Investigating social ecological contributors to diabetes within Hispanics in an underserved U.S.-Mexico border community.

Jean Chang, Mignonne C. Guy, Cecilia Rosales, Jill G. de Zapien, Lisa Staten, Maria L. Fernandez, Scott C. Carvajal

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Hispanics bear a disproportionate burden of diabetes in the United States, yet relations of structural, socio-cultural and behavioral factors linked to diabetes are not fully understood across all of their communities. The current study examines disparities and factors associated with diabetes in adult Hispanics of Mexican-descent (N = 648) participating in a population survey of an underserved rural U.S.-Mexico border community. The overall rate of diabetes prevalence rate in the sample, based on self-report and a glucose testing, was 21%; much higher than rates reported for U.S. adults overall, for all Hispanic adults, or for Mexican American adults specifically. Acculturation markers and social determinants of health indicators were only significantly related to diabetes in models not accounting for age. Older age, greater BMI (>30), greater waist-to-hip ratio as well as lower fruit and vegetable consumption were significantly related to increased likelihood of diabetes when all structural, cultural, behavioral, and biological factors were considered. Models with sets of behavioral factors and biological factors each significantly improved explanation of diabetes relative to prior social ecological theory-guided models. The findings show a critical need for diabetes prevention efforts in this community and suggest that health promotion efforts should particularly focus on increasing fruit and vegetable consumption.

Original languageEnglish (US)
Pages (from-to)3217-3232
Number of pages16
JournalInternational Journal of Environmental Research and Public Health
Volume10
Issue number8
StatePublished - Aug 2013
Externally publishedYes

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Mexico
Hispanic Americans
Biological Factors
Vegetables
Fruit
Social Determinants of Health
Acculturation
Waist-Hip Ratio
Vulnerable Populations
Health Promotion
Self Report
Glucose

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis
  • Medicine(all)

Cite this

Investigating social ecological contributors to diabetes within Hispanics in an underserved U.S.-Mexico border community. / Chang, Jean; Guy, Mignonne C.; Rosales, Cecilia; de Zapien, Jill G.; Staten, Lisa; Fernandez, Maria L.; Carvajal, Scott C.

In: International Journal of Environmental Research and Public Health, Vol. 10, No. 8, 08.2013, p. 3217-3232.

Research output: Contribution to journalArticle

Chang, Jean ; Guy, Mignonne C. ; Rosales, Cecilia ; de Zapien, Jill G. ; Staten, Lisa ; Fernandez, Maria L. ; Carvajal, Scott C. / Investigating social ecological contributors to diabetes within Hispanics in an underserved U.S.-Mexico border community. In: International Journal of Environmental Research and Public Health. 2013 ; Vol. 10, No. 8. pp. 3217-3232.
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