Rural–urban disparities in pregestational and gestational diabetes in pregnancy: Serial, cross‐sectional analysis of over 12 million pregnancies
Objective To compare trends in pregestational (DM) and gestational diabetes (GDM) in pregnancy in rural and urban areas in the USA, because pregnant women living in rural areas face unique challenges that contribute to rural–urban disparities in adverse pregnancy outcomes. Design Serial, cross‐secti...
Saved in:
Published in | BJOG : an international journal of obstetrics and gynaecology Vol. 131; no. 1; pp. 26 - 35 |
---|---|
Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
01.01.2024
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Objective
To compare trends in pregestational (DM) and gestational diabetes (GDM) in pregnancy in rural and urban areas in the USA, because pregnant women living in rural areas face unique challenges that contribute to rural–urban disparities in adverse pregnancy outcomes.
Design
Serial, cross‐sectional analysis.
Setting
US National Center for Health Statistics (NCHS) Natality Files from 2011 to 2019.
Population
A total of 12 401 888 singleton live births to nulliparous women aged 15–44 years.
Methods
We calculated the frequency (95% confidence interval [CI]) per 1000 live births, the mean annual percentage change (APC), and unadjusted and age‐adjusted rate ratios (aRR) of DM and GDM in rural compared with urban maternal residence (reference) per the NCHS Urban–Rural Classification Scheme overall, and by delivery year, reported race and ethnicity, and US region (effect measure modification).
Main outcome measures
The outcomes (modelled separately) were diagnoses of DM and GDM.
Results
From 2011 to 2019, there were increases in both the frequency (per 1000 live births; mean APC, 95% CI per year) of DM and GDM in rural areas (DM: 7.6 to 10.4 per 1000 live births; APC 2.8%, 95% CI 2.2%–3.4%; and GDM: 41.4 to 58.7 per 1000 live births; APC 3.1%, 95% CI 2.6%–3.6%) and urban areas (DM: 6.1 to 8.4 per 1000 live births; APC 3.3%, 95% CI 2.2%–4.4%; and GDM: 40.8 to 61.2 per 1000 live births; APC 3.9%, 95% CI 3.3%–4.6%). Individuals living in rural areas were at higher risk of DM (aRR 1.48, 95% CI 1.45%–1.51%) and GDM versus those in urban areas (aRR 1.17, 95% CI 1.16%–1.18%). The increased risk was similar each year for DM (interaction p = 0.8), but widened over time for GDM (interaction p < 0.01). The rural–urban disparity for DM was wider for individuals who identified as Hispanic race/ethnicity and in the South and West (interaction p < 0.01 for all); and for GDM the rural–urban disparity was generally wider for similar factors (i.e. Hispanic race/ethnicity, and in the South; interaction p < 0.05 for all).
Conclusions
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. |
---|---|
AbstractList | To compare trends in pregestational (DM) and gestational diabetes (GDM) in pregnancy in rural and urban areas in the USA, because pregnant women living in rural areas face unique challenges that contribute to rural-urban disparities in adverse pregnancy outcomes.
Serial, cross-sectional analysis.
US National Center for Health Statistics (NCHS) Natality Files from 2011 to 2019.
A total of 12 401 888 singleton live births to nulliparous women aged 15-44 years.
We calculated the frequency (95% confidence interval [CI]) per 1000 live births, the mean annual percentage change (APC), and unadjusted and age-adjusted rate ratios (aRR) of DM and GDM in rural compared with urban maternal residence (reference) per the NCHS Urban-Rural Classification Scheme overall, and by delivery year, reported race and ethnicity, and US region (effect measure modification).
The outcomes (modelled separately) were diagnoses of DM and GDM.
From 2011 to 2019, there were increases in both the frequency (per 1000 live births; mean APC, 95% CI per year) of DM and GDM in rural areas (DM: 7.6 to 10.4 per 1000 live births; APC 2.8%, 95% CI 2.2%-3.4%; and GDM: 41.4 to 58.7 per 1000 live births; APC 3.1%, 95% CI 2.6%-3.6%) and urban areas (DM: 6.1 to 8.4 per 1000 live births; APC 3.3%, 95% CI 2.2%-4.4%; and GDM: 40.8 to 61.2 per 1000 live births; APC 3.9%, 95% CI 3.3%-4.6%). Individuals living in rural areas were at higher risk of DM (aRR 1.48, 95% CI 1.45%-1.51%) and GDM versus those in urban areas (aRR 1.17, 95% CI 1.16%-1.18%). The increased risk was similar each year for DM (interaction p = 0.8), but widened over time for GDM (interaction p < 0.01). The rural-urban disparity for DM was wider for individuals who identified as Hispanic race/ethnicity and in the South and West (interaction p < 0.01 for all); and for GDM the rural-urban disparity was generally wider for similar factors (i.e. Hispanic race/ethnicity, and in the South; interaction p < 0.05 for all).
