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

Hasson, Rebecca E

Adam, Tanja C

Pearson, Jay

Davis, Jaimie N

Spruijt-Metz, Donna

Goran, Michael I

United States

2015-02-18T14:34:13Z

2013

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.

http://www.ncbi.nlm.nih.gov/pubmed/23762538

2090-0716

https://hdl.handle.net/10161/9485

eng

Hindawi Limited

J Obes

10.1155/2013/512914

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

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

Journal article

http://www.ncbi.nlm.nih.gov/pubmed/23762538

512914

Duke

Duke Population Research Center

Duke Population Research Institute

Sanford School of Public Policy

Staff

Published

2013