Rural-urban disparities in pregestational and gestational diabetes in pregnancy: Serial, cross-sectional analysis of over 12 million pregnancies.
Kartik Kailas VenkateshXiaoning HuangNatalie A CameronLucia C PetitoJoshua JosephMark B LandonWilliam A GrobmanSadiya S KhanPublished in: BJOG : an international journal of obstetrics and gynaecology (2023)
The frequency of DM and GDM increased in both rural and urban areas of the USA from 2011 to 2019 among nulliparous pregnant women. Significant rural-urban disparities existed for DM and GDM, and increased over time for GDM. These rural-urban disparities were generally worse among those of Hispanic race/ethnicity and in women who lived in the South. These findings have implications for delivering equitable diabetes care in pregnancy in rural US communities.