ArticleBMC pregnancy and childbirth2014
Diabetes in pregnancy among First Nations women in Alberta, Canada: a retrospective analysis.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Prevalence of gestational diabetes in the United States and Canada: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- Effect of Different Types of Diagnostic Criteria for Gestational Diabetes Mellitus on Adverse Neonatal Outcomes: A Systematic Review, Meta-Analysis, and Meta-Regression.Diabetes & metabolism journal · 2022Pooled it
- Gestational diabetes mellitus and adverse pregnancy outcomes: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2022 · on this mapPooled it
- Stillbirth Among Patients With Diabetes in Pregnancy in Ethiopia: Systematic Review and Meta-Analysis.Frontiers in pediatrics · 2021Pooled it
- Perinatal wellbeing through restoring healthy family systems in a nêhiyaw (Plains Cree) community: a mixed methods study.Frontiers in public health · 2026Article
- Increasing Risk of Gestational Diabetes in an Ethnocultural Minority of Canada.Journal of immigrant and minority health · 2025Article
- Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review.International journal of environmental research and public health · 2024Article
- Diabetes during pregnancy among Métis people in Alberta: a retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Respecting tribal voices in the development of a gestational diabetes risk reduction preconception counseling program for American Indian/Alaska Native adolescent females: a qualitative study.BMC pregnancy and childbirth · 2023Article
- Indigenous maternal health and health services within Canada: a scoping review.BMC pregnancy and childbirth · 2023Article
- Trends and burden of diabetes in pregnancy among Aboriginal and non-Aboriginal mothers in Western Australia, 1998-2015.BMC public health · 2022Article
- Menopause experience in First Nations women and initiatives for menopause symptom awareness; a community-based participatory research approach.BMC women's health · 2021Article
- The Impact of Diagnostic Criteria for Gestational Diabetes Mellitus on Adverse Maternal Outcomes: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2021Review
- Diabetes during pregnancy and birthweight trends among Aboriginal and non-Aboriginal people in the Northern Territory of Australia over 30 years.The Lancet regional health. Western Pacific · 2020Article
- Pregnancy and Gestational Diabetes Mellitus (GDM) in North American Indian Adolescents and Young Adults (AYA): Implications for Girls and Stopping GDM.Current diabetes reports · 2019Review
- Article
- A Scoping Review of Obesity among Indigenous Peoples in Canada.Journal of obesity · 2019Article
- Occurrence of and referral to specialists for pain-related diagnoses in First Nations and non-First Nations children and youth.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018Article
- Kikiskawâwasow - prenatal healthcare provider perceptions of effective care for First Nations women: an ethnographic community-based participatory research study.BMC pregnancy and childbirth · 2016Article
- Pregnancy and neonatal outcomes in Indigenous Australians with diabetes in pregnancy.World journal of diabetes · 2015Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIn addition to increasing the risk of adverse birth outcomes, diabetes in pregnancy is thought to be an important driver of the epidemic of type 2 diabetes affecting Canada's First Nations population. The relative contributions of gestational diabetes mellitus (GDM) and pre-existing diabetes are not well understood. We generated a comprehensive epidemiological profile of diabetes in pregnancy over a 10-year period among the First Nations population of Alberta, Canada.
methodsDe-identified administrative data for 427,058 delivery records were obtained for the years 2000-2009. Pregnancy risk factors and delivery outcomes were described and compared by ethnicity (First Nations vs. non-First Nations) and diabetes status. Age-adjusted prevalence values for GDM and pre-existing diabetes were calculated and were compared by ethnicity. Longitudinal changes over time were also examined. Predictors were explored using logistic regression analysis.
resultsFirst Nations women had more antenatal risk factors and adverse infant outcomes that were compounded by diabetes. First Nations descent was an independent predictor of diabetes in pregnancy (p < 0.001). GDM prevalence was significantly higher among First Nations (6.1%) compared to non-First Nations women (3.8%; p < 0.001), but prevalence values increased significantly over time only in non-First Nations women (4.5 average annual percent change; p < 0.05). The prevalence of pre-existing diabetes was stable over time in both groups, but First Nations women experienced a 2.5-fold higher overall prevalence compared with non-First Nations women (1.5% vs. 0.6%, respectively; p < 0.001).
conclusionsAlthough First Nations women experience a higher overall prevalence of diabetes in pregnancy, the lack of increase in the prevalence over time is encouraging. However, because high-risk pregnancies and poor outcomes are more common among First Nations women, particularly those with diabetes, strategies to improve perinatal care must be implemented.
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