EFFECTS OF ACCULTURATION AND SOCIOECONOMIC-STATUS ON OBESITY AND DIABETES IN MEXICAN-AMERICANS - THE SAN-ANTONIO HEART-STUDY
EFFECTS OF ACCULTURATION AND SOCIOECONOMIC-STATUS ON OBESITY AND DIABETES IN MEXICAN-AMERICANS - THE SAN-ANTONIO HEART-STUDY
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DOI：
10.1093/oxfordjournals.aje.a115082
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发表时间：
1988-12-01
影响因子：
5
通讯作者：
EIFLER, CW
中科院分区：
文献类型：
--
作者：
HAZUDA, HP;HAFFNER, SM;EIFLER, CW
作者假设，墨西哥裔美国人社会经济地位的提高和适应美国主流社会的文化将伴随着肥胖和非胰岛素依赖型糖尿病的逐渐减少。1979年至1982年，圣安东尼奥心脏研究验证了这一假设，该研究以人群为基础，从圣安东尼奥的三个社区和一个高收入郊区随机选择了1,288名墨西哥裔美国人和929名非西语裔白人，年龄在25岁到之间。社会经济地位通过邓肯社会经济指数进行评估，邓肯社会经济指数是基于职业声望的社会经济地位的全球衡量标准。文化适应通过三个量表进行评估，这三个量表衡量的是与主流社会的功能整合，对保留墨西哥文化渊源的重视，以及对传统家庭结构和性别角色组织的态度。在墨西哥裔美国男性中，随着文化适应程度的提高，肥胖和糖尿病的发病率都出现了统计上显著的线性下降，而社会经济地位对这两种结果都没有显著影响。另一方面，在墨西哥裔美国女性中，更多的文化适应和更高的社会经济地位伴随着这两个结果在统计上显著的线性下降。然而，文化适应对女性肥胖和糖尿病患病率的影响强于社会经济地位和糖尿病的影响，而不是文化适应与糖尿病的关系。这项研究的结果表明，文化因素对墨西哥裔美国人肥胖和糖尿病的影响比社会经济因素更普遍。然而，妇女的社会经济地位的影响是不容忽视的，特别是在肥胖方面。
The authors hypothesized that increased socioeconomic status and acculturation of Mexican Americans to mainstream US society would be accompanied by a progressive lessening of obesity and non-insulin-dependent diabetes mellitus. This hypothesis was tested in 1979-1982 in the San Antonio Heart Study, a population-based study of 1,288 Mexican Americans and 929 non-Hispanic whites, aged 25-64 years, randomly selected from three San Antonio neighborhood, and a high-income suburb. Socioeconomic status was assessed by the Duncan Socioeconomic Index, a global mesures of socioeconomic status based on occupational prestige. Acculturation was assessed by three scales which measure functional integration with mainstream society, value placed on preserving Mexican cultural origin, and attitude toward traditional family structure and sex-role organization. In Mexican-American men, increased acculturation was accompanied by a statistically significant, linear decline in both obesity and diabetes, while socioeconomic status had no significant effect on either outcome. In Mexican-American women, on the other hand, increased acculturation and increased socioeconomic status were accompanied by statistically significant, linear declines in both outcomes. However, the effects of acculturation on obesity and diabetes prevalence in women were stronger than the effects of socioeconomic status and diabetes than of the relation between acculturation and diabetes. The results of this study suggest that culturally mediated factors exert a more pervasive influence on obesity and diabetes in Mexican Americans than do socioeconomically mediated factors. The influence of socioeconomic status in women, however, cannot be ignored, particularly with regard to obesity.