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. Objective To compare trends in pregestational (DM) and gestational diabetes (GDM) in pregnancy in rural and urban areas in the USA, because pregnant women living in rural areas face unique challenges that contribute to rural–urban disparities in adverse pregnancy outcomes. Design Serial, cross‐sectional analysis. Setting US National Center for Health Statistics (NCHS) Natality Files from 2011 to 2019. Population A total of 12 401 888 singleton live births to nulliparous women aged 15–44 years. Methods We calculated the frequency (95% confidence interval [CI]) per 1000 live births, the mean annual percentage change (APC), and unadjusted and age‐adjusted rate ratios (aRR) of DM and GDM in rural compared with urban maternal residence (reference) per the NCHS Urban–Rural Classification Scheme overall, and by delivery year, reported race and ethnicity, and US region (effect measure modification). Main outcome measures The outcomes (modelled separately) were diagnoses of DM and GDM. Results From 2011 to 2019, there were increases in both the frequency (per 1000 live births; mean APC, 95% CI per year) of DM and GDM in rural areas (DM: 7.6 to 10.4 per 1000 live births; APC 2.8%, 95% CI 2.2%–3.4%; and GDM: 41.4 to 58.7 per 1000 live births; APC 3.1%, 95% CI 2.6%–3.6%) and urban areas (DM: 6.1 to 8.4 per 1000 live births; APC 3.3%, 95% CI 2.2%–4.4%; and GDM: 40.8 to 61.2 per 1000 live births; APC 3.9%, 95% CI 3.3%–4.6%). Individuals living in rural areas were at higher risk of DM (aRR 1.48, 95% CI 1.45%–1.51%) and GDM versus those in urban areas (aRR 1.17, 95% CI 1.16%–1.18%). The increased risk was similar each year for DM (interaction p = 0.8), but widened over time for GDM (interaction p < 0.01). The rural–urban disparity for DM was wider for individuals who identified as Hispanic race/ethnicity and in the South and West (interaction p < 0.01 for all); and for GDM the rural–urban disparity was generally wider for similar factors (i.e. Hispanic race/ethnicity, and in the South; interaction p < 0.05 for all). Conclusions 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. To compare trends in pregestational (DM) and gestational diabetes (GDM) in pregnancy in rural and urban areas in the USA, because pregnant women living in rural areas face unique challenges that contribute to rural-urban disparities in adverse pregnancy outcomes.OBJECTIVETo compare trends in pregestational (DM) and gestational diabetes (GDM) in pregnancy in rural and urban areas in the USA, because pregnant women living in rural areas face unique challenges that contribute to rural-urban disparities in adverse pregnancy outcomes.Serial, cross-sectional analysis.DESIGNSerial, cross-sectional analysis.US National Center for Health Statistics (NCHS) Natality Files from 2011 to 2019.SETTINGUS National Center for Health Statistics (NCHS) Natality Files from 2011 to 2019.A total of 12 401 888 singleton live births to nulliparous women aged 15-44 years.POPULATIONA total of 12 401 888 singleton live births to nulliparous women aged 15-44 years.We calculated the frequency (95% confidence interval [CI]) per 1000 live births, the mean annual percentage change (APC), and unadjusted and age-adjusted rate ratios (aRR) of DM and GDM in rural compared with urban maternal residence (reference) per the NCHS Urban-Rural Classification Scheme overall, and by delivery year, reported race and ethnicity, and US region (effect measure modification).METHODSWe calculated the frequency (95% confidence interval [CI]) per 1000 live births, the mean annual percentage change (APC), and unadjusted and age-adjusted rate ratios (aRR) of DM and GDM in rural compared with urban maternal residence (reference) per the NCHS Urban-Rural Classification Scheme overall, and by delivery year, reported race and ethnicity, and US region (effect measure modification).The outcomes (modelled separately) were diagnoses of DM and GDM.MAIN OUTCOME MEASURESThe outcomes (modelled separately) were diagnoses of DM and GDM.From 2011 to 2019, there were increases in both the frequency (per 1000 live births; mean APC, 95% CI per year) of DM and GDM in rural areas (DM: 7.6 to 10.4 per 1000 live births; APC 2.8%, 95% CI 2.2%-3.4%; and GDM: 41.4 to 58.7 per 1000 live births; APC 3.1%, 95% CI 2.6%-3.6%) and urban areas (DM: 6.1 to 8.4 per 1000 live births; APC 3.3%, 95% CI 2.2%-4.4%; and GDM: 40.8 to 61.2 per 1000 live births; APC 3.9%, 95% CI 3.3%-4.6%). Individuals living in rural areas were at higher risk of DM (aRR 1.48, 95% CI 1.45%-1.51%) and GDM versus those in urban areas (aRR 1.17, 95% CI 1.16%-1.18%). The increased risk was similar each year for DM (interaction