Migration status in relation to clinical characteristics and barriers to care among youth with diabetes in the US

Details

• Alternative Title:
  J Immigr Minor Health
• Personal Author:
  Jaacks, Lindsay M. ; Oza-Frank, Reena ; D’Agostino, Ralph ; Dolan, Lawrence M. ; Dabelea, Dana ; Lawrence, Jean M. ; Pihoker, Catherine ; O’Connor, M. Rebecca ; Linder, Barbara ; Imperatore, Giuseppina ; Seid, Michael ; Narayan, K.M. Venkat ; Mayer-Davis, Elizabeth J.
• Description:
  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.
• Subjects:
  Blood Glucose Child Child, Preschool Diabetes Mellitus Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Emigrants And Immigrants Female Health Services Accessibility Humans Logistic Models Male Multivariate Analysis Prospective Studies Socioeconomic Factors Transients And Migrants

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• Source:
  J Immigr Minor Health. 14(6):949-958.
• Pubmed ID:
  22481308
• Pubmed Central ID:
  PMC4049129
• Document Type:
  Journal Article
• Funding:
  00097/PHS HHS/United States ; 1UL1RR026314-01/RR/NCRR NIH HHS/United States ; DP-05-069/DP/NCCDPHP CDC HHS/United States ; DP-10-001/DP/NCCDPHP CDC HHS/United States ; M01 RR000069/RR/NCRR NIH HHS/United States ; M01 RR00069/RR/NCRR NIH HHS/United States ; M01RR00037/RR/NCRR NIH HHS/United States ; P30 DK057516/DK/NIDDK NIH HHS/United States ; P30 DK57516/DK/NIDDK NIH HHS/United States ; UL1 RR025014/RR/NCRR NIH HHS/United States ; UL1 RR026314/RR/NCRR NIH HHS/United States ; UL1 RR029882/RR/NCRR NIH HHS/United States ; UL1 TR000077/TR/NCATS NIH HHS/United States ; UL1RR029882/RR/NCRR NIH HHS/United States
• Place as Subject:
  United States
• Volume:
  14
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f9b8d85a0175081811995cbc92e1a65690a24d66f2fa372d07abbd55c844e9da
• Download URL:
  https://stacks.cdc.gov/view/cdc/33689/cdc_33689_DS1.pdf
• File Type:
  [PDF - 63.38 KB ]