Generational status and duration of residence predict diabetes prevalence among Latinos: the California Men's Health Study.
Generational status and duration of residence predict diabetes prevalence among Latinos: the California Men's Health Study.
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DOI：
10.1186/1471-2458-9-392
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发表时间：
2009-10-19
影响因子：
4.5
通讯作者：
Van Den Eeden SK
中科院分区：
文献类型：
--
作者：
Ahmed AT;Quinn VP;Caan B;Sternfeld B;Haque R;Van Den Eeden SK
糖尿病不成比例地影响拉丁美洲人。然而，将拉丁美洲人作为一个群体进行研究掩盖了重要的群体内差异。这项研究探讨了代际地位，美国居住时间和语言偏好与糖尿病患病率的关系，以及这些因素在多大程度上解释了拉丁美洲人的患病率较高。在加州男性健康研究中，我们确定了11817名拉丁裔、6109名黑人和52184名白色参与者的出生地、在美国居住的时间、语言偏好和糖尿病患病率。我们将世代身份和居住时间合并为一个移民身份变量，其水平为：≥第三代;第二代;以及在美国居住超过25年，16-25年，11-15年或≤ 10年的移民。语言偏好被定义为参与者接受调查的语言。Logistic回归模型被指定来评估因变量与糖尿病患病率的关系。糖尿病患病率在拉丁美洲人、黑人和白人中分别为22%、23%和11%。在年龄调整模型中，我们观察到拉丁美洲人移民状态的糖尿病风险梯度。进一步调整社会经济地位，肥胖和健康行为只是部分减弱了这一梯度。在某些模型中，语言偏好是糖尿病患病率的弱预测因子，而在其他模型中则不显著。在多变量模型中，我们发现在美国出生的拉丁美洲人患糖尿病的几率高于在美国出生的黑人。在加州的拉丁裔中年男性中，世代地位和居住时间与糖尿病患病率相关。随着拉丁美洲人口的增长，糖尿病相关疾病的负担可能会增加，需要公共卫生关注。
Diabetes disproportionately affects Latinos. However, examining Latinos as one group obscures important intra-group differences. This study examined how generational status, duration of US residence, and language preference are associated with diabetes prevalence and to what extent these explain the higher prevalence among Latinos. We determined nativity, duration of US residence, language preference, and diabetes prevalence among 11 817 Latino, 6109 black, and 52 184 white participants in the California Men's Health Study. We combined generational status and residence duration into a single migration status variable with levels: ≥ third generation; second generation; and immigrant living in the US for > 25, 16-25, 11-15, or ≤ 10 years. Language preference was defined as language in which the participant took the survey. Logistic regression models were specified to assess the associations of dependent variables with prevalent diabetes. Diabetes prevalence was 22%, 23%, and 11% among Latinos, blacks, and whites, respectively. In age-adjusted models, we observed a gradient of risk of diabetes by migration status among Latinos. Further adjustment for socioeconomic status, obesity and health behaviors only partially attenuated this gradient. Language preference was a weak predictor of prevalent diabetes in some models and not significant in others. In multivariate models, we found that odds of diabetes were higher among US-born Latinos than US-born blacks. Generational status and residence duration were associated with diabetes prevalence among middle-aged Latino men in California. As the Latino population grows, the burden of diabetes-associated disease is likely to increase and demands public health attention.
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加利福尼亚男子健康研究（CMHS）：在托管护理环境中的多民族队列。
影响因子：
4.5
作者：
Enger, Shelley M.;Van den Eeden, Stephen K.;Sternfeld, Barbara;Loo, Ronald K.;Quesenberry, Charles P., Jr.;Rowell, Sarah;Sadler, Marianne C.;Schaffer, Donna M.;Habel, Laurel A.;Caan, Bette J.
通讯作者：
Caan, Bette J.
影响因子：
16.2
作者：
Ferrara, A;Karter, AJ;Selby, JV
通讯作者：
Selby, JV
影响因子：
5.4
作者：
Abraído-Lanza, AF;Chao, MT;Flórez, KR
通讯作者：
Flórez, KR
DOI：
10.1097/00008483-198911000-00003
发表时间：
1989-11-01
期刊：
Journal of cardiopulmonary rehabilitation
影响因子：
--
作者：
Jacobs, David R Jr;Hahn, Lorraine P;Sidney, Stephen
通讯作者：
Sidney, Stephen
影响因子：
3.3
作者：
Bhargava, Alok
通讯作者：
Bhargava, Alok