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

TitleAdverse childhood experiences and lifetime adverse maternal outcomes (gestational diabetes and hypertensive disorders of pregnancy) in the Hispanic Community Health Study/Study of Latinos.
Publication TypePublication
Year2020
AuthorsStanhope KK, Cammack AL, Perreira KM, Fernández-Rhodes L, Cordero C, Gallo LC, Isasi CR, Castañeda SF, Daviglus ML, Kominiarek MA, Suglia SF
JournalAnn Epidemiol
Volume50
Pagination1-6
Date Published2020 10
ISSN1873-2585
KeywordsAdult, Adult Survivors of Child Adverse Events, Adverse Childhood Experiences, Diabetes, Gestational, Female, Hispanic Americans, Humans, Hypertension, Pregnancy-Induced, Pregnancy
Abstract

PURPOSE: Childhood adversity is associated with increased risk of adult disease, including type II diabetes and hypertension. However, little is known about potential associations between childhood adversity and adverse pregnancy outcomes. The goal of this study was to examine the relationship between adverse childhood experiences (ACEs) and ever experiencing gestational diabetes mellitus (GDM) or a hypertensive disorder of pregnancy (HDP) in a cohort of Hispanic or Latina women.METHODS: We analyzed data from 2319 women from the Hispanic Community Health Study/Study of Latinos who had ever given birth to a liveborn infant. We fit separate logistic regression models accounting for sample weights to examine the association between ACEs and risk of GDM and HDP adjusting for Hispanic/Latino background, age at immigration to the United States, and education.RESULTS: Women who reported four or more ACEs did not show increased odds of GDM or HDP compared with those who reported three or fewer (GDM adjusted odds ratio: 0.8 [0.5, 1.3]; HDP adjusted OR: 1.0 [0.7, 1.5]).CONCLUSIONS: Unlike previous research with majority non-Hispanic White cohorts, there was no association between ACEs and GDM or HDP. Future research should explore if this relationship varies by race/ethnicity in multiethnic cohorts.

DOI10.1016/j.annepidem.2020.08.004
Alternate JournalAnn Epidemiol
PubMed ID32791197
PubMed Central IDPMC7991739
Grant ListHHSN268201300005C / HL / NHLBI NIH HHS / United States
HHSN268201300004C / HL / NHLBI NIH HHS / United States
HHSN268201300001C / HL / NHLBI NIH HHS / United States
N01HC65236 / HL / NHLBI NIH HHS / United States
N01HC65235 / HL / NHLBI NIH HHS / United States
N01HC65234 / HL / NHLBI NIH HHS / United States
N01HC65237 / HL / NHLBI NIH HHS / United States
HHSN268201300003C / HG / NHGRI NIH HHS / United States
R01 MD013320 / MD / NIMHD NIH HHS / United States
P2C HD050924 / HD / NICHD NIH HHS / United States
R01 HL125761 / HL / NHLBI NIH HHS / United States
N01HC65233 / HL / NHLBI NIH HHS / United States
MS#: 
0815
ECI: 
Manuscript Status: 
Published