Evidence map›Paper›PMID 40080378›Full record

ArticleJournal of racial and ethnic health disparities2026

Racial/Ethnic and Nativity Disparities in Gestational Diabetes Mellitus, United States 2018-2021.

Min Kyung Kim, Tamarra M James-Todd, Lucy Chie, Erika F Werner, MyDzung T Chu

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Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Min Kyung KimTufts Clinical and Translational Science Institute, Boston, MA, USA.
Tamarra M James-ToddDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Lucy ChieDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Erika F WernerDepartment of Obstetrics and Gynecology, Tufts University School of Medicine, Boston, MA, USA.
MyDzung T ChuTufts Clinical and Translational Science Institute, Boston, MA, USA. MyDzung.Chu@tuftsmedicine.org.

Funding

Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
NCATS NIH HHS UL1TR002544NIEHS NIH HHS P30ES000002
6 · The paper itself

Abstract

backgroundGestational diabetes mellitus (GDM) is associated with adverse pregnancy and birth complications. Asian populations have the highest risk of GDM, with even greater risk among foreign-born (FB) residents. Socio-political factors, such as heightened anti-Asian racism and travel restrictions during COVID19 may have further increased their risk of GDM. Our study sought to examine the associations between race/ethnicity, nativity status, and GDM rate and changes during COVID19.

methodsWe used the US National Center for Health Statistics natality administrative data (N = 14,219,719). We estimated GDM and birth rates by race/ethnicity (Asian non-Hispanic [NH], Native Hawaiian/Pacific Islander NH, American Indian and Alaska Native NH, Black NH, White NH, Multiracial NH, and Hispanic/Latina) and nativity status (US-born, Foreign-born). Race/ethnicity was evaluated as a social construct for racial discrimination and nativity was evaluated as a proxy for acculturation-related risk factors. We used multivariable robust Poisson regressions to estimate GDM rates per 100 live births for each racial/ethnic group pre-COVID19 (2018-2019) and during COVID19 (2021) by FB status, adjusting for socioeconomic and major pregnancy risk factors.

resultsIn adjusted models, both Asian NH and foreign-born persons had higher rates of GDM compared to White NH (rate ratio [RR]: 2.02, 95% confidence interval [CI]: 2.01, 2.04) and US-born (RR; 1.33, 95% CI: 1.32, 1.34) persons, respectively. Overall GDM rates increased significantly during COVID19 (RR: 1.18, 95% CI: 1.17, 1.18), with Asian US- and foreign-born persons experiencing the greatest absolute increase (US-born: +2.5, 95% CI: 2.4, 2.6; foreign-born: +3.6, 95% CI: 3.5, 3.6) compared to other racial/ethnic groups (US-born: range +1.3-1.7, foreign-born range: +0.5-2.9). Disaggregated by Asian ethnicity, Chinese and Vietnamese persons had the highest GDM rates overall and the greatest increase during COVID19.

conclusionWe found significant disparities in GDM rates by race/ethnicity and nativity status between 2018 and 2021, with Asian and foreign-born persons having the highest rates of GDM. Investigation into potential socio-political and other contributing factors of reproductive health inequities during COVID19 may help explain these disparities.

Indexed as

Diabetes, GestationalEmigrants and ImmigrantsEthnicityHealth Status DisparitiesRacial GroupsAdultCOVID-19FemaleHumansPregnancyRisk FactorsUnited StatesYoung AdultAcculturationGestational diabetes mellitusHealth disparitiesMaternal healthNativity statusPregnancyRace/ethnicity

Identifiers

PMID40080378

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.