Risk Factors Associated with Diabetes among Mexican-Origin Adults in Southern Arizona.
Risk Factors Associated with Diabetes among Mexican-Origin Adults in Southern Arizona.
复制标题
DOI：
10.3390/ijerph20126126
复制
发表时间：
2023-06-14
影响因子：
--
通讯作者：
Carvajal, Scott
中科院分区：
文献类型：
--
作者：
Morales, Mario;Ingram, Maia;Sepulveda, Ramses;Nuno, Thomas;Wilkinson-Lee, Ada M;Guernsey De Zapien, Jill E;Carvajal, Scott
糖尿病是美国第七大死亡原因，在拉丁裔人群中尤其成问题。本研究采用多变量logistic回归模型，探讨如何高血压，抑郁症和社会人口统计学与糖尿病在一个横断面样本的墨西哥裔成年人生活在亚利桑那州南部的三个县。该初级保健样本的糖尿病总患病率为39.4%。将协变量保持在固定值，与未患高血压的个体相比，患有高血压的个体患糖尿病的可能性高2.36倍（95%CI：1.15，4.83）。受教育程度≥12年的个体患糖尿病的几率是受教育程度<12年的个体相应几率的0.29倍（95%CI：0.14，0.61）。对于抑郁症患者，出生在墨西哥并在美国生活<30年的人患糖尿病的几率是出生在美国的无抑郁症患者相应几率的0.04倍（95% CI：0，0.42）。研究结果表明，临床和公共卫生系统应该意识到患有高血压和教育程度较低的墨西哥裔成年人患糖尿病的潜在风险增加。
Diabetes is the seventh leading cause of death in the United States, and it is particularly problematic among the Latine population. This study employed multivariable logistic regression models to examine how hypertension, depression, and sociodemographics were associated with diabetes in a cross-sectional sample of Mexican-origin adults living in three counties of Southern Arizona. The overall prevalence of diabetes from this primary care sample was 39.4%. Holding covariates at fixed values, individuals having hypertension were 2.36 (95% CI: 1.15, 4.83) times more likely to have diabetes, when compared to individuals not having hypertension. The odds of having diabetes for individuals with ≥12 years of educational attainment were 0.29 (95% CI: 0.14, 0.61) times the corresponding odds of individuals with <12 years of educational attainment. For individuals with depression, the odds of having diabetes for those who were born in Mexico and had <30 years living in the US were 0.04 (95% CI: 0, 0.42) times the corresponding odds of individuals without depression and who were born in the US. Findings suggest clinical and public health systems should be aware of the potential increased risk of diabetes among Mexican-origin adults with hypertension and lower educational attainment.