THE ASSOCIATION BETWEEN ACCULTURATION AND RISK FOR TYPE 2 DIABETES IN MEXICAN-AMERICAN CHILDREN AND ADOLESCENTS

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dc.creatorRetana, Jos� D.
dc.creatorProffitt Leyva, Randi
dc.creatorFulda, Kimberly
dc.creatorFranks, Susan
dc.date.accessioned2019-08-22T19:50:58Z
dc.date.available2019-08-22T19:50:58Z
dc.date.issued2014-03
dc.date.submitted2014-02-04T12:37:31-08:00
dc.descriptionResearch Appreciation Day Award Winner - 2014 Texas Prevention Institute Awards - 2nd Place Poster Presentation
dc.description.abstractThe Association between Acculturation and Risk for Type 2 Diabetes in Mexican-American Children and Adolescents Purpose/Intro: Type 2 diabetes mellitus (DM2) is increasing in children and adolescents of all races/ethnicities in the United States, but especially in minorities such as Hispanics. In particular, Mexican-American children and adolescents are experiencing onset of DM2 at alarming rates. The purpose of this study was to examine the relationship between acculturation to a Mexican or Anglo orientation and risk for DM2. Methods: Participants completed demographic questions and the brief Acculturation Rating Scale for Mexican Americans II (Brief ARSMA-II). A linear acculturation score was derived from the Mexican Oriented Scale (MOS) and the Anglo Oriented Scale (AOS). Adolescents 10-14 years and a parent/legal guardian were included. At risk for DM2 was determined by having ≥3 of the following: relative with diabetes, BMI 95th percentile, blood pressure 95th percentile, elevated glucose, or positive for Acanthosis Nigricans. Simple and multiple logistic regressions were performed with risk of DM2 (high/low) as the outcome and acculturation score as the primary predictor. The adjusted model controlled for child’s age, gender, highest household education, child and maternal birth country (US/not US). Results: Participants (N=144) were 49% female and 51% male. The mean age was 11.96 years (SD=1.45). Forty-five children/adolescents (31.3%) had 3 of 5 risk factors for DM2. Approximately half (53.3%) of high risk children/adolescents were “strongly Anglo-oriented” and “Assimilated”. Higher acculturation was associated with an increased odds of being high risk for DM2 [OR=1.50; 95% CI (1.00-2.25)] Conclusions: For each degree of increased Anglo acculturation, risk for DM2 increased by 50%. Therefore, children of Mexican descent are more at risk for DM2 as they/their families become more acculturated to the Anglo cultural orientation. The degree of acculturation of a child/family should be taken into consideration when developing diabetes preventions and interventions.
dc.identifier.urihttps://hdl.handle.net/20.500.12503/27100
dc.language.isoen
dc.subjectdiabetes
dc.subjectacculturation
dc.subjectrisk
dc.titleTHE ASSOCIATION BETWEEN ACCULTURATION AND RISK FOR TYPE 2 DIABETES IN MEXICAN-AMERICAN CHILDREN AND ADOLESCENTS
dc.typeposter
dc.type.materialtext

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