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
foreign-born 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.
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
foreign-born 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.
- Content Type Journal Article
- Category Original Paper
- Pages 1-10
- DOI 10.1007/s10903-012-9617-3
- Authors
- Lindsay M. Jaacks, Department of Nutrition, The University of North Carolina, 2211 McGavran-Greenberg Hall, 135 Dauer Drive, Campus Box 7461, Chapel Hill, NC 27599, USA
- Reena Oza-Frank, Department of Pediatrics, Research Institute at Nationwide Children’s Hospital, The Ohio State University, Columbus, OH, USA
- Ralph D’Agostino, Department of Biostatistics, Wake Forest University School of Medicine, Winston-Salem, NC, USA
- Lawrence M. Dolan, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
- Dana Dabelea, Department of Epidemiology, The University of Colorado, Denver, CO, USA
- Jean M. Lawrence, Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA
- Catherine Pihoker, Seattle Children’s Hospital, Seattle, WA, USA
- M. Rebecca O’Connor, Seattle Children’s Hospital, Seattle, WA, USA
- Barbara Linder, National Institutes of Health, NIDDK, Bethesda, MD, USA
- Giuseppina Imperatore, Center for Disease Control and Prevention, Atlanta, GA, USA
- Michael Seid, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
- K. M. Venkat Narayan, Hubert Department of Global Health, Emory University, Atlanta, GA, USA
- Elizabeth J. Mayer-Davis, Department of Nutrition, The University of North Carolina, 2211 McGavran-Greenberg Hall, 135 Dauer Drive, Campus Box 7461, Chapel Hill, NC 27599, USA
- Journal Journal of Immigrant and Minority Health
- Online ISSN 1557-1920
- Print ISSN 1557-1912