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The effects of gender and country of origin on acculturation, psychological factors, lifestyle factors, and diabetes-related physiological outcomes among Mexican Americans: The Starr County diabetes prevention initiative.
Brown, Sharon A; Becker, Heather A; García, Alexandra A; Velasquez, Mary M; Tanaka, Hirofumi; Winter, Mary A; Perkison, William B; Brown, Eric L; Aguilar, David; Hanis, Craig L.
Afiliação
  • Brown SA; School of Nursing, 12330The University of Texas at Austin, Austin, TX, USA.
  • Becker HA; School of Nursing, 12330The University of Texas at Austin, Austin, TX, USA.
  • García AA; School of Nursing, 12330The University of Texas at Austin, Austin, TX, USA.
  • Velasquez MM; 143057School of Social Work, The University of Texas at Austin, Austin, TX, USA.
  • Tanaka H; Department of Kinesiology & Health Education, College of Education, 12330The University of Texas at Austin, Austin, TX, USA.
  • Winter MA; School of Nursing, 12330The University of Texas at Austin, Austin, TX, USA.
  • Perkison WB; 49219School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
  • Brown EL; 49219School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
  • Aguilar D; UK HealthCare, Department of Internal Medicine, 12252University of Kentucky, Lexington, KY, USA.
  • Hanis CL; 49219School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
Chronic Illn ; 19(2): 444-457, 2023 06.
Article em En | MEDLINE | ID: mdl-35331025
OBJECTIVES: Examine acculturation and psychological, lifestyle, and physiological factors based on gender and country of origin (U.S. vs. Mexico). METHODS: Baseline data from the Starr County diabetes prevention study (N = 300) were analyzed - acculturation (language), psychological factors (depression), lifestyle factors (sedentary behaviors), and diabetes-related physiological outcomes (insulin resistance). MANOVA and linear regression were used to examine variable relationships based on gender and country of origin and identify predictors of depression and insulin resistance. RESULTS: Participants were: predominantly female (73%); 51 years of age, on average; born in Mexico (71%); and Spanish-speaking. Individuals spent 11 of their waking hours (range = 0-18 h) in sedentary activities. Compared to females, more males spoke English and reported fewer hours in sedentary activities. Compared to participants born in Mexico, those born in the U.S. were more likely to: speak English; report depressive symptoms; and exhibit elevated BMI and insulin resistance rates. Two distinct models significantly predicted depression (R2 = 14.5%) and insulin resistance (R2 = 26.8%), with acculturation-language entering into both models. DISCUSSION: Significant gender and country-of-origin differences were found. Future research on diabetes prevention should examine other Hispanic subgroups and strategies for addressing individual differences, while employing cost-effective group interventions that incorporate these differences and reach more at-risk individuals.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Resistência à Insulina / Diabetes Mellitus Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Female / Humans / Male País/Região como assunto: Mexico Idioma: En Revista: Chronic Illn Assunto da revista: MEDICINA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Resistência à Insulina / Diabetes Mellitus Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Female / Humans / Male País/Região como assunto: Mexico Idioma: En Revista: Chronic Illn Assunto da revista: MEDICINA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos