Lifestyle behaviors and ethnic identity among diverse women at high risk for type 2 diabetes

Brown, Susan D.; Ehrlich, Samantha F.; Kubo, Ai; Tsai, Ai‐Lin; Hedderson, Monique M.; Quesenberry, Charles P.; Ferrara, Assiamira

doi:10.1016/j.socscimed.2016.05.024

Cited by 19 publications

(15 citation statements)

References 54 publications

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“…In our study, higher psychological acculturation was associated with an overall healthier diet quality, differing from the usual hypothesis of unhealthy dietary behaviors having been gained in the United States (3,9). The results also contrast to findings that higher US-American orientation was associated with lower diet quality scores in Mexican mothers living in California (41) and that higher ethnic identity was associated with higher intake of fiber and fruit/vegetables in ethnically diverse women with gestational diabetes (42); this highlights the population-specific dynamics of dietary acculturation. In 1 Presented as means (SEs), adjusted for age, sex, and energy (except total energy intake).…”

Section: Discussioncontrasting

confidence: 99%

Dietary Acculturation among Puerto Rican Adults Varies by Acculturation Construct and Dietary Measure

Mattei

McClain

Falcón

et al. 2018

The Journal of Nutrition

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Background The role of acculturation in dietary behaviors among Hispanics/Latinos in the United States remains unclear. Discrepancies may be explained by variations in acculturation constructs or ethnicity-specific dynamics. Objective We aimed to compare relations between 3 different acculturation constructs with dietary quality and patterns among Puerto Ricans in the mainland United States. Methods We analyzed cross-sectional data with 1194–1380 Puerto Ricans, aged 45–75 y. Acculturation was measured with the use of a language-based scale (0–100; higher score denotes more English use), a psychological-based scale (0–50; higher score denotes stronger US orientation), and years living in the mainland United States. Diet quality scores (higher scores denote healthier diet) were defined with the use of the Alternate Healthy Eating Index-2010 (AHEI) and the Mediterranean Diet Score (MeDS). Three dietary patterns were previously derived with the use of principal components analysis. Adjusted multivariable regression models tested the association of each acculturation construct with diet quality score or pattern. Interaction terms were included for income or education status. Results Psychological-based acculturation, but not the other constructs, was positively associated with AHEI (β ± SE: 0.013 ± 0.004; P = 0.002) and MeDS (0.009 ± 0.005; P = 0.041). Income, but not education, moderated this association (P = 0.03), with higher diet quality observed with higher income (>$25,000) and stronger US orientation. All constructs were inversely associated with a traditional dietary pattern, with the language-based scale being stronger (z score β ± SE: −0.160 ± 0.032; P < 0.0001) than the psychological-based scale (−0.097 ± 0.028; P = 0.001) or years living in the mainland United States (−0.058 ± 0.028; P = 0.041). No associations were observed for the Western or sweets/desserts patterns. Conclusions In Puerto Rican adults, stronger psychological US orientation was associated with higher diet quality, particularly with higher income. More Spanish use, stronger psychological Puerto Rican orientation, and shorter length of mainland-US residency were associated with traditional dietary patterns. Appropriate diet-related acculturation constructs should be carefully considered among Hispanics/Latinos. This trial was registered at clinicaltrials.gov as NCT01231958.

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Section: Discussioncontrasting

confidence: 99%

Dietary Acculturation among Puerto Rican Adults Varies by Acculturation Construct and Dietary Measure

Mattei

McClain

Falcón

et al. 2018

The Journal of Nutrition

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“…Even though the precise mechanism accounting for ethnic discrepancy is uncertain, differences in both social factors among various populations and genetic backgrounds might be significant. The unique lifestyles and cultures of ethnically diverse subjects might contribute not only to vulnerability for specific diabetic complications but also to different genetic characteristics [46,47]. Therefore, the relationship between AR C(-106)T polymorphism and DR might be founded in differing ethnicities.…”

Section: Discussionmentioning

confidence: 99%

Association between Aldose Reductase Gene C(-106)T Polymorphism and Diabetic Retinopathy: A Systematic Review and Meta-Analysis