p = 0.8), but widened over time for GDM (interaction p < 0.01). The rural-urban disparity for DM was wider for individuals who identified as Hispanic race/ethnicity and in the South and West (interaction p < 0.01 for all); and for GDM the rural-urban disparity was generally wider for similar factors (i.e. Hispanic race/ethnicity, and in the South; interaction p < 0.05 for all).RESULTSFrom 2011 to 2019, there were increases in both the frequency (per 1000 live births; mean APC, 95% CI per year) of DM and GDM in rural areas (DM: 7.6 to 10.4 per 1000 live births; APC 2.8%, 95% CI 2.2%-3.4%; and GDM: 41.4 to 58.7 per 1000 live births; APC 3.1%, 95% CI 2.6%-3.6%) and urban areas (DM: 6.1 to 8.4 per 1000 live births; APC 3.3%, 95% CI 2.2%-4.4%; and GDM: 40.8 to 61.2 per 1000 live births; APC 3.9%, 95% CI 3.3%-4.6%). Individuals living in rural areas were at higher risk of DM (aRR 1.48, 95% CI 1.45%-1.51%) and GDM versus those in urban areas (aRR 1.17, 95% CI 1.16%-1.18%). The increased risk was similar each year for DM (interaction p = 0.8), but widened over time for GDM (interaction p < 0.01). The rural-urban disparity for DM was wider for individuals who identified as Hispanic race/ethnicity and in the South and West (interaction p < 0.01 for all); and for GDM the rural-urban disparity was generally wider for similar factors (i.e. Hispanic race/ethnicity, and in the South; interaction p < 0.05 for all).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.CONCLUSIONSThe 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. |
Author | Venkatesh, Kartik K. Grobman, William A. Cameron, Natalie A. Petito, Lucia C. Landon, Mark B. Huang, Xiaoning Joseph, Joshua Khan, Sadiya S. |
Author_xml | – sequence: 1 givenname: Kartik K. orcidid: 0000-0002-8043-556X surname: Venkatesh fullname: Venkatesh, Kartik K. email: kartik.venkatesh@osumc.edu organization: The Ohio State University College of Medicine – sequence: 2 givenname: Xiaoning surname: Huang fullname: Huang, Xiaoning organization: Northwestern University Feinberg School of Medicine – sequence: 3 givenname: Natalie A. surname: Cameron fullname: Cameron, Natalie A. organization: Northwestern University Feinberg School of Medicine – sequence: 4 givenname: Lucia C. surname: Petito fullname: Petito, Lucia C. organization: Northwestern University Feinberg School of Medicine – sequence: 5 givenname: Joshua surname: Joseph fullname: Joseph, Joshua organization: The Ohio State University College of Medicine – sequence: 6 givenname: Mark B. surname: Landon fullname: Landon, Mark B. organization: The Ohio State University College of Medicine – sequence: 7 givenname: William A. surname: Grobman fullname: Grobman, William A. organization: The Ohio State University College of Medicine – sequence: 8 givenname: Sadiya S. surname: Khan fullname: Khan, Sadiya S. organization: Northwestern University Feinberg School of Medicine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37366023$$D View this record in MEDLINE/PubMed |
BookMark | eNqFkUtPGzEQgK0KVB7tuTfkIwcWxq_1pjeIeAoJqY-z5ezOVkaON7WzoNxy5YZUqT8wvwQnoSk3fLE9_uazZmaPbIUuICFfGByzvE6Y1KwAxatjplWlP5DdTWRrdYYCBK92yF5K9wCs5CA-kh2hRVkCF7vk77c-Wr-Y_-njyAbauDSx0U0dJuoCnUT8hWlqp64L1lMbGvr23jg7wul_NNhQz77S7xid9Ue0jl1Ki_lzwnojsH6WXKJdS7sHjJTxxfxp7LzP7xtF_vwT2W6tT_j5dd8nPy_Ofwyvitu7y-vh6W1Ri0rqooWBbMBWXKFEAZINQILUvLIjhgPFckRr0FJCazm0vMm4qGo14LrkDdZinxyuvZPY_e5zaWbsUo3e24BdnwyvBHBWKqUyerJGV2VFbM0kurGNM8PALIdhlq03y9ab1TByxsGrvB-Nsdnw_7qfAbUGHp3H2Xs-c3Zztxa_AMDxmgs |
CitedBy_id | crossref_primary_10_60084_ijds_v1i1_88 crossref_primary_10_1097_AOG_0000000000005660 |
Cites_doi | 10.3945/ajcn.110.001032 10.1503/cmaj.151382 10.1001/jamainternmed.2017.2790 10.1007/s10995-008-0390-9 10.1111/jrh.12112 10.1053/j.semperi.2017.07.005 10.31478/201612a 10.1111/1471-0528.17304 10.2337/dc18-1646 10.1377/hlthaff.2019.00805 10.1016/j.jacc.2020.09.601 10.1002/dmrr.3410 10.1371/journal.pmed.1003104 10.1016/j.ajogmf.2022.100785 10.1016/j.diabres.2020.108044 10.15585/mmwr.mm6743a2 10.1111/1471-0528.16960 10.1111/1471-0528.16434 10.1111/1471-0528.15467 10.1111/ajr.12465 10.1001/jamahealthforum.2022.0204 10.1016/j.pcd.2022.11.002 10.1161/CIR.0000000000000753 10.1136/bmj-2021-067946 10.1136/bmj.m1361 10.1111/1471-0528.16825 10.1016/j.ajogmf.2022.100814 10.1158/1055-9965.EPI-14-0300 10.1111/1471-0528.17154 10.1016/j.ssmph.2022.101161 10.1007/s11892-022-01476-x 10.2337/dc06-2559a 10.2105/AJPH.2018.304787 10.2337/dci20-0053 10.1016/j.socscimed.2020.113443 10.1001/jama.2021.7217 10.1371/journal.pone.0186287 10.1097/AOG.0000000000004727 10.1001/jama.2022.3189 10.1111/1747-0080.12722 10.1007/s10995-016-2256-x 10.1002/sim.3733 10.1377/hlthaff.2015.0861 10.1161/JAHA.121.023791 |
