Comparative analysis of factors associated with GDM in ethnic minorities and Han pregnant women in Guizhou province
10.3969/j.issn.1006-6187.2025.01.002
- VernacularTitle:贵州省少数民族与汉族妊娠糖尿病相关因素比较分析
- Author:
Lin DONG
1
;
Danqing ZHAO
;
Wei ZHONG
Author Information
1. 550000 贵阳,贵州医科大学妇产科
- Publication Type:Journal Article
- Keywords:
Guizhou region;
Minority;
Han Chinese;
Gestational diabetes mellitus;
Relevant factors
- From:
Chinese Journal of Diabetes
2025;33(1):2-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the factors associated with gestational diabetes mellitus(GDM)between ethnic minorities pregnant women and Han pregnant women in Guizhou.Methods A retrospective analysis was performed in individuals who gave birth in representative hospitals in various regions of Guizhou province from January 2021 to June 2021.A strict screening was carried out according to the inclusion and exclusion criteria,and clinical data were collected from 2673 individuals,including 856 ethnic minorities pregnant women and 1817 Han pregnant women.All the inidviduals were divided into GDM group and non-GDM group according to the results of OGTT at 24～28 weeks of gestation.The results of general information,blood routine,and biochemical examination were compared between the two groups.Results In ethnic minorities in Guizhou region,age,gestational weight gain(GWG)≥11.5 kg,unemployed,pregnancy times≥2,parity times≥2 and irregular prenatal examination during pregnancy were higher,and platelet count was higher,while the total protein(TP)and albumin(ALB)were lower in GDM group than in non-GDM group(P<0.05).Logistic regression analysis showed that unemployed,pregnancy times≥2,parity times≥2,irregular prenatal examination during pregnancy,TP and ALB levels were influencing factors for GDM in ethnic minorities in Guizhou region(P<0.05).In Han pregnant women in Guizhou region,the age,proportion of GWG≥11.5 kg,unemployed,pregnancy times≥2,parity times≥2,irregular prenatal examination during pregnancy,direct bilirubin(D-BIL)and urea nitrogen(BUN)were higher,and in GDM group than in non-GDM group(P<0.05).Logistic regression analysis showed that GWG≥11.5 kg,pregnancy times≥2,parity times=1,parity times≥2,irregular prenatal examination during pregnancy,D-BIL and BUN were influencing factors for GDM in Han pregnant women in Guizhou region(P<0.05).Conclusions The same influencing factors for the occurrence of GDM between ethnic minorities and Han nationality in Guizhou were no occupation,pregnancy and parity times≥2,and irregular prenatal examination during pregnancy.TP and ALB levels were the influencing factors for GDM among ethnic minorities.D-BIL and BUN are the influencing factors for GDM in Han nationality.Ethnic minorities and Han pregnant women in Guizhou region should take personalized prevention and intervention measures to guide GDM monitoring and early intervention.
