TY - JOUR
T1 - Intergenerational educational mobility and type 2 diabetes in the Sacramento Area Latino Study of Aging
AU - Fernández-Rhodes, Lindsay
AU - Ward, Julia B.
AU - Martin, Chantel L.
AU - Zeki Al Hazzouri, Adina
AU - Torres, Jacqueline
AU - Gordon-Larsen, Penny
AU - Haan, Mary N.
AU - Aiello, Allison E.
N1 - Funding Information:
This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases, of the National Institutes of Health ( R01DK087864 ). Additional support for this work came from three other grants from the National Institutes of Health ( P60MD002249 , R01AG012975 , R01 DK60753 ). We are grateful to the Carolina Population Center for their training support of Drs. Fernandez-Rhodes, Ward and Martin ( T32-HD007168 ) and for their general support of Drs. Fernandez-Rhodes, Ward, Martin, Gordon-Larsen and Aiello ( P2C-HD050924 ). Dr. Torres was supported by the National Institute on Aging ( K01AG056602 ).
Funding Information:
This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases, of the National Institutes of Health (R01DK087864). Additional support for this work came from three other grants from the National Institutes of Health (P60MD002249, R01AG012975, R01DK60753). We are grateful to the Carolina Population Center for their training support of Drs. Fernandez-Rhodes, Ward and Martin (T32-HD007168) and for their general support of Drs. Fernandez-Rhodes, Ward, Martin, Gordon-Larsen and Aiello (P2C-HD050924). Dr. Torres was supported by the National Institute on Aging (K01AG056602).
Publisher Copyright:
© 2021 Elsevier Inc.
PY - 2021
Y1 - 2021
N2 - Purpose: United States (US) Latinos have the lowest educational attainment of any US racial/ethnic group, which may contribute to their disparate burden of Type 2 Diabetes. Herein, we aimed to examine the association between intergenerational educational mobility and Type 2 Diabetes among US Latino adults. Methods: We used data from the Niños Lifestyle and Diabetes Study (2013–2014) and the Sacramento Area Latino Study on Aging (1998–1999) to link 616 adult Latino children to their parents. Model-based standardization and robust Poisson regression were used to estimate the prevalence of prediabetes, Type 2 Diabetes, treatment and glycemic control, and describe their associations with intergenerational educational mobility. Results: Adult children with stable high intergenerational educational attainment had a higher prevalence of prediabetes (Prevalence Ratio, PR=1.58; 95% Confidence Interval, CI=1.08, 2.34) and lower prevalence of Type 2 Diabetes (PR=0.64, CI=0.41, 0.99), as compared to those who experienced low educational attainment across generations. Downward mobility was associated with a higher prevalence of prediabetes (PR=1.54, CI=1.06, 2.23) and worse glycemic control (PR=2.20, CI=1.13, 4.30), and upward mobility was associated with a lower prevalence of Type 2 Diabetes (PR=0.39, CI=0.22, 0.70). Conclusions: Our findings from a predominantly Mexican-heritage community suggest that higher education across generations may buffer individuals from glycemic dysregulation. As such, higher education may be a promising public health target to address the rising burden of Type 2 Diabetes in the US.
AB - Purpose: United States (US) Latinos have the lowest educational attainment of any US racial/ethnic group, which may contribute to their disparate burden of Type 2 Diabetes. Herein, we aimed to examine the association between intergenerational educational mobility and Type 2 Diabetes among US Latino adults. Methods: We used data from the Niños Lifestyle and Diabetes Study (2013–2014) and the Sacramento Area Latino Study on Aging (1998–1999) to link 616 adult Latino children to their parents. Model-based standardization and robust Poisson regression were used to estimate the prevalence of prediabetes, Type 2 Diabetes, treatment and glycemic control, and describe their associations with intergenerational educational mobility. Results: Adult children with stable high intergenerational educational attainment had a higher prevalence of prediabetes (Prevalence Ratio, PR=1.58; 95% Confidence Interval, CI=1.08, 2.34) and lower prevalence of Type 2 Diabetes (PR=0.64, CI=0.41, 0.99), as compared to those who experienced low educational attainment across generations. Downward mobility was associated with a higher prevalence of prediabetes (PR=1.54, CI=1.06, 2.23) and worse glycemic control (PR=2.20, CI=1.13, 4.30), and upward mobility was associated with a lower prevalence of Type 2 Diabetes (PR=0.39, CI=0.22, 0.70). Conclusions: Our findings from a predominantly Mexican-heritage community suggest that higher education across generations may buffer individuals from glycemic dysregulation. As such, higher education may be a promising public health target to address the rising burden of Type 2 Diabetes in the US.
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U2 - 10.1016/j.annepidem.2021.07.006
DO - 10.1016/j.annepidem.2021.07.006
M3 - Article
C2 - 34303766
AN - SCOPUS:85113589125
JO - Annals of Epidemiology
JF - Annals of Epidemiology
SN - 1047-2797
ER -