ContentType | Journal Article |
Copyright | 2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd. |
Copyright_xml | – notice: 2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd. |
DBID | 24P WIN CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 |
DOI | 10.1111/1471-0528.17587 |
DatabaseName | Wiley Online Library Wiley Online Library Open Access Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: 24P name: Wiley Online Library Open Access url: https://authorservices.wiley.com/open-science/open-access/browse-journals.html sourceTypes: Publisher – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1471-0528 |
EndPage | 35 |
ExternalDocumentID | 10_1111_1471_0528_17587 37366023 BJO17587 |
Genre | article Journal Article |
GrantInformation_xml | – fundername: Care Innovation and Community Improvement Program at The Ohio State University – fundername: National Institutes of Health funderid: HL161514 – fundername: NIH HHS grantid: HL161514 – fundername: NHLBI NIH HHS grantid: R01 HL161514 |
GroupedDBID | --- --K .3N .55 .GA .GJ .Y3 05W 0R~ 10A 1B1 1OB 1OC 1~5 23N 24P 33P 36B 3O- 3SF 4.4 4G. 50Y 50Z 51W 51X 52M 52N 52O 52P 52R 52S 52T 52U 52V 52W 52X 53G 5HH 5LA 5RE 5VS 66C 6J9 6P2 6PF 7-5 702 7PT 8-0 8-1 8-3 8-4 8-5 8UM 930 A01 A03 AAEDT AAESR AAEVG AAHHS AALRI AANLZ AAONW AAQFI AASGY AAWTL AAXRX AAXUO AAZKR ABCQN ABCUV ABEML ABLJU ABPVW ABQWH ABXGK ACAHQ ACBWZ ACCFJ ACCZN ACFBH ACGFO ACGFS ACGOF ACIUM ACMXC ACPOU ACPRK ACSCC ACXBN ACXQS ADBBV ADBTR ADEOM ADIZJ ADKYN ADMGS ADMUD ADOZA ADXAS ADZMN ADZOD AEEZP AEIGN AEIMD AEQDE AEUQT AEUYR AFBPY AFEBI AFFPM AFGKR AFPWT AFZJQ AHBTC AHEFC AHMBA AIACR AIAGR AITYG AIURR AIWBW AJBDE ALAGY ALMA_UNASSIGNED_HOLDINGS ALUQN AMBMR AMYDB ASPBG ATUGU AVWKF AZBYB AZFZN AZVAB BAFTC BDRZF BFHJK BHBCM BROTX BRXPI BY8 C45 CAG COF CS3 D-6 D-7 D-E D-F DCZOG DPXWK DR2 DRFUL DRMAN DRSTM DUUFO EBS EJD EMOBN EX3 F00 F01 F04 F5P FDB FEDTE FZ0 G-S G.N GODZA H.X HF~ HGLYW HVGLF HZI HZ~ IHE IX1 J0M K48 KBYEO LATKE LC2 LC3 LEEKS LH4 LITHE LOXES LP6 LP7 LUTES LW6 LYRES M41 MEWTI MK4 MRFUL MRMAN MRSTM MSFUL MSMAN MSSTM MXFUL MXMAN MXSTM N04 N05 N9A NEJ NF~ O66 O9- OIG OVD P2P P2W P2X P2Z P4B P4D PALCI PQQKQ Q.N Q11 QB0 R.K RIG RIWAO RJQFR ROL RPZ RWI RX1 SAMSI SEW SSZ SUPJJ TEORI V9Y W8V W99 WBKPD WHWMO WIH WIJ WIK WIN WOHZO WOW WQJ WRC WVDHM WXI WXSBR X7M XG1 XIF XV2 ZXP ZY1 ~IA ~WT CGR CUY CVF ECM EIF NPM AAMNL AAYXX ACRPL ACYXJ ADNMO CITATION 7X8 |
ID | FETCH-LOGICAL-c3847-f094d0a825e4e304190404728ab1e9510417707440fa20f2d94d38c592762dec3 |
IEDL.DBID | 24P |
ISSN | 1470-0328 1471-0528 |
IngestDate | Thu Dec 05 20:27:17 EST 2024 Fri Dec 06 06:31:49 EST 2024 Sat Nov 02 12:03:35 EDT 2024 Sat Aug 24 01:05:55 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 1 |
Keywords | disparities diabetes mellitus gestational diabetes mellitus urban health rural health pregnancy |
Language | English |
License | Attribution 2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c3847-f094d0a825e4e304190404728ab1e9510417707440fa20f2d94d38c592762dec3 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ORCID | 0000-0002-8043-556X |
OpenAccessLink | https://onlinelibrary.wiley.com/doi/abs/10.1111%2F1471-0528.17587 |
PMID | 37366023 |
PQID | 2830216555 |
PQPubID | 23479 |
PageCount | 10 |
ParticipantIDs | proquest_miscellaneous_2830216555 crossref_primary_10_1111_1471_0528_17587 pubmed_primary_37366023 wiley_primary_10_1111_1471_0528_17587_BJO17587 |
PublicationCentury | 2000 |
PublicationDate | January 2024 2024-Jan 2024-01-00 20240101 |
PublicationDateYYYYMMDD | 2024-01-01 |
PublicationDate_xml | – month: 01 year: 2024 text: January 2024 |
PublicationDecade | 2020 |
PublicationPlace | England |
PublicationPlace_xml | – name: England |
PublicationTitle | BJOG : an international journal of obstetrics and gynaecology |
PublicationTitleAlternate | BJOG |
PublicationYear | 2024 |
References | 2017; 41 2020; 162 2023; 17 2022; 71 2020; 141 2021; 268 2019; 32 2021; 326 2021; 128 2015; 31 2017; 21 2021; 129 2020; 17 2019; 126 2020; 369 2019; 38 2016; 188 2019; 109 2003 2007; 30 2020; 76 2022; 22 2018; 67 2017; 177 2022; 139 2014; 23 2016; 35 2022; 377 2009; 28 2016; 4 2021; 37 2009; 13 2022; 3 2023; 130 2022; 5 2019; 68 2011; 94 2017; 12 2022; 79 2019; 27 2016 2022; 31 2014 2020; 44 2022; 11 2022; 327 2022; 129 2022; 19 e_1_2_12_6_1 e_1_2_12_19_1 e_1_2_12_2_1 e_1_2_12_17_1 e_1_2_12_20_1 e_1_2_12_41_1 e_1_2_12_22_1 e_1_2_12_43_1 e_1_2_12_24_1 e_1_2_12_45_1 e_1_2_12_26_1 e_1_2_12_47_1 Ingram D (e_1_2_12_32_1) 2003 e_1_2_12_28_1 e_1_2_12_49_1 Ingram D (e_1_2_12_27_1) 2014 e_1_2_12_31_1 e_1_2_12_52_1 e_1_2_12_33_1 e_1_2_12_35_1 e_1_2_12_37_1 e_1_2_12_14_1 e_1_2_12_12_1 e_1_2_12_8_1 e_1_2_12_10_1 e_1_2_12_50_1 e_1_2_12_3_1 e_1_2_12_5_1 e_1_2_12_16_1 e_1_2_12_39_1 Kozhimannil K (e_1_2_12_38_1) 2016; 4 e_1_2_12_42_1 e_1_2_12_21_1 e_1_2_12_44_1 e_1_2_12_23_1 e_1_2_12_46_1 e_1_2_12_25_1 e_1_2_12_48_1 e_1_2_12_40_1 Kozhimannil K (e_1_2_12_18_1) 2022; 31 Gregory E (e_1_2_12_36_1) 2019; 68 e_1_2_12_29_1 Gregory E (e_1_2_12_4_1) 2022; 71 e_1_2_12_30_1 e_1_2_12_53_1 e_1_2_12_34_1 e_1_2_12_15_1 Ye W (e_1_2_12_11_1) 2022; 377 e_1_2_12_13_1 e_1_2_12_7_1 e_1_2_12_51_1 e_1_2_12_9_1 |
