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Table 3 Stratified sibling cohort analysis of association between antenatal DEP-ANX and GDM. RDs and ORs represent the risk or log likelihood of GDM among those with antenatal DEP-ANX compared to those without

From: Preconception mental health and the relationship between antenatal depression or anxiety and gestational diabetes mellitus: a population-based cohort study

Sample of interest

Cases of GDM, N (%)

Base model

Adjusted OR (95% CI) a

DEP-ANX history

Number of deliveries

Unexposed

Exposed

Absolute RD, % (95% CI) a

Unadjusted OR (95% CI) a

Model 1 b

Model 2 c

Base analysis

 Full cohort

314,615

20,402 (8.0)

5494 (9.2)

1.21 (0.96 – 1.47)

1.17 (1.13 – 1.20)

1.17 (1.14 – 1.22)

1.14 (1.10 – 1.18)

 No history

136,416

9353 (7.7)

1350 (9.2)

1.54 (1.04 – 2.03)

1.22 (1.15 – 1.30)

1.24 (1.17 – 1.32)

1.23 (1.16 – 1.31)

 Any history

178,199

11,049 (8.3)

4144 (9.2)

0.92 (0.61 – 1.22)

1.12 (1.08 – 1.16)

1.14 (1.10 – 1.19)

1.11 (1.07 – 1.15)

Unmatched sibling analysis

 Full cohort

173,819

9842 (6.9)

2507 (8.0)

1.13 (0.80 – 1.46)

1.18 (1.12 – 1.24)

1.20 (1.14 – 1.26)

1.15 (1.09 – 1.21)

 No history

72,825

4078 (6.2)

536 (7.5)

1.31 (0.67 – 1.95)

1.23 (1.12 – 1.35)

1.24 (1.17 – 1.32)

1.23 (1.16 – 1.31)

 Any history

100,994

5764 (7.5)

1971 (8.2)

0.69 (0.30 – 1.09)

1.10 (1.04 – 1.16)

1.13 (1.07 – 1.20)

1.09 (1.03 – 1.16)

Matched sibling analysis

 Full cohort

14,633

5548 (47.3)

1415 (48.8)

1.51 (-0.52 – 3.54)

1.05 (0.96 – 1.15)

1.08 (0.97 – 1.19)

1.07 (0.96 – 1.18)

 No history

4726

2116 (46.7)

136 (68.3)

21.60 (14.98 – 28.22)

2.27 (1.68 – 3.07)

1.18 (0.86 – 1.62)

1.18 (0.86 – 1.63)

 Any history

7850

2785 (47.8)

977 (48.3)

0.56 (-1.96 – 3.09)

1.01 (0.90 – 1.13)

1.04 (0.91 – 1.18)

1.02 (0.90 – 1.16)

  1. Abbreviations: DEP-ANX depression and/or anxiety, GDM gestational diabetes mellitus, RD, risk difference, CI confidence interval OR odds ratio
  2. a Reference group: no exposure to antenatal DEP-ANX
  3. b Adjusted for birth parent age category, neighborhood-based income quintile, marital status, number of living children, and birth year
  4. c Adjusted for items in Model 1 and preconception body mass index (BMI), pregnancy-induced hypertension (PIH), non-pregnancy induced hypertension (non-PIH), antenatal hospitalization, and intrauterine growth restriction (IUGR)