and a result confirmed by geospatial analyses. Practice Applications: Birth data and GIS analyses may be used to measure statewide pregnancy-associated disease risk and identify populations and geographic regions in need of targeted public health and maternal–child health interventions.
- Subjects :
- Adult
Michigan
Geospatial analysis
endocrine system diseases
Adolescent
Public Health Methodology
Mothers
computer.software_genre
Body Mass Index
03 medical and health sciences
Young Adult
0302 clinical medicine
Patient Education as Topic
Pregnancy
Risk Factors
Diabetes mellitus
medicine
Humans
030212 general & internal medicine
Retrospective Studies
030505 public health
business.industry
Incidence (epidemiology)
Incidence
Public Health, Environmental and Occupational Health
nutritional and metabolic diseases
medicine.disease
female genital diseases and pregnancy complications
Gestational diabetes
Diabetes, Gestational
Birth Certificates
Geographic Information Systems
Female
Birth records
0305 other medical science
business
computer
Demography
Subjects
Details
- ISSN :
- 14682877
- Volume :
- 134
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Public health reports (Washington, D.C. : 1974)
- Accession number :
- edsair.doi.dedup.....548dc70a59304f72a11cdbd1882bf32c