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Abstract
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<h5 class="section-title" id="d428890e131">Aims:</h5>
<p id="P1">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 has not been described.
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<h5 class="section-title" id="d428890e136">Methods:</h5>
<p id="P2">Using Wave IV of the nationally representative National Longitudinal Study
of Adolescent
to Adult Health (Add Health), we analyzed survey and biological data from 6,576 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.
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<h5 class="section-title" id="d428890e141">Results:</h5>
<p id="P3">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
).
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<h5 class="section-title" id="d428890e146">Conclusion:</h5>
<p id="P4">Comorbid hypertension and diabetes are more common among nonHispanic black
women and
less likely to be diagnosed, signaling disparities threatening maternal and child
health among women with diabetes.
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