Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ 85724, USA.
Department of Mexican American Studies, The University of Arizona, Tucson, AZ 85724, USA.
Int J Environ Res Public Health. 2023 Jun 14;20(12):6126. doi: 10.3390/ijerph20126126.
Diabetes is the seventh leading cause of death in the United States, and it is particularly problematic among the Latine population. This study employed multivariable logistic regression models to examine how hypertension, depression, and sociodemographics were associated with diabetes in a cross-sectional sample of Mexican-origin adults living in three counties of Southern Arizona. The overall prevalence of diabetes from this primary care sample was 39.4%. Holding covariates at fixed values, individuals having hypertension were 2.36 (95% CI: 1.15, 4.83) times more likely to have diabetes, when compared to individuals not having hypertension. The odds of having diabetes for individuals with ≥12 years of educational attainment were 0.29 (95% CI: 0.14, 0.61) times the corresponding odds of individuals with <12 years of educational attainment. For individuals with depression, the odds of having diabetes for those who were born in Mexico and had <30 years living in the US were 0.04 (95% CI: 0, 0.42) times the corresponding odds of individuals without depression and who were born in the US. Findings suggest clinical and public health systems should be aware of the potential increased risk of diabetes among Mexican-origin adults with hypertension and lower educational attainment.
糖尿病是美国第七大死因,在拉丁裔人群中尤为突出。本研究采用多变量逻辑回归模型,在亚利桑那州南部三个县居住的墨西哥裔成年人的横断面样本中,研究了高血压、抑郁和社会人口统计学因素与糖尿病之间的关系。该初级保健样本中糖尿病的总体患病率为 39.4%。在固定协变量值的情况下,与没有高血压的个体相比,患有高血压的个体患糖尿病的几率是其 2.36 倍(95%CI:1.15,4.83)。具有≥12 年受教育程度的个体发生糖尿病的几率是受教育程度<12 年的个体的 0.29 倍(95%CI:0.14,0.61)。对于患有抑郁症的个体,出生在墨西哥且在美国居住时间<30 年的个体发生糖尿病的几率是无抑郁症且出生在美国的个体的 0.04 倍(95%CI:0,0.42)。研究结果表明,临床和公共卫生系统应该意识到高血压和受教育程度较低的墨西哥裔成年人患糖尿病的潜在风险增加。