References_xml | – volume: 30 start-page: 2070 issue: 8 year: 2007 end-page: 6 article-title: Maternal obesity and risk of gestational diabetes mellitus publication-title: Diabetes Care – volume: 162 year: 2020 article-title: Maternal age and the risk of gestational diabetes mellitus: a systematic review and meta‐analysis of over 120 million participants publication-title: Diabetes Res Clin Pract – volume: 369 year: 2020 article-title: Progression to type 2 diabetes in women with a known history of gestational diabetes: systematic review and meta‐analysis publication-title: Br Med J – volume: 11 issue: 2 year: 2022 article-title: Trends in the incidence of new‐onset hypertensive disorders of pregnancy among rural and urban areas in the United States, 2007 to 2019 publication-title: J Am Heart Assoc – volume: 19 year: 2022 article-title: Urban and rural differences in new onset type 2 diabetes: comparisons across national and regional samples in the diabetes LEAD network publication-title: SSM Popul Health – volume: 68 start-page: 1 issue: 8 year: 2019 end-page: 20 article-title: Assessing the quality of medical and health data from the 2003 birth certificate revision: results from New York City publication-title: Natl Vital Stat Rep – volume: 126 start-page: 311 issue: 3 year: 2019 end-page: 20 article-title: Improving the effectiveness of lifestyle interventions for gestational diabetes prevention: a meta‐analysis and meta‐regression publication-title: BJOG – volume: 128 start-page: 272 issue: 2 year: 2021 end-page: 9 article-title: Cardiac function in gestational diabetes mellitus: a longitudinal study from fetal life to infancy publication-title: BJOG – volume: 67 start-page: 1201 year: 2018 end-page: 7 article-title: Prevalence and changes in preexisting diabetes and gestational diabetes among women who had a live birth—United States, 2012–2016 publication-title: MMWR Morb Mortal Wkly Rep – volume: 129 start-page: 473 issue: 3 year: 2021 end-page: 83 article-title: Changing patterns in medication prescription for gestational diabetes during a time of guideline change in the USA: a cross‐sectional study publication-title: Br J Obstet Gynaecol – volume: 141 start-page: e615 issue: 10 year: 2020 end-page: 44 article-title: Call to action: rural health: a presidential advisory from the American Heart Association and American Stroke Association publication-title: Circulation – volume: 377 year: 2022 article-title: Gestational diabetes mellitus and adverse pregnancy outcomes: systematic review and meta‐analysis publication-title: Br Med J – volume: 12 issue: 10 year: 2017 article-title: Advanced maternal age and adverse pregnancy outcomes: a systematic review and meta‐analysis publication-title: PLoS One – volume: 35 start-page: 365 issue: 2 year: 2016 end-page: 70 article-title: Variation in rural health information technology adoption and use publication-title: Health Aff – volume: 13 start-page: 660 issue: 5 year: 2009 end-page: 6 article-title: Reviewing performance of birth certificate and hospital discharge data to identify births complicated by maternal diabetes publication-title: Matern Child Health J – start-page: 1 issue: 166 year: 2014 end-page: 73 article-title: 2013 NCHS urban–rural classification scheme for counties publication-title: Vital Health Stat 2 – volume: 44 start-page: 258 issue: 1 year: 2020 end-page: 79 article-title: Social determinants of health and diabetes: a scientific review publication-title: Diabetes Care – volume: 188 start-page: E456 issue: 17–18 year: 2016 end-page: 65 article-title: Maternal morbidity and perinatal outcomes among women in rural versus urban areas publication-title: CMAJ – volume: 139 start-page: 1051 issue: 6 year: 2022 end-page: 60 article-title: Association between social vulnerability and achieving glycemic control among pregnant individuals with pregestational diabetes publication-title: Obstet Gynecol – volume: 4 start-page: 661 issue: 5 year: 2016 end-page: 661.e10 article-title: Location of childbirth for rural women: implications for maternal levels of care publication-title: Am J Obstet Gynecol – volume: 31 start-page: 365 issue: 4 year: 2015 end-page: 72 article-title: The rural obstetric workforce in US hospitals: challenges and