title: Differences in pregnancy planning between women aged 18-44, with and without diabetes: behavioral risk factor surveillance system analysis.
abstract: OBJECTIVE
  Assess differences in pregnancy planning and behavioral risk factors among women of reproductive age, by diabetes status.
  
  
  METHODS
  A secondary analysis of cross-sectional data from the Behavioral Risk Factor Surveillance System (2002 and 2004) was conducted. Subjects were 18-44-year-old, non-pregnant, fertile women, grouped into two categories: non-diabetes (n=57,436), and diabetes (n=2929). Multivariable logistic regression was used to estimate adjusted prevalence odds ratios and 95% confidence intervals.
  
  
  RESULTS
  Approximately 93% of women of reproductive age with or without diabetes are not intending a pregnancy, and yet among them, women with diabetes are 22% more likely not to use any birth control at all. Women with diabetes are 3.4 times more likely to be obese, 1.4 times more likely to be overweight, 35% less likely to drink any alcohol, and 27% less likely to binge drink alcohol, than women without diabetes. There were no differences in risk factors between women with diabetes that were and were not intending a pregnancy.
  
  
  CONCLUSIONS
  Birth control nonuse for women with diabetes not intending a pregnancy and lack of behavioral change for women with diabetes intending a pregnancy, combined with an increasing prevalence in diabetes, will likely result in significant economic and social tolls on society.
authors.affiliation: Saint Louis University, School of Public Health, Department of Epidemiology, Saint Louis, MO 63104, United States. pxaveriu@slu.edu
authors.forename: Pamela K
authors.initials: PK
authors.lastname: Xaverius
authors.forename: Joanne
authors.initials: J
authors.lastname: Salas
authors.forename: Deborah
authors.initials: D
authors.lastname: Kiel
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology; D040343:Behavioral Risk Factor Surveillance System; D063425:Binge Drinking / Q000453:epidemiology; D015992:Body Mass Index; D003268:Contraception Behavior; D003430:Cross-Sectional Studies; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006801:Humans; D009765:Obesity / Q000150:complications / Q000453:epidemiology; D050177:Overweight / Q000150:complications / Q000453:epidemiology; D016742:Preconception Care; D015995:Prevalence; D012307:Risk Factors; D012648:Self Care; D014481:United States / Q000453:epidemiology; D055815:Young Adult