Online Program

Type II diabetes by ethnicity and immigrant generation among Asian Americans: A study of California health interview survey 2007-9

Monday, November 4, 2013 : 12:30 p.m. - 12:50 p.m.

Chaoyi Zheng, Georgetown University, Washington, DC
Jennifer Huang, Georgetown University, Washington, DC
RESEARCH DESIGN AND METHODS – We abstracted socio-demographic and acculturation data from a population based sample of 7,188 Asian Americans 35 years and older by merging 2007 to 2009 California Health Interview Survey (CHIS) database. Immigrant generation status were defined by examine participant and his/her parents' nativity (country of birth). Language preference to use with friends and for TV/radio/newspaper was used as a proxy of acculturation Asian Americans. Multivariable models stratified by gender and ethnicity were constructed to find independent associations of type 2 diabetes prevalence by acculturation proxies. RESULTS – The prevalence of diagnosed type 2 diabetes was significantly higher in second generation and third or higher generation Asian for men (24.0%, 17.2% v.s. 7.8%, both p<0.01), and in first generation Asian women compared to their peer of US-born White (7.8% v.s. 5.6%, p=0.007). After adjusting for sociodemographics, BMI and lifestyle factors, second generation Asian American men were nearly seven times more likely to report type 2 diabetes compared to their while peers (OR=6.8, 95%CI 3.0-15.3). For women, the first generation Asian American women were twice as likely to report type 2 diabetes compared to US-born White peers (OR=2.0, 95% CI 1.5-2.7). After controlling for potential confounders as well as generation status, lower preference for English was significantly associated with higher odds for diagnosed type 2 diabetes in Korean women and men, Filipino and Japanese women, and South Asian. CONCLUSIONS – First generation Asian immigrant women and second generation Asian immigrant men faced the highest risk of getting type 2 diabetes after adjustment for socio-demographics and BMI. English preference may have played a role in type 2 diabetes pathogenesis and/or diagnosis. Diabetes control should target the risk group and future studies are needed to examine the underlying risk factors among these high risk populations.

Learning Areas:

Chronic disease management and prevention
Social and behavioral sciences

Learning Objectives:
Assess prevalence of type 2 diabetes among Asian Americans of six major Asian ethnicities (Chinese, Filipino, South Asian, Japanese, Korean, and Vietnamese) in the U.S. Evaluate the associations between prevalent diagnosed type 2 diabetes with two acculturation proxies, i.e., immigrant generation and language preference.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have achieved a master's degree in public health and have been the primary executor of the study to be presented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.