Understanding the prevalence of gestational diabetes in urban and rural communities in Kansas
AdvisorWoods, Nikki Keene; Cure, Laila; Rattani, Ajita; Hill, Twyla J.
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Ali, Umama. 2021. Understanding the prevalence of gestational diabetes in urban and rural communities in Kansas -- In Proceedings: 17th Annual Symposium on Graduate Research and Scholarly Projects. Wichita, KS: Wichita State University
INTRODUCTION: Gestational diabetes is one of the most common medical conditions women encounter during pregnancy and is the leading cause of maternal morbidity and mortality, perinatal and neonatal morbidity, and long-term consequences for both mother and baby. The percentage of pregnant women with gestational diabetes increased by 56% in the last ten years in the United States. Maternal obesity is a significant risk factor for gestational diabetes. In 2020, the Kansas obesity rate was 30-35%, which is expected to rise to more than 55% by 2030. Additionally, maternal and child health disparities are experienced to a greater extent in rural areas including obesity, in which rates are higher in rural counties than in large urban counties. It is hypothesized most rural counties in Kansas will have a higher prevalence of gestational diabetes. PURPOSE: Analyze the prevalence of gestational diabetes in rural and urban counties in Kansas. METHODS: Kansas Department of Health and Environment (KDHE) was used to gather diabetes and pre-pregnancy BMI data from 2005 to 2019. The data was analyzed by creating trend graphs and examining the prevalence in categorized peer groups. RESULTS: There is an increasing trend in rates and number of cases of gestational onset diabetes and pre-pregnancy BMI classified as overweight and obese. Urban counties have a higher prevalence of gestational diabetes, however rural counties have a higher prevalence of pre-pregnancy BMI overweight and obese cases. Rural counties have experienced a growing increase over the years in the prevalence of gestational diabetes. CONCLUSION: Similar national studies from the Centers for Disease Control and Prevention have reported an increased prevalence of gestational diabetes from 3.7% in 2012 to 5.8% in 2016. In Kansas gestational diabetes increased from 5.8% in 2012 to 6.4% in 2016. Observed increases in the prevalence of gestational diabetes could be reflective of recent increases in the prevalence of pre-pregnancy obesity that is experienced to a greater extent in rural communities. Future efforts to address this growing health disparity are needed.
Presented to the 17th Annual Symposium on Graduate Research and Scholarly Projects (GRASP) held online, Wichita State University, April 2, 2021.
Research completed in the Department of Business, W. Frank Barton School of Business; Department of Public Health Sciences, College of Health Professions; Industrial and Manufacturing Engineering Department, College of Engineering; Department of Electrical Engineering and Computer Science, College of Engineering; Department of Sociology, Fairmount College of Liberal Arts and Sciences