Type 2 diabetes is prevalent and poorly controlled among Hispanic elders of Caribbean origin

Tucker, Katherine L.; Bermúdez, Odilia I.; Castañeda, Carmen

doi:10.2105/ajph.90.8.1288

Cited by 96 publications

(28 citation statements)

References 37 publications

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“…The second study assessed Puerto Rican and Dominican residents of Massachusetts. The findings in this study showed that the prevalence of diabetes in Dominicans was 2-ro-3 times higher than for the general population 14 . Although both studies show that Dominicans are affected by diabetes, there is still a lack of research that contextualizes diabetes in this community, particularly related to diabetes self-management for this unique Hispanic subgroup.…”

Section: Diabetes and Dominicanscontrasting

confidence: 45%

Knowledge, Perceptions, and Experiences of Dominicans with Diabetes

Aponte

Boutin‐Foster

Alcántara³

2012

J Immigrant Minority Health

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Dominicans, one of the fastest growing Hispanic subgroups in New York City (NYC), have a high rate of diabetes. A qualitative study exploring Dominicans’ knowledge, perceptions, and experiences in managing their diabetes was conducted. There were a total of 40 participants who were Spanish speaking Dominicans, 40 to 74 years of age, diagnosed with diabetes and NYC residents. Four focus groups were conducted in Spanish, which were recorded and then transcribed into English. Content analysis was used to analyze the text of the focus groups. Different themes emerged from the data, with apparent gaps in diabetes knowledge and of awareness of risk for diabetes complications.

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Section: Diabetes and Dominicanscontrasting

confidence: 45%

Knowledge, Perceptions, and Experiences of Dominicans with Diabetes

Aponte

Boutin‐Foster

Alcántara³

2012

J Immigrant Minority Health

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“…However, higher perceived stress and cortisol concentration were related to elevated consumption of sweets only in those with diabetes. Compared to non-Hispanic whites, Puerto Ricans living in the U.S. were more likely to have diabetes (Tucker, Bermudez et al, 2000). Therefore, recurrent exposure to psychological stressors may have particularly important implications in this Hispanic community.…”

Section: Discussionmentioning

confidence: 99%

Relationship between perceived stress and dietary and activity patterns in older adults participating in the Boston Puerto Rican Health Study

2011

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Previous research supports a relationship between psychological stress and chronic disease in Puerto Rican adults living in the Boston, Massachusetts area. Stress may affect health by influencing dietary and physical activity patterns. Therefore, perceived stress and two hypothesized mediators of stress-related food intake, insulin and cortisol, were examined for possible associations with dietary and activity patterns in >1300 Puerto Ricans (aged 45–75 years; 70% women) living in the Boston, Massachusetts area. Data were analyzed using multiple linear regression and ANCOVA. Greater perceived stress was associated with lower fruit, vegetable, and protein intake, greater consumption of salty snacks, and lower participation in physical activity. Stress was associated with higher intake of sweets, particularly in those with type 2 diabetes. Cortisol and stress were positively associated in those without diabetes. Cortisol was associated with higher intake of saturated fat and, in those with diabetes, sweet foods. Independent of diabetes, perceived stress was associated with higher circulating insulin and BMI. Our findings support a link between stress, cortisol, and dietary and activity patterns in this population. For high-sugar foods, this relationship may be particularly important in those with type 2 diabetes. Longitudinal research to determine causal pathways for these identified associations is warranted.

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“…The current study, a secondary analysis of the original BPFHS, used the same items about alcohol use used previously in the Massachusetts Hispanic Elderly Study (MAHES) and in the National Health and Nutrition Examination Survey (NHANES) (24,25) . The alcohol-consumption measures were derived from questions in the alcohol section of the baseline interview.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with alcohol consumption patterns in a Puerto Rican urban cohort

Andrews-Chavez

Lee

Houser

et al. 2014

Public Health Nutr.

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Objective There is little research on factors associated with alcohol consumption among Puerto Ricans living in the USA; thus the aim of the present study was to examine alcohol intake patterns, and factors associated with drinking categories, in a cohort of Puerto Rican adults in Massachusetts. Design Cross-sectional study. Descriptive and polytomous logistic regression analyses were used to identify factors associated with drinking patterns, stratified by gender. Setting Greater Boston area, MA, USA. Subjects Puerto Rican adults (n 1292), aged 45–75 years. Results Eight per cent of men and 39 % of women were lifetime abstainers; 40 % of men and 25 % of women were former drinkers; 31 % of men and 27 % of women were moderate drinkers; and 21 % of men and 8 % of women were heavy drinkers. Thirty-five per cent of participants reported drinking alcohol while taking medications with alcohol contraindications. After multivariable adjustment, young men were less likely than older men to be moderate drinkers. Among women, higher BMI, age, lower income and lower psychological acculturation were associated with abstention; age and lower perceived emotional support were associated with increased likelihood of former drinking; and women without v. with diabetes were more likely to be heavy drinkers. Conclusions High prevalence of chronic disease, heavy drinking and alcohol use while taking medications with alcohol contraindications suggest an urgent need for better screening and interventions tailored to this rapidly growing Hispanic national subgroup. As heavy drinking appears to increase with acculturation for women, public health initiatives are needed to support appropriate alcohol use.

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Type 2 diabetes is prevalent and poorly controlled among Hispanic elders of Caribbean origin

Cited by 96 publications

References 37 publications

Knowledge, Perceptions, and Experiences of Dominicans with Diabetes

Knowledge, Perceptions, and Experiences of Dominicans with Diabetes

Relationship between perceived stress and dietary and activity patterns in older adults participating in the Boston Puerto Rican Health Study

Factors associated with alcohol consumption patterns in a Puerto Rican urban cohort

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