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Erschienen in: Journal of Immigrant and Minority Health 6/2012

01.12.2012 | Original Paper

Migration Status in Relation to Clinical Characteristics and Barriers to Care Among Youth with Diabetes in the US

verfasst von: Lindsay M. Jaacks, Reena Oza-Frank, Ralph D’Agostino Jr., Lawrence M. Dolan, Dana Dabelea, Jean M. Lawrence, Catherine Pihoker, M. Rebecca O’Connor, Barbara Linder, Giuseppina Imperatore, Michael Seid, K. M. Venkat Narayan, Elizabeth J. Mayer-Davis

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 6/2012

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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.
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Metadaten
Titel
Migration Status in Relation to Clinical Characteristics and Barriers to Care Among Youth with Diabetes in the US
verfasst von
Lindsay M. Jaacks
Reena Oza-Frank
Ralph D’Agostino Jr.
Lawrence M. Dolan
Dana Dabelea
Jean M. Lawrence
Catherine Pihoker
M. Rebecca O’Connor
Barbara Linder
Giuseppina Imperatore
Michael Seid
K. M. Venkat Narayan
Elizabeth J. Mayer-Davis
Publikationsdatum
01.12.2012
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 6/2012
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-012-9617-3

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