Lin¹,

Peng²,

Cao³

et al. 2020

Ophthalmic Res

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Controversial results regarding the associations between aldose reductase (AR) genetic polymorphisms and diabetic retinopathy (DR) have been reported for many years. The present meta-analysis was performed to clarify the effects of the AR gene C(-106)T polymorphism on DR risk. The PubMed, Web of Sciences, Cochrane library, EMBASE, Chinese National Knowledge Infrastructure, and Wan Fang databases were extensively searched in Chinese to select relevant studies with an updated date of April 25, 2018. The Newcastle-Ottawa Scale (NOS) was applied to assess quality. The randomeffects model was applied to calculate the pooled OR and 95% CI. This meta-analysis identified 23 studies with an average score of 7.52 for NOS analysis, including 4,313 DR cases and 5,128 diabetes mellitus (DM) control cases. In the overall analysis, a significant association between the AR gene C(-106)T polymorphism and DR susceptibility was found. In subgroups stratified by DM type and ethnicity, significantly increased risks for DR were found in DM type 1, East Asian populations, and Middle Eastern populations. Compared with DR control cases, the following associations were found: T vs. C: OR 0.91, 95% CI 0.85-0.97, I 2 = 72.9%; CT + TT vs. CC: OR 0.75, 95% CI 0.68-0.81, I 2 = 86.7%; and CT vs. CC: OR 0.86, 95% CI 0.78-0.94, I 2 = 70.5%. The results of this meta-analysis showed a significant association between the AR gene C(-106)T polymorphism and susceptibility to DR in DM patients. DM patients with allele T and CT+TT genotype of the AR gene may have a lower risk of DR.

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“…To our knowledge, few if any studies have evaluated the relationship between EID, education, and diabetes. Brown and colleagues have demonstrated the association between positive EID and healthy dietary intake but do not extend their research to investigate the influence of socioeconomic factors to understand Hispanic/Latino health advantages/disadvantages (Brown et al, 2016). Another strength of our research includes the additional examination of EID, education, and their interaction with MD/AD disorders and obesity.…”

Section: Discussionmentioning

confidence: 99%

Hispanic/Latino Ethnic Identity and Diabetes: An Examination of Underlying Acculturation Processes and the Hispanic/Latino Health Advantage

2021

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Background. Hispanics/Latinos in the United States experience both a health advantage and disadvantage in developing diabetes. Ethnic identity, a predictor of psychological well-being, has not been widely applied to physical health outcomes. The objective of this study is to apply what is known regarding ethnic identity and psychological health to physical health outcomes (diabetes) and to explore the moderating effect of education as a possible underlying mechanism of the Hispanic Health Advantage/Disadvantage. Specifically, this study examines (a) the association between ethnic identity and diabetes prevalence among adult Hispanics/Latinos and (b) determines whether education modifies this relationship. Method. Data come from the nationally representative adult U.S. household study, National Latino and Asian American Study (NLAAS), collected in 2001 to 2003 ( N = 1,746). Multiple logistic regression was conducted to examine the relationship between ethnic identity, education, and their interaction with likelihood of diabetes. Results. Hispanics/Latinos with high ethnic identity have a higher odds of reporting diabetes among those with 13 to 15 years of education (odds ratio: 1.84; 95% confidence interval: 1.16–2.92) and a lower odds among those with 16+ years of education (odds ratio: 0.53; 95% confidence interval: 0.34–0.84). Ethnic identity is associated with diabetes prevalence and the relationship is moderated by educational attainment. Conclusion. Given the growth, diversity, and diabetes disparities among Hispanics/Latinos, our buffering and exacerbating findings exemplify the complexity and fluidity of theory in understanding psychological/behavioral processes. The findings highlight the importance of designing targeted health interventions that take into account the diverse psychosocial and educational experiences of Hispanics/Latinos.

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Lifestyle behaviors and ethnic identity among diverse women at high risk for type 2 diabetes

Cited by 19 publications

References 54 publications

Dietary Acculturation among Puerto Rican Adults Varies by Acculturation Construct and Dietary Measure

Dietary Acculturation among Puerto Rican Adults Varies by Acculturation Construct and Dietary Measure

Association between Aldose Reductase Gene C(-106)T Polymorphism and Diabetic Retinopathy: A Systematic Review and Meta-Analysis

Hispanic/Latino Ethnic Identity and Diabetes: An Examination of Underlying Acculturation Processes and the Hispanic/Latino Health Advantage

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