opportunities publication-title: J Rural Health – volume: 79 start-page: 48 issue: 1 year: 2022 end-page: 58 article-title: Rural healthcare delivery and maternal and infant outcomes for diabetes in pregnancy: a systematic review publication-title: Nutr Diet – volume: 71 start-page: 1 issue: 3 year: 2022 end-page: 15 article-title: Trends and characteristics in gestational diabetes: United States, 2016–2020 publication-title: Natl Vital Stat Rep – volume: 109 start-page: 155 issue: 1 year: 2019 end-page: 62 article-title: Growth and persistence of place‐based mortality in the United States: the rural mortality penalty publication-title: Am J Public Health – volume: 37 issue: 5 year: 2021 article-title: Burden and management of type 2 diabetes in rural United States publication-title: Diabetes Metab Res Rev – volume: 94 start-page: 1975S issue: S1 year: 2011 end-page: 9S article-title: Effect of dietary and lifestyle factors on the risk of gestational diabetes: review of epidemiologic evidence publication-title: Am J Clin Nutr – volume: 128 start-page: 1855 issue: 11 year: 2021 end-page: 68 article-title: A core outcome set for the treatment of pregnant women with pregestational diabetes: an international consensus study publication-title: Br J Obstet Gynaecol – volume: 32 start-page: 372 issue: 3 year: 2019 end-page: 80 article-title: Hyperglycemia and Adverse Pregnancy Outcome Follow‐up Study (HAPO FUS): maternal gestational diabetes mellitus and childhood glucose metabolism publication-title: Diabetes Care – volume: 41 start-page: 367 issue: 6 year: 2017 end-page: 74 article-title: Maternity care access, quality, and outcomes: a systems‐level perspective on research, clinical, and policy needs publication-title: Semin Perinatol – volume: 38 start-page: 2077 issue: 12 year: 2019 end-page: 85 article-title: Rural‐urban differences In severe maternal morbidity and mortality In the US, 2007–15 publication-title: Health Aff – volume: 327 start-page: 1356 issue: 14 year: 2022 end-page: 67 article-title: Risk of adverse pregnancy outcomes in gestational diabetes by race and ethnicity in the United States, 2014–2020 publication-title: JAMA – volume: 3 issue: 3 year: 2022 article-title: Rural hospital administrators' beliefs about safety, financial viability, and community need for offering obstetric care publication-title: JAMA Health Forum – volume: 31 start-page: 1397 issue: 10 year: 2022 end-page: 402 article-title: Racial/ethnic disparities in postpartum health insurance coverage among rural and urban U.S. residents publication-title: J Womens Health – volume: 27 start-page: 64 issue: 1 year: 2019 end-page: 9 article-title: Diabetes screening in pregnancy failing women in rural Western Australia: an audit of oral glucose tolerance test completion rates publication-title: Aust J Rural Health – year: 2016 – volume: 22 start-page: 365 issue: 8 year: 2022 end-page: 9 article-title: Telehealth for the management of diabetes in pregnancy publication-title: Curr Diab Rep – volume: 17 start-page: 73 issue: 1 year: 2023 end-page: 8 article-title: Association of community‐level food insecurity and glycemic control among pregnant individuals with pregestational diabetes publication-title: Prim Care Diabetes – volume: 268 year: 2021 article-title: The southern rural health and mortality penalty: a review of regional health inequities in the United States publication-title: Soc Sci Med – start-page: 1 issue: 135 year: 2003 end-page: 55 article-title: United States census 2000 population with bridged race categories publication-title: Vital Health Stat 2 – volume: 326 start-page: 660 issue: 7 year: 2021 end-page: 9 article-title: Trends in gestational diabetes at first live birth by race and ethnicity in the US, 2011–2019 publication-title: JAMA – volume: 5 issue: 1 year: 2022 article-title: Trends in gestational diabetes mellitus among nulliparous pregnant individuals with singleton live births in the United States between 2011 to 2019: an age‐period‐cohort analysis publication-title: Am J Obstet Gynecol MFM – volume: 177 start-page: 1735 issue: 12 year: 2017 end-page: 42 article-title: Association of history of gestational diabetes with long‐term cardiovascular disease risk in a large prospective cohort of US women publication-title: JAMA Intern Med – volume: 5 issue: 2 year: 2022 article-title: Assessment of the validity of administrative data for gestational diabetes ascertainment publication-title: Am J Obstet Gynecol MFM – volume: 28 start-page: 3670 issue: 29 year: 2009 end-page: 8 article-title: Estimating average annual percent change in trend analysis publication-title: Stat Med – volume: 23 start-page: 2296 issue: 11 year: 2014 