Arch G. Mainous|Azeem Majeed|Richelle J. Koopman|Richard Baker|Charles Everett|Barbara C. Tilley|Vanessa Diaz
Acculturation and Diabetes among Hispanics: Evidence from the 1999–2002 National Health and Nutrition Examination Survey
Medical University of South Carolina|Imperial College London|Medical University of South Carolina|University of Leicester|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina
hispanic individuals united states greater prevalence diabetes mellitus nonhispanic white individuals however unclear whether hispanics risk diabetes differs based level acculturation purpose research examine acculturation among hispanic americans respect prevalence control diabeteswe conducted analysis national health nutrition examination survey nhanes 19992002 nationally representative sample noninstitutionalized us population evaluated data hispanic adults 18 years age unweighted n2696 analyzing diagnosed diabetes glycemic blood pressure lipid control diabetes complications according acculturation measured language birth outside united stateshispanics low acculturation likely without routine place health care health insurance low levels education adjusted analyses individuals low acculturation measured language likely diabetes odds ratio 190 95 confidence interval ci 102 354 among individuals diagnosed diabetes significant association yielded acculturation diabetes control however individuals low language acculturation likely diabetes complication peripheral neuropathy 401 95 ci 140 1148acculturation measured language associated diabetes complications among hispanics even controlling variety demographic characteristics including health insurance education findings suggest even within single minority ethnic group differences disease prevalence complications access health care