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Maternal depression, adverse childhood experiences, and social support in relation to gestational diabetes risk: results from the Albany Infant and Mother Study (AIMS)

Authors
  • Versteegen, Margaret1
  • Bozlak, Christine T.1
  • Larkin, Heather2
  • Appleton, Allison A.1
  • 1 University at Albany School of Public Health, Rensselaer, USA , Rensselaer (United States)
  • 2 University at Albany School of Social Welfare, Albany, USA , Albany (United States)
Type
Published Article
Journal
BMC Pregnancy and Childbirth
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Apr 27, 2021
Volume
21
Issue
1
Identifiers
DOI: 10.1186/s12884-021-03814-5
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundPsychosocial factors are of increasing interest as potential influencers in disease development. This study explores associations between gestational diabetes mellitus (GDM) and maternal depression, adverse childhood experiences (ACEs), and social support, in response to emerging evidence in these areas.MethodsAn observational, prospective cohort study (AIMS) served as the source of secondary data for this study. Participants included 300 pregnant women aged 18–40 years at an upstate New York prenatal care clinic, who completed a set of self-report questionnaires assessing exposures and stressors both during and prior to their pregnancy. Data were also abstracted from infant and maternal medical records.ResultsLogistic regression modeling estimated the odds ratios (ORs) of developing GDM in relation to psychosocial factors. There was a significant association between depression and GDM (OR = 2.85, 95% CI: 1.15, 7.06), which persisted in the model adjusted for age and BMI (aOR = 3.19, 95% CI: 1.25, 8.10). No significant associations were found between ACEs or social support with GDM.ConclusionsStudy findings support an association between maternal depression and GDM development. This study underscores the need for additional research on psychosocial factors and connections to health risks.

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