University of Connecticut School of Social Work, University of Connecticut, Storrs, CT, USA.
University of Connecticut School of Medicine, Farmington, CT, USA.
Diabetes Res Clin Pract. 2021 May;175:108792. doi: 10.1016/j.diabres.2021.108792. Epub 2021 Apr 16.
Migrants experience social disconnection and also have high risk for metabolic syndrome (MetS). This study explored associations of social alienation, social isolation, and social support with MetS among Cambodian Americans.
We conducted secondary data analysis on baseline assessments from a diabetes prevention trial for Cambodian Americans with depression and high risk for diabetes. Participants were aged 35-75, Cambodian or Cambodian-American, Khmer speaking, lived in Cambodia during the Pol Pot regime, lived in the northeastern U.S. at the time of study, endorsed elevated risk factors for diabetes and met criteria for depression by medication for depression and/or elevated depressive symptoms. They completed surveys and provided anthropometric and blood pressure measurements and fasting blood samples.
In multiple linear regressions, greater social alienation was associated with increased risk for MetS. The social alienation-MetS association was stronger in men than women. Associations were not better accounted for by crude indicators of social isolation such as marital status, living alone, and number of people in the household. Social support was not associated with MetS and did not buffer the deleterious association between social alienation and MetS.
Decreasing social alienation may mitigate risk for MetS among migrant populations.
移民经历社会脱节，同时也有代谢综合征（MetS）的高风险。本研究探讨了柬埔寨裔美国人中社会疏远、社会孤立和社会支持与 MetS 的关系。
我们对一项针对有抑郁和糖尿病高危风险的柬埔寨裔美国人的糖尿病预防试验的基线评估进行了二次数据分析。参与者年龄在 35-75 岁之间，为柬埔寨裔或柬埔寨裔美国人，会说高棉语，在波尔布特政权期间居住在柬埔寨，在研究时居住在美国东北部，有糖尿病高危因素，并且通过抗抑郁药物治疗和/或抑郁症状升高符合抑郁标准。他们完成了问卷调查，并提供了人体测量和血压测量以及空腹血样。
在多项线性回归中，较高的社会疏远与 MetS 的风险增加有关。社会疏远与 MetS 的关联在男性中比女性更强。社会孤立的粗略指标，如婚姻状况、独居和家庭人口数，并不能更好地解释社会疏远与 MetS 之间的关联。社会支持与 MetS 无关，也不能缓冲社会疏远与 MetS 之间的有害关联。
减少社会疏远可能会降低移民人群患 MetS 的风险。