end-page: 302 article-title: A web tool for age‐period‐cohort analysis of cancer incidence and mortality rates publication-title: Cancer Epidemiol Biomarkers Prev – volume: 21 start-page: 1643 issue: 8 year: 2017 end-page: 54 article-title: The effects of race and ethnicity on the risk of large‐for‐gestational‐age newborns in women without gestational diabetes by prepregnancy body mass index categories publication-title: Matern Child Health J – volume: 129 start-page: 2176 issue: 13 year: 2022 end-page: 83 article-title: Screening for late‐onset gestational diabetes: are there any clinical benefits? publication-title: BJOG – volume: 130 start-page: 264 issue: 3 year: 2023 end-page: 75 article-title: Exercise during pregnancy for preventing gestational diabetes mellitus and hypertensive disorders: an umbrella review of randomised controlled trials and an updated meta‐analysis publication-title: BJOG – volume: 17 issue: 5 year: 2020 article-title: Risk of severe maternal morbidity or death in relation to elevated hemoglobin A1c preconception, and in early pregnancy: a population‐based cohort study publication-title: PLoS Med – volume: 76 start-page: 2611 issue: 22 year: 2020 end-page: 9 article-title: Pre‐pregnancy hypertension among women in rural and urban areas of the United States publication-title: J Am Coll Cardiol – ident: e_1_2_12_8_1 doi: 10.3945/ajcn.110.001032 – ident: e_1_2_12_23_1 doi: 10.1503/cmaj.151382 – ident: e_1_2_12_41_1 doi: 10.1001/jamainternmed.2017.2790 – volume: 31 start-page: 1397 issue: 10 year: 2022 ident: e_1_2_12_18_1 article-title: Racial/ethnic disparities in postpartum health insurance coverage among rural and urban U.S. residents publication-title: J Womens Health contributor: fullname: Kozhimannil K – ident: e_1_2_12_29_1 doi: 10.1007/s10995-008-0390-9 – ident: e_1_2_12_47_1 doi: 10.1111/jrh.12112 – ident: e_1_2_12_15_1 doi: 10.1053/j.semperi.2017.07.005 – ident: e_1_2_12_45_1 doi: 10.31478/201612a – start-page: 1 issue: 166 year: 2014 ident: e_1_2_12_27_1 article-title: 2013 NCHS urban–rural classification scheme for counties publication-title: Vital Health Stat 2 contributor: fullname: Ingram D – volume: 4 start-page: 661 issue: 5 year: 2016 ident: e_1_2_12_38_1 article-title: Location of childbirth for rural women: implications for maternal levels of care publication-title: Am J Obstet Gynecol contributor: fullname: Kozhimannil K – ident: e_1_2_12_9_1 doi: 10.1111/1471-0528.17304 – ident: e_1_2_12_39_1 doi: 10.2337/dc18-1646 – ident: e_1_2_12_19_1 doi: 10.1377/hlthaff.2019.00805 – ident: e_1_2_12_21_1 doi: 10.1016/j.jacc.2020.09.601 – volume: 71 start-page: 1 issue: 3 year: 2022 ident: e_1_2_12_4_1 article-title: Trends and characteristics in gestational diabetes: United States, 2016–2020 publication-title: Natl Vital Stat Rep contributor: fullname: Gregory E – ident: e_1_2_12_14_1 doi: 10.1002/dmrr.3410 – ident: e_1_2_12_26_1 – ident: e_1_2_12_10_1 doi: 10.1371/journal.pmed.1003104 – ident: e_1_2_12_5_1 doi: 10.1016/j.ajogmf.2022.100785 – ident: e_1_2_12_6_1 doi: 10.1016/j.diabres.2020.108044 – ident: e_1_2_12_3_1 doi: 10.15585/mmwr.mm6743a2 – ident: e_1_2_12_35_1 doi: 10.1111/1471-0528.16960 – ident: e_1_2_12_42_1 doi: 10.1111/1471-0528.16434 – ident: e_1_2_12_37_1 doi: 10.1111/1471-0528.15467 – ident: e_1_2_12_43_1 doi: 10.1111/ajr.12465 – ident: e_1_2_12_16_1 doi: 10.1001/jamahealthforum.2022.0204 – ident: e_1_2_12_49_1 doi: 10.1016/j.pcd.2022.11.002 – ident: e_1_2_12_46_1 doi: 10.1161/CIR.0000000000000753 – volume: 377 year: 2022 ident: e_1_2_12_11_1 article-title: Gestational diabetes mellitus and adverse pregnancy outcomes: systematic review and meta‐analysis publication-title: Br Med J doi: 10.1136/bmj-2021-067946 contributor: fullname: Ye W – ident: e_1_2_12_40_1 doi: 10.1136/bmj.m1361 – ident: e_1_2_12_30_1 doi: 10.1111/1471-0528.16825 – ident: e_1_2_12_28_1 doi: 10.1016/j.ajogmf.2022.100814 – ident: e_1_2_12_34_1 doi: 10.1158/1055-9965.EPI-14-0300 – ident: e_1_2_12_52_1 doi: 10.1111/1471-0528.17154 – ident: e_1_2_12_44_1 doi: 10.1016/j.ssmph.2022.101161 – ident: e_1_2_12_53_1 doi: 10.1007/s11892-022-01476-x – ident: e_1_2_12_7_1 doi: 10.2337/dc06-2559a – ident: e_1_2_12_24_1 doi: 10.2105/AJPH.2018.304787 – ident: e_1_2_12_50_1 doi: 10.2337/dci20-0053 – ident: e_1_2_12_25_1 doi: 10.1016/j.socscimed.2020.113443 – ident: e_1_2_12_2_1 doi: 10.1001/jama.2021.7217 – ident: e_1_2_12_13_1 doi: 10.1371/journal.pone.0186287 – ident: e_1_2_12_51_1 doi: 10.1097/AOG.0000000000004727 – ident: e_1_2_12_12_1 doi: 10.1001/jama.2022.3189 – ident: e_1_2_12_22_1 doi: 10.1111/1747-0080.12722 – volume: 68 start-page: 1 issue: 8 year: 2019 ident: e_1_2_12_36_1 article-title: Assessing the quality of medical and health data from the 2003 birth certificate revision: results from New York City publication-title: Natl Vital Stat Rep contributor: fullname: Gregory E – ident: e_1_2_12_31_1 doi: 10.1007/s10995-016-2256-x – ident: e_1_2_12_33_1 doi: 10.1002/sim.3733 – ident: e_1_2_12_17_1 – start-page: 1 issue: 135 year: 2003 ident: e_1_2_12_32_1 article-title: United States census 2000 population with bridged race categories publication-title: Vital Health Stat 2 contributor: fullname: Ingram D – ident: e_1_2_12_48_1 doi: 10.1377/hlthaff.2015.0861 – ident: e_1_2_12_20_1 doi: 10.1161/JAHA.121.023791 |
