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Acculturation and Diabetes Risk in the Mexican American Mano a Mano Cohort
Chelsea Anderson1, Hua Zhao1, Carrie R Daniel1
1Chelsea Anderson, Hua Zhao, Carrie R. Daniel, Qiong Dong, Kplola Y. Elhor Gbito, Xifeng Wu, and Wong-Ho Chow are with the Department of Epidemiology, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, TX. Chelsea Anderson and Amber Hromi-Fiedler are with Yale School of Public Health, New Haven, CT.
Objectives:
To investigate the association between acculturation and diabetes risk in the Mexican American Mano a Mano (hand to hand) Cohort.
Methods:
We recruited 15 975 men and women in the Houston, Texas, area from 2001 to 2014. We used language use, birth country, and duration of US residence (among Mexico-born) to assess acculturation. Participants self-reported a physician's diagnosis of diabetes during annual follow-up over an average of 5.4 (range = 1-13) years. Self-reported diabetes status was validated in medical records for a subset of 235 participants with 98% agreement.
Results:
Diabetes risk was higher among immigrants with 15 to 19, 20 to 24, and 25 or more years (relative risk = 1.47; 95% confidence interval = 1.07, 2.01) of US residence, relative to those with less than 5 years. Neither language acculturation nor birth country was significantly associated with diabetes risk.
Conclusions:
Among participants born in Mexico, diabetes risk increased with longer duration of US residence.
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