Minority Health Archive

Race, Parity, and Gestational Diabetes as Risk Factors for Type 2 Diabetes Mellitus

Kahn, Henry S. and Williamson, David F. and Brancati, Frederick L. and Kao, W. H. Linda and Szklo, Moyses and Folsom, Aaron R. and Watson, Robert L. (2000) Race, Parity, and Gestational Diabetes as Risk Factors for Type 2 Diabetes Mellitus. JAMA, 284 (18). pp. 2318-2319.

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Dr Brancati and colleagues1 found that even after adjustment for potentially modifiable factors, the relative risk (RR) for diabetes was higher for African American women vs white women than it was for African American men vs white men. We wish to suggest 2 possible explanations for this finding. First, among white women, high parity might2 or might not3 be a risk factor for type 2 diabetes. A study of older white women has shown that the association between parity and increased insulin resistance is discernible at ages 50 to 89 years,4 many years after childbearing. African American women may experience an even greater increase in insulin resistance than white women in association with multiparity as is suggested by evidence from a longitudinal study.5 African American women with multiple pregnancies had waist-to-hip ratio increases twice as great as African American women with no pregnancies, whereas white women

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: diabetes; relative risk; risk factor; African American women; insulin resistance
Subjects: Health > Public Health > Chronic Illness & Diseases > Diabetes
Health > Public Health > Health Risk Factors
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Depositing User: Users 141 not found.
Date Deposited: 05 Dec 2008
Last Modified: 14 Jul 2011 15:04
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1156

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