Increasing Risk of Gestational Diabetes in an Ethnocultural Minority of Canada,

Type of resource
Authors/collaborators
Title
Increasing Risk of Gestational Diabetes in an Ethnocultural Minority of Canada,
Abstract
The authors investigated whether ethnocultural inequality in rates of gestational diabetes was prevalent in Canada. They compared Quebec’s Anglophone minority with the province’s Francophone majority. They conducted a retrospective cohort study of 853,595 pregnancies between 2008 and 2020 in Quebec. The exposure was ethnocultural status, with patients classified as either Anglophone or Francophone based on the maternal language. The outcome was gestational diabetes. They calculated risk ratios (RR) and 95% confidence intervals (CI) for the association between ethnocultural status and risk of gestational diabetes using log-binomial regression models adjusted for maternal age, parity, comorbidity, education, country of origin, material deprivation, urban residence, and time period. The authors concluded that Anglophones had a higher rate of gestational diabetes compared with Francophones (99.0 vs 81.0 per 1000 pregnancies; RR 1.07, 95% CI 1.05-1.10). Anglophones aged less than 25 years (RR 1.31, 95% CI 1.21-1.41), living in rural areas (RR 1.73, 95% CI 1.64-1.82), lacking a high school diploma (RR 1.48, 95% CI 1.37-1.61), or with material disadvantage (RR 1.33, 95% CI 1.27-1.39) had greater risks of gestational diabetes compared with Francophones. Risk of gestational diabetes among Anglophones increased over time, especially among disadvantaged subgroups of the population. The authors conclude that their findings suggest that the Anglophone ethnocultural minority in Quebec has an increasing risk of gestational diabetes over time compared with the Francophone majority. Risks are particularly elevated for Anglophones from disadvantaged subgroups of the population.
Publication
Journal of Immigrant and Minority Health
Volume
Vol. 27
Issue
No. 1
Date
February 2025
Language
en
Citation
Auger, Nathalie, Marianne Bilodeau-Bertrand, Aimina Ayoub, Nahantara Lafleur, and Shu Qin Wei. “Increasing Risk of Gestational Diabetes in an Ethnocultural Minority of Canada,.” Journal of Immigrant and Minority Health Vol. 27, no. No. 1 (February 2025).
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