Sociocultural and Socioeconomic Influences on Type 2 Diabetes Risk in Overweight/Obese African-American and Latino-American Children and Adolescents
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 ris...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2013/512914 |
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| author | Rebecca E. Hasson Tanja C. Adam Jay Pearson Jaimie N. Davis Donna Spruijt-Metz Michael I. Goran |
| author_facet | Rebecca E. Hasson Tanja C. Adam Jay Pearson Jaimie N. Davis Donna Spruijt-Metz Michael I. Goran |
| author_sort | Rebecca E. Hasson |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-c5b00c80ea984973ad4b5793c3d79b5b |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-c5b00c80ea984973ad4b5793c3d79b5b2025-02-03T01:02:38ZengWileyJournal of Obesity2090-07082090-07162013-01-01201310.1155/2013/512914512914Sociocultural and Socioeconomic Influences on Type 2 Diabetes Risk in Overweight/Obese African-American and Latino-American Children and AdolescentsRebecca E. Hasson0Tanja C. Adam1Jay Pearson2Jaimie N. Davis3Donna Spruijt-Metz4Michael I. Goran5Schools of Kinesiology and Public Health, University of Michigan, 1402 Washington Heights, 2110 Observatory Lodge, Ann Arbor, MI 48109, USADepartment of Human Biology, Maastricht University, Maastricht, The NetherlandsSanford School of Public Policy, Duke University, Durham, NC 27708, USADepartment of Nutritional Sciences, University of Texas Austin, Austin, TX 78712, USADepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USADepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USAPurpose. 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://dx.doi.org/10.1155/2013/512914 |
| spellingShingle | Rebecca E. Hasson Tanja C. Adam Jay Pearson Jaimie N. Davis Donna Spruijt-Metz Michael I. Goran Sociocultural and Socioeconomic Influences on Type 2 Diabetes Risk in Overweight/Obese African-American and Latino-American Children and Adolescents Journal of Obesity |
| title | Sociocultural and Socioeconomic Influences on Type 2 Diabetes Risk in Overweight/Obese African-American and Latino-American Children and Adolescents |
| title_full | Sociocultural and Socioeconomic Influences on Type 2 Diabetes Risk in Overweight/Obese African-American and Latino-American Children and Adolescents |
| title_fullStr | Sociocultural and Socioeconomic Influences on Type 2 Diabetes Risk in Overweight/Obese African-American and Latino-American Children and Adolescents |
| title_full_unstemmed | Sociocultural and Socioeconomic Influences on Type 2 Diabetes Risk in Overweight/Obese African-American and Latino-American Children and Adolescents |
| title_short | Sociocultural and Socioeconomic Influences on Type 2 Diabetes Risk in Overweight/Obese African-American and Latino-American Children and Adolescents |
| title_sort | sociocultural and socioeconomic influences on type 2 diabetes risk in overweight obese african american and latino american children and adolescents |
| url | http://dx.doi.org/10.1155/2013/512914 |
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