Adverse childhood experiences and lifetime adverse maternal outcomes (gestational diabetes and hypertensive disorders of pregnancy) in the Hispanic Community Health Study/Study of Latinos

AbstractBackgroundU.S. Hispanics/Latinos experience high lifetime risk for Type 2 diabetes and concurrent psychological depression. This comorbidity is associated with poorer self-management, worse disease outcomes, and higher mortality. Syndemic theory is a novel social epidemiological framework that emphasizes the role of economic and social adversity in promoting disease comorbidity and health disparities.PurposeInformed by the syndemic framework, this study explored associations of socioeconomic and psychosocial adversity (low income/education, trauma history, adverse childhood experiences, ethnic discrimination, neighborhood problems [e.g., violence]) with comorbidity of diabetes and depression symptoms in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) and Sociocultural Ancillary Study.MethodsParticipants were 5,247 Latino adults, aged 18–74, enrolled in four U.S. cities from 2008 to 2011. Participants completed a baseline physical exam and measures of depression symptoms and psychosocial adversity. Multinomial logistic regression analyses were conducted to examine associations of adversity variables with comorbid diabetes and high depression symptoms.ResultsHousehold income below $30,000/year was associated with higher odds of diabetes/depression comorbidity (odds ratio [OR] = 4.61; 95% confidence interval [CI]: 2.89, 7.33) compared to having neither condition, as was each standard deviation increase in adverse childhood experiences (OR = 1.41; 95% CI: 1.16, 1.71), ethnic discrimination (OR = 1.23; 95% CI: 1.01, 1.50), and neighborhood problems (OR = 1.53; 95% CI: 1.30, 1.80).ConclusionLow household income, adverse childhood experiences, ethnic discrimination, and neighborhood problems are related to comorbid diabetes and depression in U.S. Latinos. Future studies should explore these relationships longitudinally.

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Using Adverse Childhood Experiences to Explore the Usefulness of Community Health Needs Assessments to Monitor Complex Determinants of Health at the Local-Level

Evaluation and Program Planning ◽

10.1016/j.evalprogplan.2021.102044 ◽

2021 ◽

pp. 102044

Author(s):

Shay M. Daily ◽

Angela M. Dyer ◽

Christa L. Lilly ◽

Emily A. Sarkees ◽

Thomas K. Bias

Keyword(s):

Community Health ◽

Adverse Childhood Experiences ◽

Local Level ◽

Health Needs ◽

Determinants Of Health ◽

Childhood Experiences ◽

Needs Assessments ◽

Adverse Childhood

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Maternal Depression, Adverse Childhood Experiences, and Social Support in Relation to Gestational Diabetes Risk

10.21203/rs.3.rs-228057/v1 ◽

2021 ◽

Author(s):

Margaret E. Versteegen ◽

Christine T. Bozlak ◽

Heather Larkin ◽

Allison A. Appleton

Keyword(s):

Social Support ◽

Gestational Diabetes ◽

Maternal Depression ◽

Psychosocial Factors ◽

Adverse Childhood Experiences ◽

Secondary Data ◽

Self Report ◽

Childhood Experiences ◽

Care Clinic ◽

Adverse Childhood

Abstract Purpose Psychosocial 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. Methods An 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. Results Logistic 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. Conclusions Study 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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Gestational diabetes and cardiovascular risk factors and disease in U.S. Hispanics/Latinas in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Women & Health ◽

10.1080/03630242.2018.1500415 ◽

2018 ◽

Vol 59 (5) ◽

pp. 481-495 ◽

Cited By ~ 2

Author(s):

Marisa J Perera ◽

Samantha A Reina ◽

Tali Elfassy ◽

JoNell E Potter ◽

Daniela Sotres Alvarez ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Gestational Diabetes ◽

Community Health ◽

Cardiovascular Risk Factors ◽

Health Study ◽

Hispanic Community

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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)

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03814-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Margaret Versteegen ◽

Christine T. Bozlak ◽

Heather Larkin ◽

Allison A. Appleton

Keyword(s):

Social Support ◽

Gestational Diabetes ◽

Maternal Depression ◽

Psychosocial Factors ◽

Adverse Childhood Experiences ◽

Secondary Data ◽

Self Report ◽

Childhood Experiences ◽

Care Clinic ◽

Adverse Childhood

Abstract Background Psychosocial 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. Methods An 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. Results Logistic 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. Conclusions Study 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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