Sociocultural and socioeconomic influences on type 2 diabetes risk in overweight/obese African-American and Latino-American children and adolescents.
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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.
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Associate Professor in the Sanford School of Public Policy
Jay A. Pearson’s research examines how policy sponsored structural inequality influences social determination of health. A native of Hertford County North Carolina, Pearson’s early experiences in the rural agricultural south shaped his academic interests and inform his research agenda. Pearson began his public health career as a U.S. Peace Corps Volunteer in Honduras where he worked on child survival. He trained and evaluated midwives and village health workers in nutritional counsel