Journal of Immigrant and Minority Health
Volume 14, Issue 6, 2012, Pages 949-958

Migration status in relation to clinical characteristics and barriers to care among youth with diabetes in the US (Article)

Jaacks L.M. , Oza-Frank R. , D'Agostino Jr. R. , Dolan L.M. , Dabelea D. , Lawrence J.M. , Pihoker C. , Rebecca O'Connor M. , Linder B. , Imperatore G. , Seid M. , Venkat Narayan K.M. , Mayer-Davis E.J.*
  • a Department of Nutrition, University of North Carolina, 2211 McGavran-Greenberg Hall, 135 Dauer Drive, Campus Box 7461, Chapel Hill, NC 27599, United States
  • b Department of Pediatrics, Research Institute, Ohio State University, Columbus, OH, United States
  • c Department of Biostatistics, Wake Forest University, School of Medicine, Winston-Salem, NC, United States
  • d Cincinnati Children's Hospital, Medical Center, Cincinnati, OH, United States
  • e Department of Epidemiology, University of Colorado, Denver, CO, United States
  • f Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, United States
  • g Seattle Children's Hospital, Seattle, WA, United States
  • h Seattle Children's Hospital, Seattle, WA, United States
  • i National Institutes of Health, NIDDK, Bethesda, MD, United States
  • j Center for Disease Control and Prevention, Atlanta, GA, United States
  • k Cincinnati Children's Hospital, Medical Center, Cincinnati, OH, United States
  • l Department of Global Health, Emory University, Atlanta, GA, United States
  • m Department of Nutrition, University of North Carolina, 2211 McGavran-Greenberg Hall, 135 Dauer Drive, Campus Box 7461, Chapel Hill, NC 27599, United States, Department of Medicine, University of North Carolina, Chapel Hill, NC, United States

Abstract

Migration status and the accompanying diversity in culture, foods and family norms, may be an important consideration for practitioners providing individualized care to treat and prevent complications among youth with diabetes. Approximately 20 % of youth in the US have ≥1 foreign-born parent. However, the proportion and characteristics of youth with diabetes and ≥1 foreignborn parent have yet to be described. Study participants (n = 3,086) were from SEARCH for Diabetes in Youth, a prospective multi-center study in the US. Primary outcomes of interest included HbA1c, body mass index and barriers to care. Multivariable analyses were carried out using logistic regression and analysis of covariance. Approximately 17 % of participants with type 1 diabetes (T1D) and 22 % with type 2 diabetes (T2D) had ≥1 foreign-born parent. Youth with T1D and ≥1 foreign-born parent were less likely to have poor glycemic control [adjusted odds ratio (OR) (95 % confidence interval): 0.70(0.53, 0.94)]. Among youth with T2D, those with ≥1 foreign-born parent had lower odds of obesity [adjusted OR (95 % CI):0.35 (0.17, 0.70)]. This is the first study to estimate the proportion and characteristics of youth with diabetes exposed to migration in the US. Research into potential mechanisms underlying the observed protective effects is warranted. © Springer Science+Business Media, LLC (Outside the USA) 2012.

Author Keywords

US Migration youth diabetes

Index Keywords

prospective study Blood Glucose multicenter study insulin dependent diabetes mellitus non insulin dependent diabetes mellitus Diabetes Mellitus, Type 2 human Prospective Studies statistics diabetes mellitus Logistic Models United States Diabetes Mellitus, Type 1 Humans male Emigrants and Immigrants preschool child Socioeconomic Factors female Child, Preschool Multivariate Analysis socioeconomics Article glucose blood level migration statistical model Transients and Migrants Health Services Accessibility health care delivery Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84871994796&doi=10.1007%2fs10903-012-9617-3&partnerID=40&md5=cd9fcca89f745b7cb16d756a43116bd2
DOI: 10.1007/s10903-012-9617-3
ISSN: 15571912
Cited by: 4
Original Language: English