Prevalence and risk factors of gestational diabetes mellitus among pregnant women in northern Vietnam: a cross-sectional study

Background Gestational diabetes mellitus (GDM) increases adverse neonatal and maternal outcomes. Understanding the prevalence and risk factors of GDM is necessary to plan health care interventions and policy. Objective To determine the prevalence and risk factors of GDM in Thai Binh, Vietnam. Method...

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Main Authors: Hieu Minh Le, Thi Ai Nguyen, Dang Kien Nguyen, Ditte Søndergaard Linde, Ib Christian Bygbjerg, Jens Søndergaard, Thanh Duc Nguyen, Bay Quang Nguyen, Ngoc-Anh Thi Dang, Xuan Bai Nguyen, Dan W. Meyrowitsch, Christina A. Vinter, Tine M. Gammeltoft, Vibeke Rasch
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Global Health Action
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Online Access:http://dx.doi.org/10.1080/16549716.2025.2460339
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author Hieu Minh Le
Thi Ai Nguyen
Dang Kien Nguyen
Ditte Søndergaard Linde
Ib Christian Bygbjerg
Jens Søndergaard
Thanh Duc Nguyen
Bay Quang Nguyen
Ngoc-Anh Thi Dang
Xuan Bai Nguyen
Dan W. Meyrowitsch
Christina A. Vinter
Tine M. Gammeltoft
Vibeke Rasch
author_facet Hieu Minh Le
Thi Ai Nguyen
Dang Kien Nguyen
Ditte Søndergaard Linde
Ib Christian Bygbjerg
Jens Søndergaard
Thanh Duc Nguyen
Bay Quang Nguyen
Ngoc-Anh Thi Dang
Xuan Bai Nguyen
Dan W. Meyrowitsch
Christina A. Vinter
Tine M. Gammeltoft
Vibeke Rasch
author_sort Hieu Minh Le
collection DOAJ
description Background Gestational diabetes mellitus (GDM) increases adverse neonatal and maternal outcomes. Understanding the prevalence and risk factors of GDM is necessary to plan health care interventions and policy. Objective To determine the prevalence and risk factors of GDM in Thai Binh, Vietnam. Methods A cross-sectional study was conducted in two health facilities in Thai Binh, Vietnam, with the participation of 1,106 pregnant women. Women were recruited at their first antenatal care visit where face-to-face interviews about socioeconomic and reproductive factors were performed. A 2-hour 75 g oral glucose tolerance test was conducted at 24–28 weeks of gestation. GDM was diagnosed according to the World Health Organization 2013 criteria. Logistic regression analyses were used to assess the factors associated with GDM. Results The prevalence rate of GDM was 27.1%. Multivariate logistic regression analysis showed maternal age from 25 to 34 (adjusted OR 2.0; 95%CI 1.3–2.9), maternal age ≥ 35 (adjusted OR 3.0; 95%CI 1.7–5.4), pregestational body mass index ≥ 23 (adjusted OR 1.6; 95%CI 1.1–2.3), family history of diabetes (adjusted OR 1.9; 95%CI 1.3–2.9), fertility treatment (adjusted OR 2.3; 95%CI 1.3–3.8), and previous GDM (adjusted OR 3.1; 95%CI 1.4–6.9) were associated with increased odds of GDM. Conclusions More than one-fourth of pregnant women in Thai Binh, Vietnam, may have GDM. Advanced maternal age, high pregestational body mass index, family history of diabetes, and previous GDM were associated with increased risk of GDM. Additionally, fertility treatment appears to be strongly associated with an increased risk of GDM.
