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Sociocultural and socioeconomic influences on type 2 diabetes risk in overweight/obese African-American and Latino-American children and adolescents.

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Date
2013
Authors
Hasson, Rebecca E
Adam, Tanja C
Pearson, Jay
Davis, Jaimie N
Spruijt-Metz, Donna
Goran, Michael I
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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 article
Subject
Adolescent
African 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
Permalink
https://hdl.handle.net/10161/9485
Published Version (Please cite this version)
10.1155/2013/512914
Publication 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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Scholars@Duke

Pearson

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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