Commentary: Reconsidering the Role of Context in Diabetes Prevention

Mezuk, Briana; Concha, Jeannie B.; Perrin, Paul B.; Green, Tiffany

doi:10.18865/ed.27.1.63

Cited by 9 publications

(5 citation statements)

References 24 publications

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“…In other words, it might also be possible that the association represents reverse causation between poor health and lower educational attainment and earnings . Additionally, higher income or higher socio‐economic status might reflect, at least to some extent, a healthier lifestyle in general. Similar relationships could be expected to influence weight control, physical activity, physical health and mental well‐being during pregnancy and hence decrease the risk of GDM.…”

Section: Discussionmentioning

confidence: 99%

Impact of maternal income on the risk of gestational diabetes mellitus in primiparous women

et al. 2019

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Aims Findings concerning the impact of socio‐economic status on the risk of gestational diabetes mellitus (GDM) are inconclusive and little is known about the simultaneous impact of income and educational attainment on the risk of GDM. This study aims to assess the impact of maternal prepregnancy income in combination with traditional GDM risk factors on the incidence of GDM in primiparous women. Methods This is an observational cohort study including 5962 Finnish women aged ≥ 20 years from the city of Vantaa, Finland, who delivered for the first time between 2009 and 2015, excluding women with pre‐existing diabetes mellitus. The Finnish Medical Birth Register, Finnish Tax Administration, Statistics Finland, Social Insurance Institution of Finland and patient healthcare records provided data for the study. We divided the study population according to five maternal income levels and four educational attainment levels. Results Incidence of GDM decreased with increasing income level in primiparous women (P < 0.001 for linearity, adjusted for smoking, age, BMI and cohabiting status). In an adjusted two‐way model, the relationship was significant for both income (P = 0.007) and education (P = 0.039), but there was no interaction between income and education (P = 0.52). Conclusions There was an inverse relationship between both maternal prepregnancy taxable income and educational attainment, and the risk of GDM in primiparous Finnish women.

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Section: Discussionmentioning

confidence: 99%

Impact of maternal income on the risk of gestational diabetes mellitus in primiparous women

et al. 2019

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“…There is no single analysis that will ever test the "full" EA Model, just like there is no single analysis that can ever test the "full" fundamental cause framework, life course framework, stress-process model, etc. Rather, these theories, like the EA Model, inform the generation of research questions and the formation of testable hypotheses, determine choice of study design, inclusion/exclusion criteria, measurement strategies, and analytic tools, and guide the interpretation of results (Mezuk et al, 2017). Box (1979) said: "All models are wrong but some are useful" (Box, 1979).…”

Section: Discussionmentioning

confidence: 99%

Theory and empiricism: A comment on “Interrogating the environmental affordances model” by Pamplin and colleagues

Mezuk

Toro

Gough

et al. 2021

Social Science & Medicine

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We strongly support efforts to generate, rigorously test, and falsify hypotheses derived from the Environmental Affordances (EA) Model of Health Disparities, as originated by the late Dr. James S. Jackson (1940Jackson ( -2020. Such efforts are critical to establishing robust, theoretically grounded scientific frameworks that explain the fundamental causes of racial disparities in health and wellbeing. Pamplin et al. ( 2021) fundamentally misrepresents the EA Model as a framework that (falsely) reifies the role of race as a determinant of health behaviors and health outcomes. Further, both their study design and analytic approach are inappropriate for testing predictions of this framework. We address these issues with the goal of recentering the scholarly conversation about how stress contributes to health, and disparities in health, over the life course.

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“…Disparities do not emerge solely at the level of individual behaviors; rather, they originate at the intersection of environmental, psychosocial, and biological contexts [25][26][27]. However, few investigators have the skills needed to pose and test innovative hypotheses about this intersection, particularly among marginalized groups [17,28].…”

Section: Rationale For the Michigan Integrative Well-being And Inequa...mentioning

confidence: 99%

Integrative approaches to methods training for early-career scientists: Rationale and process evaluation of the first cohort of the Michigan Integrative Well-Being and Inequality Training Program

Mezuk¹,

Zhong²,

Firestone³

2023

J. Clin. Trans. Sci.

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Background: The Michigan Integrative Well-Being and Inequality (MIWI) Training Program aims to provide state-of-the-art, interdisciplinary training to enhance the methodological skills of early-career scientists interested in integrative approaches to understanding health disparities. The goals of this paper are to describe the scientific rationale and core design elements of MIWI, and to conduct a process evaluation of the first cohort of trainees (called “scholars”) to complete this program. Methods: Mixed methods process evaluation of program components and assessment of trainee skills and network development of the first cohort (n = 15 scholars). Results: The program drew 57 applicants from a wide range of disciplines. Of the 15 scholars in the first cohort, 53% (n = 8) identified as an underrepresented minority, 60% (n = 9) were within 2 years of completing their terminal degree, and most (n = 11, 73%) were from a social/behavioral science discipline (e.g., social work, public health). In the post-program evaluation, scholars rated their improvement in a variety of skills on a one (not at all) to five (greatly improved) scale. Areas of greatest growth included being an interdisciplinary researcher (mean = 4.47), developing new research collaborations (mean = 4.53), and designing a research study related to integrative health (mean = 4.27). The qualitative process evaluation indicated that scholars reported a strong sense of community and that the program broadened their research networks. Conclusions: These findings have implications for National Institutes of Health (NIH) efforts to train early-career scientists, particularly from underrepresented groups, working at the intersection of multiple disciplines and efforts to support the formation of research networks.

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Commentary: Reconsidering the Role of Context in Diabetes Prevention

Cited by 9 publications

References 24 publications

Impact of maternal income on the risk of gestational diabetes mellitus in primiparous women

Impact of maternal income on the risk of gestational diabetes mellitus in primiparous women

Theory and empiricism: A comment on “Interrogating the environmental affordances model” by Pamplin and colleagues

Integrative approaches to methods training for early-career scientists: Rationale and process evaluation of the first cohort of the Michigan Integrative Well-Being and Inequality Training Program

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