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spelling doaj-art-184413af1a844ec5b9d389772c88127e2025-02-11T15:10:10ZengTaylor & Francis GroupGlobal Health Action1654-98802025-12-0118110.1080/16549716.2025.24603392460339Prevalence and risk factors of gestational diabetes mellitus among pregnant women in northern Vietnam: a cross-sectional studyHieu Minh Le0Thi Ai Nguyen1Dang Kien Nguyen2Ditte Søndergaard Linde3Ib Christian Bygbjerg4Jens Søndergaard5Thanh Duc Nguyen6Bay Quang Nguyen7Ngoc-Anh Thi Dang8Xuan Bai Nguyen9Dan W. Meyrowitsch10Christina A. Vinter11Tine M. Gammeltoft12Vibeke Rasch13Thai Binh University of Medicine and PharmacyThai Binh University of Medicine and PharmacyThai Binh University of Medicine and PharmacyOdense University HospitalUniversity of CopenhagenUniversity of Southern DenmarkThai Binh University of Medicine and PharmacyHanoi Medical UniversityThai Binh University of Medicine and PharmacyThai Binh University of Medicine and PharmacyUniversity of CopenhagenOdense University HospitalUniversity of CopenhagenOdense University HospitalBackground Gestational diabetes mellitus (GDM) increases adverse neonatal and maternal outcomes. Understanding the prevalence and risk factors of GDM is necessary to plan health care interventions and policy. Objective To determine the prevalence and risk factors of GDM in Thai Binh, Vietnam. Methods A cross-sectional study was conducted in two health facilities in Thai Binh, Vietnam, with the participation of 1,106 pregnant women. Women were recruited at their first antenatal care visit where face-to-face interviews about socioeconomic and reproductive factors were performed. A 2-hour 75 g oral glucose tolerance test was conducted at 24–28 weeks of gestation. GDM was diagnosed according to the World Health Organization 2013 criteria. Logistic regression analyses were used to assess the factors associated with GDM. Results The prevalence rate of GDM was 27.1%. Multivariate logistic regression analysis showed maternal age from 25 to 34 (adjusted OR 2.0; 95%CI 1.3–2.9), maternal age ≥ 35 (adjusted OR 3.0; 95%CI 1.7–5.4), pregestational body mass index ≥ 23 (adjusted OR 1.6; 95%CI 1.1–2.3), family history of diabetes (adjusted OR 1.9; 95%CI 1.3–2.9), fertility treatment (adjusted OR 2.3; 95%CI 1.3–3.8), and previous GDM (adjusted OR 3.1; 95%CI 1.4–6.9) were associated with increased odds of GDM. Conclusions More than one-fourth of pregnant women in Thai Binh, Vietnam, may have GDM. Advanced maternal age, high pregestational body mass index, family history of diabetes, and previous GDM were associated with increased risk of GDM. Additionally, fertility treatment appears to be strongly associated with an increased risk of GDM.http://dx.doi.org/10.1080/16549716.2025.2460339family healthfertility treatmentgestational diabetes mellituspregnancyrisk factorsprenatal care
spellingShingle Hieu Minh Le
Thi Ai Nguyen
Dang Kien Nguyen
Ditte Søndergaard Linde
Ib Christian Bygbjerg
Jens Søndergaard
Thanh Duc Nguyen
Bay Quang Nguyen
Ngoc-Anh Thi Dang
Xuan Bai Nguyen
Dan W. Meyrowitsch
Christina A. Vinter
Tine M. Gammeltoft
Vibeke Rasch
Prevalence and risk factors of gestational diabetes mellitus among pregnant women in northern Vietnam: a cross-sectional study
Global Health Action
family health
fertility treatment
gestational diabetes mellitus
pregnancy
risk factors
prenatal care
title Prevalence and risk factors of gestational diabetes mellitus among pregnant women in northern Vietnam: a cross-sectional study
title_full Prevalence and risk factors of gestational diabetes mellitus among pregnant women in northern Vietnam: a cross-sectional study
title_fullStr Prevalence and risk factors of gestational diabetes mellitus among pregnant women in northern Vietnam: a cross-sectional study
title_full_unstemmed Prevalence and risk factors of gestational diabetes mellitus among pregnant women in northern Vietnam: a cross-sectional study
title_short Prevalence and risk factors of gestational diabetes mellitus among pregnant women in northern Vietnam: a cross-sectional study
title_sort prevalence and risk factors of gestational diabetes mellitus among pregnant women in northern vietnam a cross sectional study
topic family health
fertility treatment
gestational diabetes mellitus
pregnancy
risk factors
prenatal care
url http://dx.doi.org/10.1080/16549716.2025.2460339
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