Sociocultural and socioeconomic influences on type 2 diabetes risk in overweight/obese African-American and Latino-American children and adolescents.
Repository Usage Stats
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.
Analysis of Variance
Diabetes Mellitus, Type 2
Health Knowledge, Attitudes, Practice
Surveys and Questionnaires
Published Version (Please cite this version)10.1155/2013/512914
Publication InfoHasson, 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.
More InfoShow full item record
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
Articles written by Duke faculty are made available through the campus open access policy. For more information see: Duke Open Access Policy
Rights for Collection: Scholarly Articles
Works are deposited here by their authors, and represent their research and opinions, not that of Duke University. Some materials and descriptions may include offensive content. More info