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Comorbid Hypertension and Diabetes among U.S. Women of Reproductive Age: Prevalence and Disparities

Citation

Britton, Laura E.; Berry, Diane C.; & Hussey, Jon M. (2018). Comorbid Hypertension and Diabetes among U.S. Women of Reproductive Age: Prevalence and Disparities. Journal of Diabetes and Its Complications, 32(12), 1148-1152. PMCID: PMC6289742

Abstract

AIMS: Diabetes is associated with significant pregnancy complications, which can be further exacerbated by comorbid hypertension. Racial/ethnic differentials in the burden of comorbid hypertension and diabetes among women of reproductive age have not been described.
METHODS: Using Wave IV of the nationally representative National Longitudinal Study of Adolescent to Adult Health (Add Health), we analyzed survey and biological data from 6576 non-pregnant women who were aged 24-32 in 2007-2008. Hypertension and diabetes were identified by self-report of diagnosis and biological measurements taken during in-home interviews. We used logistic regression models to predict the presence of comorbid hypertension and diabetes and whether each was diagnosed.
RESULTS: Over a third (36.0%) of women with diabetes had comorbid hypertension. Compared to non-Hispanic white women, more non-Hispanic black women had comorbid hypertension and diabetes (adjusted odds ratio (aOR) 5.93, 95% CI 3.84-9.16), and, if comorbid, were less likely to have a diabetes diagnosis (aOR 0.03, 95% CI 0.007-0.1) or hypertension diagnosis (aOR 0.22, 95% CI 0.08-0.65).
CONCLUSION: Comorbid hypertension and diabetes are more common among non-Hispanic black women and less likely to be diagnosed, signaling disparities threatening maternal and child health among women with diabetes.

URL

http://dx.doi.org/10.1016/j.jdiacomp.2018.09.014

Reference Type

Journal Article

Year Published

2018

Journal Title

Journal of Diabetes and Its Complications

Author(s)

Britton, Laura E.
Berry, Diane C.
Hussey, Jon M.

PMCID

PMC6289742