SSID | ssj0016203 |
Score | 2.5047872 |
Snippet | Objective
To compare trends in pregestational (DM) and gestational diabetes (GDM) in pregnancy in rural and urban areas in the USA, because pregnant women... To compare trends in pregestational (DM) and gestational diabetes (GDM) in pregnancy in rural and urban areas in the USA, because pregnant women living in... |
SourceID | proquest crossref pubmed wiley |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 26 |
SubjectTerms | Cross-Sectional Studies diabetes mellitus Diabetes, Gestational - epidemiology disparities Ethnicity Female gestational diabetes mellitus Humans Pregnancy Pregnancy in Diabetics Pregnancy Outcome rural health urban health |
Title | Rural–urban disparities in pregestational and gestational diabetes in pregnancy: Serial, cross‐sectional analysis of over 12 million pregnancies |
URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2F1471-0528.17587 https://www.ncbi.nlm.nih.gov/pubmed/37366023 https://www.proquest.com/docview/2830216555 |
Volume | 131 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1JS8NAFB60gngRd-PGCB48OJLMZPXmVkqhKsWCtzBJJtBLWpr24K1Xb4LgD-wv8b2ZpFQ9iJeQkMmbkDfL95Z8j5AzyX2ktcqZzIVirsgUS6IwZZ4XRDkSYuUKDcXOg9_que0Xr84mxH9hDD_E3OGGM0Ov1zjBZVIuTHIHllVmezy8hB0wDJbJCoAbH4sYcPdpHkjwuS6ODI1thtRxFbsPJvP8EPB9Y_qFNr-DV737NDfIegUb6bXR8yZZUsUWWe1UgfFt8tlF-ozZ9GMySmRBs36J1QWRLJX2CzocKQwjVX4_KouMLl7X_te6KXJwvF5R4zi7oPp9Z9P3UmdtGQGGyYQOcoopoNThs-kbFjCC-3MR0PkO6TXvn29brCq5wFIB-xTLwdrLbAlmo3KVsF2ACy7ySYYycRSCMdcJAhtJBXPJ7Zxn0FyEqRdxWFQzlYpd0igGhdonNAsCwRNAn5ECVMiTMJJJoDiHLgDlpdwi5_X3joeGWSOuLRJUTYyqibVqLHJa6yOG0Y8hDVmowaSMNX2Z43ueZ5E9o6i5MBEI3wdIYhEzjv7qJb5pP-qTg_8-cEjWOGAd45k5Io3xaKKOAauMkxM9GuF41-VfWarh6Q |
link.rule.ids | 314,780,784,1375,11562,27924,27925,46052,46294,46476,46718 |
linkProvider | Wiley-Blackwell |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LT9wwEB7xkIBLy7MshWIkDj3gVWLn2RtPLY8FCYHELXISR0KVsmgfBzjttTckJH7g_pLO2MlqoQdUcUsUZ5wde-xvxrPfAOwqERCtVcFVITX3ZK55GkcZ9_0wLogQq9DkKLYvg9atd3bn3038F8byQ4wDbmQZZr0mA6eA9ISVu7iucscXURO3wCichlk0epfSuo6uxxRSbiBMdWRs7HDijqvofSib552AtzvTP3DzLXo128_JV8jqD7dZJ7-bg37azJ7ecTp-7pctwpcKnbJ9O52WYEqXyzDXrs7fV-D1mlg6RsOXQTdVJcvve1TEkDhZ2X3JHrqaTquq8CJTZc4m7-swb92UqD4efzEbn9tjRiuj4XPPJIdZAZYwhXUKRpmmzBWj4R-qk4TPxyKw81W4PTm-OWzxqrIDzyRuh7xApzJ3FHqn2tPS8RCVeERbGanU1YT5PDcMHeIuLJRwCpFjcxllfixw7c51JtdgpuyUeh1YHoZSpAhyY43gU6RRrNJQC4FdIJjMRAN-1qOaPFgCj6R2fEjPCek5MXpuwE496gkaGZ2cqFJ3Br3EsKS5ge_7Dfhmp8NYmAxlECDyaYAd1I96SQ7OrszFxv--sA3zrZv2RXJxenn-HRYEwisbDNqEmX53oLcQHvXTH2b-_wWO4AXT |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1La9wwEB6aFEIu6SuP7VOFHnqIFlvys7e06ZJum7SEBHIzki3BEvAu-zgkp732Vij0B-4vyYxkL9n0EEpvNpZH3pFG-mY0-w3AOyUSorWyXFlpeCQrw3WelTyO09wSIZY15CgenyRH51H_Im6zCem_MJ4fYhlwI8tw6zUZ-Kiyt4w8xGWVB7HIurgDZukaPIwSkRN9_uHpkkEqTIQrjoyNA07UcQ27DyXz3BGwujH9hTZXwavbfXqPQLff7ZNOLruzqe6W13coHf_rhz2GrQabsgM_mZ7AA1M_hY3j5vT9Gfw5JY6Oxfz3bKxVzarBhEoYEiMrG9RsNDZ0VtUEF5mqK3b7vg3ytk2J6OPqA_PRuX3mlLKY_5q41DAvwNOlsKFllGfKQrGY_6QqSfh8KQI734bz3uezT0e8qevAS4mbIbfoUlaBQt_UREYGEWKSiEgrM6VDQ4gvCtM0IOZCq0RgRYXNZVbGucCVuzKl3IH1elibPWBVmkqhEeLmBqGn0FmudGqEwC4QSpaiA-_bQS1Gnr6jaN0e0nNBei6cnjvwth30Ak2Mzk1UbYazSeE40sIkjuMO7PrZsBQmU5kkiHs64Mf0vl6Kj_3v7uL5v77wBjZ-HPaKb19Ovr6ATYHYykeCXsL6dDwzrxAbTfVrN_tvAHXABII |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Rural%E2%80%93urban+disparities+in+pregestational+and+gestational+diabetes+in+pregnancy%3A+Serial%2C+cross%E2%80%90sectional+analysis+of+over+12%E2%80%89million+pregnancies&rft.jtitle=BJOG+%3A+an+international+journal+of+obstetrics+and+gynaecology&rft.au=Venkatesh%2C+Kartik+K.&rft.au=Huang%2C+Xiaoning&rft.au=Cameron%2C+Natalie+A.&rft.au=Petito%2C+Lucia+C.&rft.date=2024-01-01&rft.issn=1470-0328&rft.eissn=1471-0528&rft.volume=131&rft.issue=1&rft.spage=26&rft.epage=35&rft_id=info:doi/10.1111%2F1471-0528.17587&rft.externalDBID=10.1111%252F1471-0528.17587&rft.externalDocID=BJO17587 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1470-0328&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1470-0328&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1470-0328&client=summon |