Sociocultural and socioeconomic influences on type 2 diabetes risk in overweight/obese African-American and Latino-American children and adolescents.
Abstract
PURPOSE: It is unclear whether sociocultural and socioeconomic factors are directly
linked to type 2 diabetes risk in overweight/obese ethnic minority children and adolescents.
This study examines the relationships between sociocultural orientation, household
social position, and type 2 diabetes risk in overweight/obese African-American (n
= 43) and Latino-American (n = 113) children and adolescents. METHODS: Sociocultural
orientation was assessed using the Acculturation, Habits, and Interests Multicultural
Scale for Adolescents (AHIMSA) questionnaire. Household social position was calculated
using the Hollingshead Two-Factor Index of Social Position. Insulin sensitivity (SI),
acute insulin response (AIRG) and disposition index (DI) were derived from a frequently
sampled intravenous glucose tolerance test (FSIGT). The relationships between AHIMSA
subscales (i.e., integration, assimilation, separation, and marginalization), household
social position and FSIGT parameters were assessed using multiple linear regression.
RESULTS: For African-Americans, integration (integrating their family's culture with
those of mainstream white-American culture) was positively associated with AIRG (β
= 0.27 ± 0.09, r = 0.48, P < 0.01) and DI (β = 0.28 ± 0.09, r = 0.55, P < 0.01). For
Latino-Americans, household social position was inversely associated with AIRG (β
= -0.010 ± 0.004, r = -0.19, P = 0.02) and DI (β = -20.44 ± 7.50, r = -0.27, P < 0.01).
CONCLUSIONS: Sociocultural orientation and household social position play distinct
and opposing roles in shaping type 2 diabetes risk in African-American and Latino-American
children and adolescents.
Type
Journal articleSubject
AdolescentAfrican Americans
Age Factors
Analysis of Variance
Chi-Square Distribution
Child
Cultural Characteristics
Diabetes Mellitus, Type 2
Family Characteristics
Female
Health Knowledge, Attitudes, Practice
Health Surveys
Hispanic Americans
Humans
Linear Models
Male
Pediatric Obesity
Prognosis
Risk Assessment
Risk Factors
Socioeconomic Factors
Surveys and Questionnaires
United States
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https://hdl.handle.net/10161/9485Published Version (Please cite this version)
10.1155/2013/512914Publication Info
Hasson, Rebecca E; Adam, Tanja C; Pearson, Jay; Davis, Jaimie N; Spruijt-Metz, Donna;
& Goran, Michael I (2013). Sociocultural and socioeconomic influences on type 2 diabetes risk in overweight/obese
African-American and Latino-American children and adolescents. J Obes, 2013. pp. 512914. 10.1155/2013/512914. Retrieved from https://hdl.handle.net/10161/9485.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Jay A. Pearson
H. M. Foundation Associate Professor of Public Policy
Jay A. Pearson’s research, teaching and advocacy address how policy sponsored and
structurally rooted social inequality influence the social determination of health
disadvantage. A native of Hertford County North Carolina, Pearson’s early experiences
in the rural agricultural south shaped and informed his professional interests. Pearson
began his public health career as a U.S. Peace Corps Volunteer in Honduras where he
worked as a child survival health specialist training and evaluat

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