Journal article
Association of Acculturation Levels and Prevalence of Diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA)
Diabetes care, v 31(8), pp 1621-1628
01 Aug 2008
PMID: 18458142
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVE
—The prevalence of type 2 diabetes among Hispanic and Asian Americans is increasing. These groups are largely comprised of immigrants who may be undergoing behavioral and lifestyle changes associated with development of diabetes. We studied the association between acculturation and diabetes in a population sample of 708 Mexican-origin Hispanics, 547 non–Mexican-origin Hispanics, and 737 Chinese participants in the Multi-Ethnic Study of Atherosclerosis (MESA).
RESEARCH DESIGN AND METHODS
—Diabetes was defined as fasting glucose ≥126 mg/dl and/or use of antidiabetic medications. An acculturation score was calculated for all participants using nativity, years living in the U.S., and language spoken at home. The score ranged from 0 to 5 (0 = least acculturated and 5 = most acculturated). Relative risk regression was used to estimate the association between acculturation and diabetes.
RESULTS
—For non–Mexican-origin Hispanics, the prevalence of diabetes was positively associated with acculturation score, after adjustment for sociodemographics. The prevalence of diabetes was significantly higher among the most acculturated versus the least acculturated non–Mexican-origin Hispanics (prevalence ratio 2.49 [95% CI 1.14−5.44]); the higher the acculturation score is, the higher the prevalence of diabetes (
P
for trend 0.059). This relationship between acculturation and diabetes was partly attenuated after adjustment for BMI or diet. Diabetes prevalence was not related to acculturation among Chinese or Mexican-origin Hispanics.
CONCLUSIONS
—Among non–Mexican-origin Hispanics in MESA, greater acculturation is associated with higher diabetes prevalence. The relation is at least partly mediated by BMI and diet. Acculturation is a factor that should be considered when predictors of diabetes in racial/ethnic groups are examined.
Metrics
Details
- Title
- Association of Acculturation Levels and Prevalence of Diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA)
- Creators
- Namratha R. Kandula (Corresponding Author) - Northwestern UniversityAna V. Diez-Roux - University of MichiganCheeling Chan - Northwestern UniversityMartha L. Daviglus - Northwestern UniversitySharon A. Jackson - Northrop Grumman (United States)Hanyu Ni - National Institutes of HealthPamela J. Schreiner - University of Michigan
- Publication Details
- Diabetes care, v 31(8), pp 1621-1628
- Publisher
- American Diabetes Association
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000258482000032
- Scopus ID
- 2-s2.0-49649108351
- Other Identifier
- 991020112074404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism