Diabetes Risk Perception Among Immigrant and Racial/Ethnic Minority Adults in the United States

The purpose of the study was to examine associations of immigrant and racial/ethnic status with diabetes risk perception among a population-based sample of US adults without diabetes. Racial/ethnic minorities are at increased risk of developing diabetes. Emerging research shows that immigrant (forei...

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Published inThe Diabetes educator Vol. 45; no. 6; p. 642
Main Authors Hsueh, Loretta, Peña, Juan M, Hirsh, Adam T, de Groot, Mary, Stewart, Jesse C
Format Journal Article
LanguageEnglish
Published United States 01.12.2019
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Abstract The purpose of the study was to examine associations of immigrant and racial/ethnic status with diabetes risk perception among a population-based sample of US adults without diabetes. Racial/ethnic minorities are at increased risk of developing diabetes. Emerging research shows that immigrant (foreign born) individuals are also at increased risk, but less is understood about risk perception in this group. Respondents were 11,569 adults from the NHANES (2011-2016; National Health and Nutrition Examination Survey) reporting no diabetes or prediabetes. Immigrant status was coded as foreign born or US born and analyses used NHANES racial/ethnic categories: white, black, Mexican American, other Hispanic, Asian, and other/multiracial. Immigrant status and variables comparing each minority group with whites were simultaneously entered into models predicting risk perception (yes/no), adjusting for demographic and diabetes risk factors. Being foreign born was associated with decreased odds of perceived risk, while being Mexican American, Asian, and other/multiracial were associated with increased odds of perceived risk. Foreign-born adults are less likely than US-born adults to report perceived risk for diabetes. Lower diabetes risk perception among immigrants could result in poorer preventative behaviors and later diabetes detection.
AbstractList The purpose of the study was to examine associations of immigrant and racial/ethnic status with diabetes risk perception among a population-based sample of US adults without diabetes. Racial/ethnic minorities are at increased risk of developing diabetes. Emerging research shows that immigrant (foreign born) individuals are also at increased risk, but less is understood about risk perception in this group. Respondents were 11,569 adults from the NHANES (2011-2016; National Health and Nutrition Examination Survey) reporting no diabetes or prediabetes. Immigrant status was coded as foreign born or US born and analyses used NHANES racial/ethnic categories: white, black, Mexican American, other Hispanic, Asian, and other/multiracial. Immigrant status and variables comparing each minority group with whites were simultaneously entered into models predicting risk perception (yes/no), adjusting for demographic and diabetes risk factors. Being foreign born was associated with decreased odds of perceived risk, while being Mexican American, Asian, and other/multiracial were associated with increased odds of perceived risk. Foreign-born adults are less likely than US-born adults to report perceived risk for diabetes. Lower diabetes risk perception among immigrants could result in poorer preventative behaviors and later diabetes detection.
Author de Groot, Mary
Peña, Juan M
Hsueh, Loretta
Hirsh, Adam T
Stewart, Jesse C
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  givenname: Juan M
  surname: Peña
  fullname: Peña, Juan M
  organization: Department of Psychology, University of New Mexico, Albuquerque, New Mexico
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  givenname: Adam T
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  organization: Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana
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  surname: de Groot
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  givenname: Jesse C
  orcidid: 0000-0001-7377-8823
  surname: Stewart
  fullname: Stewart, Jesse C
  organization: Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana
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Snippet The purpose of the study was to examine associations of immigrant and racial/ethnic status with diabetes risk perception among a population-based sample of US...
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StartPage 642
SubjectTerms Adult
Continental Population Groups - psychology
Cross-Sectional Studies
Diabetes Mellitus - ethnology
Diabetes Mellitus - psychology
Emigrants and Immigrants - psychology
Ethnic Groups - psychology
Female
Humans
Male
Middle Aged
Minority Groups - psychology
Nutrition Surveys
Perception
Risk Assessment
Risk Factors
United States
Title Diabetes Risk Perception Among Immigrant and Racial/Ethnic Minority Adults in the United States
URI https://www.ncbi.nlm.nih.gov/pubmed/31725364
Volume 45
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