Association of acculturation levels and prevalence of diabetes in the multi-ethnic study of atherosclerosis (MESA).
Association of acculturation levels and prevalence of diabetes in the multi-ethnic study of atherosclerosis (MESA).
复制标题
DOI：
10.2337/dc07-2182
复制
发表时间：
2008-08
期刊：
影响因子：
16.2
通讯作者：
Schreiner PJ
中科院分区：
文献类型：
--
作者：
Kandula NR;Diez-Roux AV;Chan C;Daviglus ML;Jackson SA;Ni H;Schreiner PJ
目的——西班牙裔和亚裔美国人中 2 型糖尿病的患病率正在增加。这些群体主要由移民组成，他们可能正在经历与糖尿病相关的行为和生活方式的改变。我们在动脉粥样硬化多种族研究 (MESA) 中以 708 名墨西哥裔西班牙裔、547 名非墨西哥裔西班牙裔和 737 名中国参与者为样本，研究了文化适应与糖尿病之间的关联。研究设计和方法——糖尿病的定义是空腹血糖≥126 mg/dl 和/或使用抗糖尿病药物。根据出生地、在美国居住的年数以及在家使用的语言计算所有参与者的文化适应分数。分数范围为 0 到 5（0 = 文化程度最低，5 = 文化程度最高）。相对风险回归用于估计文化适应与糖尿病之间的关联。结果——对于非墨西哥裔西班牙裔人来说，经过社会人口统计学调整后，糖尿病患病率与文化适应得分呈正相关。在文化程度最高的非墨西哥裔西班牙裔中，糖尿病患病率明显高于文化程度最低的非墨西哥裔西班牙裔（患病率 2.49 [95% CI 1.14−5.44]）；文化适应得分越高，糖尿病患病率越高（趋势P为0.059）。在调整体重指数或饮食后，文化适应与糖尿病之间的关系部分减弱。糖尿病患病率与中国或墨西哥裔西班牙裔的文化适应无关。结论——在 MESA 的非墨西哥裔西班牙裔中，文化适应程度越高，糖尿病患病率越高。这种关系至少部分是由体重指数和饮食调节的。在检查种族/族裔群体的糖尿病预测因素时，文化适应是应考虑的一个因素。
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.
登录
查看更多内容
影响因子：
4.9
作者：
Lauderdale, DS;Rathouz, PJ
通讯作者：
Rathouz, PJ
影响因子：
16.2
作者：
Cowie, Catherine C.;Engelgau, Michael M.;Gregg, Edward W.
通讯作者：
Gregg, Edward W.
影响因子：
5.4
作者：
Abraído-Lanza, AF;Chao, MT;Flórez, KR
通讯作者：
Flórez, KR
影响因子：
4.2
作者：
West, SK;Munoz, B;Snyder, R
通讯作者：
Snyder, R
影响因子：
5
作者：
Bild, DE;Bluemke, DA;Tracy, RP
通讯作者：
Tracy, RP