Zeki Al Hazzouri Adina, Haan Mary N, Robinson Whitney R, Gordon-Larsen Penny, Garcia Lorena, Clayton Erin, Aiello Allison E
Division of Epidemiology and Population Health, Department of Public Health Sciences, University of Miami, Miami, Florida, USA.
Obesity (Silver Spring). 2015 May;23(5):1097-104. doi: 10.1002/oby.21051. Epub 2015 Mar 25.
The purpose of this study was to examine the association of intergenerational education and country of birth with waist circumference, metabolic syndrome, and type 2 diabetes among older adult Latinos in the United States.
We used cross-sectional data from the Sacramento Area Latino Study on Aging, a cohort of older adult Mexican-American Latinos (mean age = 70 years). At baseline, we measured waist circumference and assessed metabolic syndrome and diabetes according to established guidelines (N = 1,789). Participants were classified as US-born or foreign-born based on self-reported birth country. Participants reported their parents' education level (≥6 vs. <6 years) and their own educational attainment (≥12 vs. <12 years).
US-born participants who achieved high adult education, regardless of their parents' education, had 37% lower odds of type 2 diabetes compared to US-born participants with both low parental and personal education levels [e.g., multivariable-adjusted OR (parental low/adult high) = 0.63; 95% CI = 0.40, 0.99]. Among the foreign-born, only those with both high parental and high personal education levels had 55% lower odds of large waist circumference (OR = 0.45; 95% CI = 0.23, 0.88) compared to foreign-born participants with both low parental and personal education levels.
Intergenerational exposure to low education levels may increase central obesity and type 2 diabetes differentially among US-born and foreign-born Latinos.
本研究旨在探讨在美国的老年拉丁裔人群中，代际教育和出生国家与腰围、代谢综合征及2型糖尿病之间的关联。
我们使用了来自萨克拉门托地区拉丁裔老龄化研究的横断面数据，该研究对象为一组老年墨西哥裔美国拉丁裔（平均年龄 = 70岁）。在基线时，我们测量了腰围，并根据既定指南评估了代谢综合征和糖尿病情况（N = 1789）。根据自我报告的出生国家，将参与者分为美国出生或外国出生。参与者报告了其父母的教育水平（≥6年 vs. <6年）以及他们自己的教育程度（≥12年 vs. <12年）。
无论父母教育程度如何，接受高等成人教育的美国出生参与者患2型糖尿病的几率比父母和个人教育水平都低的美国出生参与者低37%[例如，多变量调整后的比值比（父母低/成人高）= 0.63；95%置信区间 = 0.40, 0.99]。在外国出生的参与者中，只有父母和个人教育水平都高的参与者与父母和个人教育水平都低的外国出生参与者相比，腰围粗大的几率低55%（比值比 = 0.45；95%置信区间 = 0.23, 0.88）。
在美国出生和外国出生的拉丁裔人群中，代际间低教育水平暴露可能会不同程度地增加中心性肥胖和2型糖尿病的患病几率。
